Private Equity-Backed Medical Groups

The results

Reduced/Reallocated

10+ FTEs

Reduced Time

from date of service to claim submission by two days

Decreased

clearinghouse and payer rejections by 3%

Improved

claim resolution rate by 25%

The challenge

Even the most organized PEB groups can struggle with onboarding newly acquired medical groups. Finding the right approach and technology depends on your systems and goals. Some change management challenges our clients have identified include:

Managing manual processes and reducing repetitive tasks
Combining multiple PM systems and disparate EMR data
Keeping physicians happy with changes
Controlling costs while improving RCM performance

Standardization

Streamline data coming from multiple EMRs and apply your team’s best practices and expertise against every encounter
Build a rule repository of your coding and billing team’s knowledge
Simplify and automate the review process by correcting issues early in the revenue cycle

Staff Efficiency

Automatically review all encounters and autocorrect routine coding and billing errors without manual staff intervention
Reduce administrative coding and billing tasks from your providers by applying custom rules to every encounter
Eliminate the need to train new team members since rules will instruct them on required changes early in the revenue cycle

RCM Performance

Reduce denials and days in A/R by implementing a standardized and automated review/correction process
Reduce missed revenue by eliminating human error
Hire new physicians without having to add additional coding/billing staff to handle increased charges

Proof

Real, satisfied customers

“I have over 30 years’ experience in healthcare with approximately 25 of those being in a revenue cycle role. During this time, I’ve worked for large and small companies, having had the opportunity to take part in a variety of improvement projects. Our team agrees that the Aptarro implementation was easily the best we’ve ever experienced. We are thankful for our ongoing partnership.”

Sr. VP of Revenue Cycle at US Eye

“I checked with ADP and Aptarro has never taken a vacation day, a sick day, or been late to work. It does what we want it to do every single time, that consistency is a game changer.”

Director of Revenue Cycle at Vision Innovation Partners

The group was able to reduce two full-time positions and reallocate another two full-time positions on their Charge Entry Team. They reduced 11 hours per day of manual charge entry; and automated charge cloning, missing charge reconciliation, and practice transfer. On their AR Team, they were able to reduce four and a half full-time positions and reduce denial tasks by 22%. Finally, on their Coding Team, they were able to reduce two fulltime positions and reduce coding denial tasks by 75%. In all, they were able to reduce or reallocate over ten full-time positions.

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In addition to remedying their staffing challenges, these changes positively increased staff morale and allowed for more professional growth among their existing staff. The simplified processes also eased staffing changeovers and reduced the administrative burden on IT.

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The time from date of service to claim submission was reduced by two days. Their clearinghouse and payer rejections decreased by 3%, backend rejections went from 40% of total rejections down to 15%, and their claim resolution rate three months after implementation was up by 25% of the available opportunity.

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The Automation Partner to Scale RCM Ops for Private Equity-Backed Medical Groups

The results

Reduced/Reallocated

Reduced Time

Decreased

Improved

The challenge

The solution

Real, satisfied customers

The benefits

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