Dissatisfied with Collections
Client was not satisfied with collections performance of existing outsourced provider.
Our client was concerned that cash generated on a monthly basis was not appropriate for the work being performed. Alecta was brought in to replace the existing solution. Our team immediately identified and corrected internal workflow issues, including staffing shortages, inefficient or missing processes, and low morale. In addition, technology upgrades and enhancements afforded greater efficiency.
After assuming revenue activities, cash collected on a year-over-year RVU comparison increased by 18% in just one year. This was cost-neutral to the client.
Deep understanding of the revenue cycle limits potential penalties.
Our client was faced with a large civil fine by the DOJ and potential Medicare exclusion by OIG. Alecta was brought in to assist legal counsel in developing a defense.
After performing a forensic review of billing practices over the time in question, Alecta’s team was able to identify misrepresentations of the occurrences on the part of the federal government. In addition, we demonstrated to both the attorneys and the government how the unique nature of the client’s business allowed the errors to legitimately occur. This enabled counsel to formulate a strong defense to mitigate the client’s exposure.
Proper execution affords opportunities.
A large hospital was using a well-known national outsourcing provider and Alecta was brought in to replace their revenue cycle management services. During implementation, a number of workflow deficiencies were identified and corrected. After 60 days, realized revenue increased by 43%. This enabled the client to double the size of the department within the first year of Alecta’s management.