Practice cuts both AR days and denial rates by using Web-based clearinghouse  

Category: billing

Pratt Medical Center is the oldest and largest multi-specialty group practice in the Fredericksburg, Va., area, with roots dating back to the 1937 merger of five family practice physicians. Now, however, our group faces the very modern challenge of trying to productively manage 1,000 new claims each day.

Facing ever-tightening payer restrictions and a greater number of patients carrying personal liability, we realized a few years ago that our continued success ultimately depends on the ability to do two things: 1) submit clean claims faster, and 2) easily generate reliable business intelligence. Unfortunately, at the time, both goals were hampered by underperforming technology solutions. A perfect example could be found in our denial management efforts.

We knew each billing staff member re-worked about 10-15 denied claims per day. However, our clearinghouse was unable to...