Midwestern Anesthesia Group
Overview
This case study examines Coronis Health’s collaborative effort with a Midwestern anesthesia group to optimize operational efficiency, strengthen revenue collection and achieve a substantial subsidy increase.
Problem
The group faced several challenges impacting their financial performance:
Claim Correction Bottleneck: Manual claim correction due to missing documentation was delaying submissions and hindering revenue collection.
Pain Practice Revenue Optimization: Their pain practice segment wasn’t reaching its full revenue potential due to unclear documentation and lack of dedicated reporting.
Inadequate Hospital Subsidy: The existing subsidy fell short of supporting market based compensation packages and needed renegotiation.
Solution
Coronis Health implemented a comprehensive approach:
On-Site Collaboration: Held a full-day working meeting with the group to analyze billing, coding and operational processes.
Improved Documentation Access: Enabled electronic access to operative notes, streamlining claim correction for the group.
Pain Practice Optimization: Conducted a review of the pain practice, identified areas for improvement, and provided educational resources.
Financial Analysis & Negotiation Support: Analyzed financial statements, quantified provider attrition, and provided market data to support subsidy negotiations.
Results
Coronis Health’s intervention yielded significant benefits for the group:
Claim Correction Efficiency: Slashed claim correction backlog by 50%, accelerating claim submissions and bolstering cash flow.
Revenue Surge: Boosted monthly pain practice revenue by $20,000, yielding an annual uptick of $240,000.
Room Utilization Recovery: Reclaimed nearly $1 million in room utilization reconciliation errors, enhancing financial integrity.
Substantial Subsidy Win: Negotiated a 30% annual subsidy boost, netting approximately $6 million.