Newport Orthopedic Institute Exceeds RCM Goals with Billing Automation
Newport Orthopedic Institute wanted to cut the manual labor associated with their charge review process in half. To do so, they turned to NextGen Healthcare for intelligent automation and accurate claim generation.
Newport Orthopedic Institute
Newport Orthopedic Institute is the largest orthopedic and musculoskeletal group in coastal Orange County, CA. They provide a continuum of care ranging from conservative treatment to surgical intervention in every area of orthopedic care, and serve their patients well by providing a high level of comprehensive care and service in every major orthopedic specialty.
NextGen Healthcare Solutions:
- NextGen® Rules Engine
Reduced manual workflow
NextGen Rules Engine delivered automated charge corrections to maintain accuracy while reducing manual intervention
Increased visibility
Real-time reports and dashboards engage staff and providers by highlighting how billing accuracy has improved
Achieving goals
NextGen Rules Engine has helped Newport Orthopedic Institute exceed their goals around billing efficiency and accuracy
Stronger outcomes
Automation is delivering more rapid billing throughput, leading to improved cash flow, reduced denials, and strengthened revenue stability
How to reduce manual billing processes
From the beginning, Newport Orthopedic Institute set ambitious goals to reduce manual labor associated with their charge review process by 50%. Initially, they were looking to reduce repetitive coding errors. However, this led to charge corrections, unnecessary manual work, and delayed reimbursements, going against their original goal.
To correct their course, they would need a solution that can streamline their revenue cycle operation and adapt to an increase in provider workloads, all without increasing their permanent levels of staffing.
Billing issues automatically corrected
Reduction in time to process charges
Reduction in manual charge review
Delivering automation and accuracy
Increased accuracy. Stronger cash flow.
Beyond automation, custom rules and content translated into increased billing accuracy. Real-time reports and dashboards highlight these improvements, so providers see firsthand how their billing has improved, creating engagement at all levels.
Management at Newport Orthopedic Institute not only met their goals but exceeded them in terms of efficiency and accuracy. With NextGen Rules Engine handling the heavy lifting, their team is now focused on more rapid billing throughput, ultimately improving cash flow, reducing denials, and driving revenue stability.
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