Case Studies

These case studies showcase how Legacy Consulting Services and Legacy Billing Solutions offer a more customized and effective approach to billing services, resulting in increased cash collections, improved processes and overall a substantial ROI for clients.

Improving Cash Flow for a Busy Family Practice

Challenge: The practice was struggling with inconsistent cash flow due to insurance verification issues and frequent claim denials. The practice had been using a small practice management system for outsourced billing but was unsatisfied with the results.

Solution

Legacy Consulting Services conducted a thorough audit of billing processes and identified key inefficiencies. We implemented a customized billing strategy, focusing on:

Detailed Claim Review: We introduced a pre-submission claim review to minimize errors.
Electronic insurance verification: We worked with practice to set up batch electronic insurance eligibility so that patient appointments could be three days prior to the visit to ensure that insurance coverage is active and verify benefits.
Denial Management: Worked with the system vendor to set up denial codes for denial tracking to allow better transparency for denials and allow denial follow-up to occur weekly.
Reporting: Utilized analytics to provide insights into billing performance and optimize billing and AR follow-up processes.

Results

Increased Collections: Within six months, the practice saw a 25% increase in monthly collections.
Reduction in Denials: Claim denials decreased due to improved claim accuracy.
Cash Flow Improvement: The practice’s average days in accounts receivable (A/R) dropped from 60 to 30 days.

ROI: The practice experienced a 200% ROI, with the additional revenue generated covering the cost of our services three times over.

"Legacy Consulting Services transformed our revenue cycle. Their attention to detail and customized approach made all the difference. Our cash flow has greatly improved, and the ROI speaks for itself. We highly recommend their services!"

Streamlining Billing for a Multi-Specialty Group

Challenge: This Multi-Specialty Group was facing difficulties managing billing across multiple specialties with a practice management system that offered basic outsourced billing services. However, the vendor was not working on the more difficult claims requiring appeals and multiple follow-ups.

Solution

Legacy Consulting Services tailored a comprehensive billing solution, which included:

Specialty-Specific Billing: Customized billing practices for each specialty within the group to handle their unique needs.
Productivity and Accountability Tools: Implemented tools to track claims billed, accepted, rejected as well as claims worked by team member to ensure all claims are worked every 30 days.
Staff Training: Provided training for in-house staff on best practices and efficient billing workflows.

Results

Revenue Growth: The practice experienced a 25% increase in collections within the first quarter.
Improved Efficiency: Billing cycle time was reduced by 30%, and claims processing speed improved significantly.
Error Reduction: Billing errors dropped by 35%, leading to fewer claim denials.

ROI: The group saw an ROI of 150%, with substantial improvements in revenue and operational efficiency justifying the investment in Legacy Consulting’s services.

"Legacy Consulting Services delivered beyond our expectations. Their expertise in managing multi-specialty billing complexities was invaluable. The results were seen quickly, and our practice is thriving thanks to their support. We will continue to utilize their services for quarterly revenue cycle reviews."

Revamping Billing for a Dental Practice

Challenge: The dental practice was experiencing slow payment cycles and high claim rejections due to inadequate support from their practice management system's billing services. They needed a solution that would streamline their billing and improve cash flow.

Solution

Legacy Consulting Services introduced a customized billing solution that included:

Claims Optimization: Implemented processes and tools for accurate and timely claim submissions including working rejections daily and reducing insurance verification and front office errors.
Patient Payment Plans: Developed over-the-counter collections tracking tools to monitor and increase upfront collections.
Regular Follow-ups: Established a follow-up system to track unpaid claims and expedite payments.

Results

Reduced AR days: Payment cycles improved from 45 days to 28 days, accelerating cash flow.
Increased Collections: The clinic saw a 40% increase in collections due to optimized claim submissions and effective patient payments.
Claim Rejection Rate: After reviewing rejections that had not been worked, we were able to implement a plan to reduce rejections by 40%, thanks to the improved accuracy and follow-up procedures.

ROI: The clinic experienced a 160% ROI, with improved cash flow and collections covering the cost of services and more.

"Working with Legacy Consulting Services was a game-changer for us. Their expertise in dental billing optimization transformed our financial performance. We’re now more efficient, and our cash flow has significantly improved. The ROI we achieved is a testament to their outstanding service."

Case Studies

Improving Cash Flow for a Busy Family Practice

Streamlining Billing for a Multi-Specialty Group

Revamping Billing for a Dental Practice

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