The Client
A Florida-based medical billing company that offers end-to-end billing and claims management services to healthcare providers. The client supports various specialties and focuses on accelerating reimbursements and improving collections across the billing lifecycle.
The Requirement
The client needed Flatworld Solutions to handle the full scope of Revenue Cycle Management (RCM), including claims submission, denial management, payment posting, insurance verification, and regular financial reporting.
The Challenges
- Managing claims accuracy while adhering to multiple payer requirements
- Addressing high denial rates and ensuring timely appeals and resubmissions
- Coordinating across payer portals and clearinghouses with varied workflows
- Maintaining consistent, compliant patient billing and real-time progress reporting
Our Solution
- Deployed a 4-member team to manage all phases of the billing cycle
- Customized workflows for claim scrubbing, insurance verification, denial tracking, and patient billing
- Established a proactive communication system for real-time progress updates and report sharing
- Used billing software like Medisoft and ECW for claim processing
- Leveraged payer portals like Availity, UHC/OPTUM, and Waystar
- Followed systematic steps for denial identification, appeals, resubmission, and follow-ups
- Ensured all claims were coded, scrubbed, and validated before submission
- Delivered patient-friendly billing statements and maintained HIPAA compliance
The Outcome
- Faster reimbursements and improved cash flow
- Reduced denial rates due to proactive appeals and coding accuracy
- Higher collection success with timely follow-ups and aging report monitoring
- Increased revenue through minimized write-offs and optimized processes
- Improved patient satisfaction with transparent billing practices
- Enhanced compliance and cost savings through automation and efficient workflows
- Expanded support from 1 FTE to 4 FTEs, strengthening client partnership
Outsource Revenue Cycle Management to Flatworld Solutions
Struggling with denials and delayed reimbursements? Flatworld Solutions provides comprehensive RCM services for billing companies and healthcare providers. We ensure clean claim submission, faster collections, and strategic denial resolution.
Let us optimize your revenue operations with scalable, end-to-end billing solutions.
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USA
Flatworld Solutions
116 Village Blvd, Suite 200, Princeton, NJ 08540
PHILIPPINES
Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000
KSS Building, Buhangin Road Cor Olive Street, Davao City 8000
INDIA
Survey No.11, 3rd Floor, Indraprastha, Gubbi Cross, 81,
Hennur Bagalur Main Rd, Kuvempu Layout, Kothanur, Bengaluru, Karnataka 560077
