Office Practicum Case Study
Bi-County Pediatrics switches to OP RCM™ and recognizes a 30 percent increase in payments
Located in Douglasville, Georgia, Bi-County Pediatrics serves a suburban community of more than 4,000 patients with a 40 percent capped Medicaid population. A mainstay in their community, the practice’s two physicians and six staff members care for 25-45 patients per day and are now seeing the grandchildren of their very first patients. Although their patient mix has changed over time, the practice remains dedicated to providing superior, comprehensive healthcare to its patients.
Seasoned Billers Retire
For the majority of the practice’s impressive history, two billers have been responsible for managing the revenue cycle. When both retired within months of each other, Pat Flowers, Bi-County Pediatrics’ Practice Administrator, had an important decision to make: rebuild the billing staff or outsource billing to a third party. For several reasons, Pat ultimately decided to outsource her billing to OP’s pediatric billing services, OP RCM.
In-depth Knowledge of a Complex Payer System
Between the Managed Care Organization (MCO) guidelines and complicated Medicaid rules, Georgia is one of the toughest states to bill for. If billers don’t stay up-to-date on changes to payer rules, they run the risk of leaving countless dollars on the table.