Using eSolutions, NHS Management has mastered patient eligibility and reaped the benefits of a 75 percent reduction in A/R days and a 99 percent decrease in claims paid after 60 days.
Reduction in A/R days
Decrease in claims paid after 60 days
NHS Management, LLC, is a provider of administrative and consulting services for nursing home and rehabilitation centers. It has 42 facilities spread across the Southeast that include, but are not limited to, the following services: physical, speech, and occupational therapy, dietary services, recreational services, pharmacy and environmental services.
NHS Management needed a better way to manage its billing process. Before acquiring eSolutions’ products, its biggest struggle was the time-consuming task of verifying all patient eligibility using the Medicare DDE. Regional Manager Erica Ashford explained how the system was becoming more of a hindrance to her team. “The time it took to enter patient information into the DDE using our previous system was a really inefficient process. There was no convenient way to check for claim errors, and attempting to track them was very difficult because we had such limited reporting,” Erica said. “Every day felt like we were playing catch-up.”
The Solution – Medicare Enterprise Package
Once NHS Management made the transition to eSolutions, it began reaping the benefits very quickly. “By using Medicare Eligibility and Medicare Claims Editor together, the time and efficiency of entering and submitting claims was incomparable to our previous method,” she said.
With Medicare Analytics, the billing team can track and trend claims in real-time, enabling it to spot and fix any errors within the system on a daily basis. As a result, NHS Management is receiving returns much sooner than it once did.
After switching to eSolutions’ products in 2013, NHS Management experienced a significant turnaround in productivity. “It’s amazing to see how much extra time we have to focus on other tasks,” said Erica. “We are all very satisfied with all the products we use and only wish we would have found them sooner!”