How Outsourcing RCM Transformed a HealthTech Leader's Operations

The Challenge: Growth Pains Threaten Industry Leader

A prominent US medical billing company that has specialized in RCM and SCM services for dermatologists and cosmetic surgeons since 2008 faced a critical crossroads. As its business expanded, managing growth became increasingly challenging. The company needed to enhance efficiency and reduce costs without compromising its position as an industry leader.

Turnaround time they are emerged as the most significant pain point, directly impacting customer retention. Studies show that quick-responding businesses convert 35-50% of their sales opportunities, so addressing this issue has become paramount.

The Client: A HealthTech Pioneer at a Crossroads

As a key player in the HealthTech B2B sector, the client's survival hinged on data privacy, security compliance, and seamless user experiences. To navigate the highly competitive landscape and maintain efficiency, they urgently needed to outsource their RCM operations.

The Solution: Data-Driven Strategy Saves the Day

Flatworld Solutions, with over two decades of experience optimizing RCM systems,
stepped in to tackle the challenges. Our team:

Directly engaged in client interactions to identify root causes

Leveraged data-driven insights and regulatory expertise to develop customized solutions

Handled eligibility and benefit verification, pre-authorization, and A/R follow-up within a strict two-day timeline

Provided focused training to address knowledge gaps in home and lab-based sleep study services

The Results: Optimum Performance Achieved

Our strategic partnership yielded remarkable results:

98% billing accuracy maintained
24-hour turnaround time for received files
Growth from 1 FTE to 72 FTEs over eight years
Improved claim approval rates
Reduced operational costs
Fewer claim denials and faster payments
Enhanced staff productivity

The client now operates with improved efficiency and reduced costs and maintains its industry-leading position.

Elevate Your HealthTech Business

Keep operational inefficiencies from holding your business back—partner with
Flatworld Solutions to transform your RCM operations and unlock your company's full potential.

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