Dominion, a Texas-based EMS agency with a handful of emergency and non-emergency medical transport/ambulance units, specializes in advanced life support, local and long-distance transportation, customer service, medical appointments, inter-facility transfers, and transportation to the patient's preferred hospital. They made roughly 300 monthly trips and used a local billing firm for their RCM; however, they were dissatisfied with the billing service they had used for several years.
They were dealing with several challenges and had some specific criteria –
- Firstly, they wanted to be happier with the work done by the billing service company to whom they had outsourced their billing.
- They needed to collect more revenue, so the company faced losses.
- The billing companies would only share the data and reports occasionally, which they were supposed to share.
- They needed direct access to the staff, and no one was willing to call them.
- The billing service people were unwilling to go that extra mile and help them.
expEDIum Medical Billing
They had the following criteria when they looked for a new billing service company:
- They were looking for a company that would go the extra mile and produce satisfactory results that the previous one could have done better.
- They were looking for a partner who would work with them for the long term.
- They should increase the revenue collected.
- They should provide access to specific data, reports, and data analytics.
However, after some months of searching, Dominion contacted expEDIum. Then, after a week of continued communication & evaluation of the software, Dominion liked expEDIum, and the owner of Dominion decided to go with expEDIum software & expEDIum Service. expEDIum helped them with the transition from the old billing company. Within a few weeks of transition, Dominion started getting more collections; during their tenure with us, expEDIum processed over 1500 claims with 80 percentile payments in 16 days. The secondary claims paid 5.6% of the total collections and covered the billing services charges paid to expEDIum.
The billing service that expEDIum offered included the following with 48 hours TAT on claim submission:
- Patient Demographics Entry from Ambulance ePCR Charts.
- Coding.
- Charge Entry from Ambulance ePCR charts.
- Secondary Claims creation.
- Manual posting of Insurance and Patient Payments.
- Following up with Payers.
