Cosentus
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Orthopedic & Sports Medicine Practice

46% Revenue growth

Situation

  • Incorrect and inappropriate coding across service lines.
  • Missing or delayed charges caused revenue loss and payment delays.
  • Maximum medical improvement (MMI) and med-legal cases were not billed properly.
  • Miscoded surgeries created reimbursement problems.
  • Significant delays in Workers' Compensation reimbursement.
  • Outdated managed care contracts held rates below market.

Solution

  • Charge submission: all charges filed within 48 hours.
  • Med-legal support: documentation guidelines for timely, clean submissions.
  • Electronic billing: paper Workers' Comp filing replaced with real-time claim tracking.
  • Proactive AR management: follow-up beginning at 30 days.
  • Surgical coding optimization: coders working directly with physicians.
  • Contract optimization: outdated managed care agreements renegotiated.

Results

  • Revenue grew from $1.5M in 2019 to $2.2M in 2024, a 46% improvement.
  • Billing process optimization drove a 20% increase in collections.
  • Workers' Comp reimbursement reduced from 45 days to 28 days.
  • DME reimbursement jumped 400%.
  • Improved reimbursement rates through accurate coding and updated contracts.
  • Physicians able to focus entirely on patient care.

Key Takeaway:

Coding accuracy and contract terms compound, so fixing both lifts realization on every claim.

Let's find the revenue you're missing.

Wherever your revenue cycle needs to go, we can help.

  1. STEP 1

    Connect

    Tell us about your organization, your specialty and where revenue is getting stuck.

  2. STEP 2

    Diagnose

    We run a No-Cost Financial MRI on your revenue cycle and show you exactly what it finds.

  3. STEP 3

    Recover

    Together we fix the causes, and the revenue you were missing starts arriving.

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