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MedSynergies Case Study

Faster Claims Processing, Streamline Secondary Claims Filing, Improve Management of Denials and Over-the- Counter Collections

MedSynergies provides revenue cycle management, practice management, consulting services, business process analysis and software integration solutions to more than 5,000 healthcare providers nationwide. As MedSynergies began to grow, it began to apparent that they need to find better imaging solution with robust indexing capabilities that integrated with their billing system allowing them to streamline processes and reduce costs.

Since implementing Systemware HC Claims Remittance ProcessingTM solution which includes scanning, workflow and storage of all EOBs (explanation of benefits), ERA (electronic remittance advice), secondary claims and payments, MedSynergies has been able to automate the process of posting claims payments, allowing it to reduce errors and labor costs while increasing their payment posting efficiencies by 30%.

The Challenge:
  • Their scanning product was expensive and had limited capabilities requiring significant workarounds and fixes.
  • Their provider charged by the image and amount of storage resulting in MedSynergies staff spending a lot of time manually copying, physically cutting and then taping multiple documents together to minimize charges.
  • Their provider charged by the image and amount of storage resulting in MedSynergies staff spending a lot of time manually copying, physically cutting and then taping multiple documents together to minimize charges.
The Results:
  • Increases payment posting efficiency by 30%
  • 50% improvement in A/R management per FTE (full time employee)
  • 50% improvement in the number of claims generated in secondary claims processing
  • Exponentially increases productivity
  • Increased visibility into the transaction life cycle

Highlights

  • Business Focus: Revenue Cycle Management
  • Customer Since: 2006
  • Integration: IDX Groupcast
  • Departments: Payment Posting, Customer Service, Batch Processing, Financial Services, Physicians
  • Areas of Interest: High Volume Scanning, Robust Indexing, Workflow Efficiencies, Life Cycle Management and Storage
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