With cutting edge technology and daily medical breakthroughs our healthcare system appears to fit the mold of streamlined perfection, however the rising challenges of daily medical group operations are quietly overlooked without an obvious solution.

1. • The PAHCOM Journal • May/June 20138
ith cutting edge
technology and daily
medical breakthroughs
our healthcare system
appears to fit the mold of streamlined
perfection, however the rising
challenges of daily medical group
operations are quietly overlooked
without an obvious solution.
Doctors are challenged to divert their
focus from treating patients, to tedious
claim chases and endless denial follow
ups, causing additional frustrations
to the already perplexed lowered
insurance reimbursements. Office
managers are equally defied; faced
with high turnovers, limited solutions
and high operational costs, the days
at the office just got longer. And it’s no
wonder, as the cost of maintaining a
profitable business the old fashioned
way is not a sustainable option.
So what is the solution? Hybrid
workflow! Imagine this: You walk
into your office, log in to your
computer and the first email you
see depicts a picture perfect world,
full of clarity and insight. Easy to
understand spreadsheets with
complete breakdowns of outstanding
accounts receivables and valid reason
explanations for easy claim correction
and resubmission. Or better yet, a full
report of your patients’ appointments
confirmed in advance with detailed
eligibility and benefits verification
with authorization codes available
prior to treatment. How about pages
of scanned documents which are
seamlessly indexed to their designated
folder? It can happen! I know what
you are thinking, this is too good to
be true, a sci-fi flick with virtual reality
inserts, no such solution exists in real
life. Wrong!
Unique back office solutions can
significantly enrich your current
Operational Cost Reduction in a Changing
Healthcare Environment by Julia Solooki, MBA
W
Julia Solooki, MBA
is Director of Business Development, Marketing at ClinicSpectrum, Inc., a
healthcare services company providing outsourcing and back office solutions
for medical billing companies, medical offices, hospital billing departments,
and hospital medical records departments. For more information, contact
Julia at (440) 290-9032 or Julia@clinicspectrum.com
ClinicSpectrum, Inc. is a PAHCOM Coprorate Member Since 2012
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workflow in the areas of Claims
Entry, Payment Posting, Accounts
Receivable Follow Up, Denials
Management and Credentialing.
The hybrid workflow model ensures
resourceful manpower, extensive
healthcare expertise, and warrants
the tedious work of aggressive follow
ups, amongst other services, to be
completed, all while away from your
office. A virtual office genie can do all
your work and increase your bottom
line by up to 20%, all while reducing
operational cost by as much as 30%.
In order to survive the changes in
the healthcare environment, medical
groups can outsource various billing
modules to third party solutions to
maintain profitability. Off-shore labor
power allows lowered operational
costs and increases profitability
instantly, putting medical groups in
a lucrative space yet again. Don’t
let your frustrations slow you down,
solutions are here to stay.