Our Medical Billing Services Maximize Revenue and Minimize Cost

At Acuity, we are committed to being a responsive partner, maximizing reimbursement by providing solutions that allow you the freedom to focus on the core elements of your business: the practice of medicine and the care of your patients.


Put our experienced team of professionals to work for you

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Our team is highly experienced in all areas of medical billing management. We work closely with insurance carriers, medical directors, and leaders in the industry to ensure we are up-to-date. Our administration and team’s experience and knowledge make Acuity a leader in the medical billing industry. Our knowledge of reimbursement structures, coding edits, LCDs, and payer contracts ensure we maximize your reimbursement.

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Acuity provides uninterrupted service and stability through your practice’s staffing changes and illnesses. Our team is always prepared to answer patient calls, submit and follow up on claims, and resolve any other issues that impact cash flow. If one of our team members is on vacation or out for any other reason there is always another member of our team ready to pick up where they left off.

A Proactive Approach


Healthcare leaders often cite the Affordable Care Act and other regulatory requirements as the major contributors to their financial pains. And it's true this has led to restrictive networks with reduced contracts for some payers. However, the real cause of declining reimbursements and shrinking profitability often lurks in outdated revenue cycle processes, such as waiting for a revenue-negative event to take action and failing to keep up with changing payer rules and fee schedules.

Acuity's revenue cycle management (RCM) services take a different approach — proactively pursuing every penny owed and streamlining processes for optimal financial performance. It’s time to stop reacting and get proactive.

Acuity RCM isn’t outsourced billing; it’s a partnership. Each Acuity client has a designated account manager and team of certified billers who are familiar with their practice’s unique needs. Our services touch every function of billing — from the front desk to the back office — to help manage customers’ revenue cycles from initial patient encounter to collection and beyond.

Our results speak for themselves


We all know actions speak louder than words, so please take a look at the Case Studies of a few of our clients to see how our services translate to success.


2 Physician Practice

The Scenario

Client is a busy, two physician ophthalmology group, with the second physician being a recent addition to the practice. They used a large firm for billing, but wanted to make a change upon the conclusion of their contract.

The Challenge

Client adopted NextGen for their Practice Management system, but there had been some turnover of the core group of employees, and training on the new system was incomplete. Further, the Accounts Receivable statistics were below average:

  • Accounts Receivable % older than 90 days: 37.61%
  • Accounts Receivable Days Outstanding: 41.08
  • Passthrough* percentage was an unsustainable 10.17% of revenue

Action Taken

  • Client elected to sign with Acuity for their billing needs. Charges were entered by the office staff, and we perform customized claim-scrubbing, claim filing, payment posting, follow-up, patient statements, and taking patient billing calls.
  • We conducted extensive “practical” NextGen training with management, insurance verification, and front desk personnel.
  • After some turnover with Client's insurance verification personnel, we trained one-on-one with the new staff. This is a key position in any office and proper training is essential to success. After training, we provided regular feedback to correct potential issues before they became a problem.
  • Suggested and implemented policies to improve Passthrough* performance.

Results

At the end of the first 12 months, the following improvements were realized:

  • Accounts Receivable % older than 90 days: 10.8%, an improvement of 71%
  • Accounts Receivable Days Outstanding: 19.07, an improvement of 54%
  • Due to Client’s personnel turnover in the last quarter, Passthrough* percentage saw an uptick at the end of the year, but was 3.17% of revenue immediately prior to staff departure, an improvement of 69%.


*Passthrough is any balance that is transferred to the patient after insurance pays. In a perfect scenario, this would not exist as insurance verification would be complete and any patient responsibility would be collected at the time of service.
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1 Physician Practice

The Scenario

Client is a solo ophthalmology practice with an optical center. The physician had separated from a previous partnership six months prior to contacting us.

The Challenge

Client performed billing in-house, but there were concerns about cash flow and the physician had lost confidence in the billing staff. After an evaluation was performed, it was obvious all aspects of billing were being severely neglected.

  • Accounts Receivable % older than 90 days: 37.30%
  • Accounts Receivable Days Outstanding: 79.16
  • Payments were not being posted to the Practice Management system, making reporting and tracking very difficult

Action Taken

  • Client elected to sign with Acuity for their billing needs. Charges were entered by the office staff, and we perform customized claim-scrubbing, claim filing, payment posting, follow-up, patient statements, and taking patient billing calls.
  • On Day 1, we identified 50 outpatient surgeries that had not been billed. These were immediately entered and billed, leading to a surge in revenue that relieved the Client’s cash flow issues.
  • We provided coding training to the technicians and front desk staff to prevent the consistent errors that were delaying claims payment.
  • Suggested and implemented policies to improve Passthrough* performance.
  • Designed and implemented an effective patient recall process to be performed by Client’s staff.

Results

At the end of the first 12 months, the following improvements were realized:

  • Accounts Receivable % older than 90 days: 10.6%, an improvement of 72%
  • Accounts Receivable Days Outstanding: 19.45, an improvement of 76%
  • Significant decrease in Passthrough* balances
  • Significant increase in patient retention, attributable to the recall process


*Passthrough is any balance that is transferred to the patient after insurance pays. In a perfect scenario, this would not exist as insurance verification would be complete and any patient responsibility would be collected at the time of service.
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Multi-Specialty ASC

The Scenario

Client is a growing multi-specialty ambulatory surgery center. They used a large firm for billing, but wanted to make a change upon the conclusion of their contract.

The Challenge

Client had concerns with their previous billing firm regarding communication and access of data/reports. Further, their Accounts Receivable statistics were severely deficient:

  • Accounts Receivable % older than 90 days: 67.03%
  • Accounts Receivable Days Outstanding: 97.98

Action Taken

  • Client elected to sign with Acuity for their billing needs. Charges were entered by the office staff, and we perform customized claim-scrubbing, claim filing, payment posting, follow-up, patient statements, and taking patient billing calls.
  • Client was committing routine coding errors, including billing for bundled/mutually exclusive services and implants. We provided coding guidance and feedback to minimize these errors.
  • Simplified the process of tracking and billing for implants. Monitored costs and made suggestions to improve margins.
  • Helped Client determine their profitability on a per-case basis, which had not been possible with the previous billing firm.

Results

Within the first 6 months, the following improvements were realized:

  • Accounts Receivable % older than 90 days: 16.8%, an improvement of 75%
  • Accounts Receivable Days Outstanding: 19.72, an improvement of 80%
  • Significant decrease in coding-related claim denials
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Acuity Revenue Cycle Management, LLC
Arlington, TX

info@acuityrcm.com
817.756.7376



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