A Leading Multi-Specialty Practice in the US Utilized Our Services to Optimize Their Medical Billing Processes

About the client

The client is a multi-specialty medical practice providing a wide range of medical services, including primary care, specialty consultations, diagnostic tests, and minor surgical procedures. With a substantial patient base, the clinic has been facing challenges in its medical billing processes.

Client requirement
  • The client frequently received denials and rejections from insurance companies due to coding errors and incomplete claim information, leading to delayed payments.
  • Many claims were not processed promptly, leading to delayed payments and a negative impact on the clinic’s cash flow.
  • The client’s billing team struggled to keep up with the growing backlog of unprocessed claims, leading to operational inefficiencies.
  • Preludesys engaged their experts to analyze the client’s billing requirements. The team consisted of highly skilled and certified billing specialists who are well-versed in the latest healthcare billing regulations.
  • Upon having a clear understanding of the specific requirements, we promptly assembled and trained an offshore billing team, transferring the essential knowledge to them seamlessly.
  • Our team significantly reduced the errors and the number of pending claims.
  • We conducted regular compliance audits to ensure adherence to healthcare regulations.
  • The errors decreased substantially resulting in fewer claim denials and rejections.
  • The average time to process claims reduced by a huge margin, leading to faster payments and improved cash flow.
  • The outsourcing of billing tasks helped reduce the backlog of unprocessed claims.
  • Regular audits and reviews helped the clinic maintain compliance with healthcare regulations, reducing risk of penalties.