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CASE STUDY

Fixing the fractured billing cycle of an Seattle based orthopedic clinic

Overview

Seattle-based Highgroup Orthopaedic Clinic (HOC) is a provider of orthopedic sub speciality services. Busy orthopaedic physicians and surgeons of the clinic were unable to keep pace with frequent complex changes in orthopaedic-specific codes, modifiers, related billing and claims requirements, and insurance companies' regulations with respect to claim authorizations & diagnostic and treatment justifications.


Major revenue drainers of the Orthopedic Clinic:

  • Incorrect coding
  • Inability to keep pace with regulatory changes
  • Unstructured billing workflow processes
  • Delayed Claim Submissions

See how we worked with HOC hand-in-hand to protect their revenue stream and increase compliance.