Physician Billing Services
Case Studies

We invite you to read about some of our success stories:

• Follow up's
• Collections
• Full Service Charge Billing
• Practice Management Software & Technology Services

Follow Up's

The Challenge - Lenox Hill Radiology, a large Manhattan-based physician owned practice, required additional team members to follow up on their large number of medical claims.

The Solution - Porteck trained a team of Offshore Claims Specialists to provide follow-up services as well as reporting on the status of the LHR claims. The team has remote access to LHR's Medris system via a HIPAA compliant VPN, viewing all patient claims and documentation necessary for re-billing, resubmission and accountability. The team's progress is monitored through "Go To My PC" technology and regular status reports.

Collections

The Challenge - Due to the unique nature of their proprietary tests, lack of understanding by insurance companies and changes to insurance billing codes, a large Florida-based cardiac diagnostic company was facing increasing denials from insurance companies for claims submitted. This led to an increasing amount of receivables which, in turn, had a detrimental effect on their operations.

The Solution - Porteck offered our collection services to this cardiac diagnostic company for claims older than 120 days. Our team underwent training in the nature of their services and insurance billing processes. Today, our team offers skilled agents who are versed in explaining the nature of their services and negotiating fair payments in a timely manner. This has resulted in a drastic improvement in this company's receivables and net profits.

Full Service Charge Billing

Gastroenterology Practice
The Challenge - A gastroenterology practice wanted to improve its collections and increase billing. Additionally, they wanted to know how insurance companies were paying, and which paid more for in-office procedures.

The Solution - Through "Go To My PC" technology, Porteck Billing was able to access the practice's old billing system and pull out their patient demographics. Through constant communication with their staff, Porteck was able to establish a regular pattern of information gathering as well as claims entering and processing. Additionally, reports were created and Porteck was able to show the practice how to improve revenues by doing more procedures in-office rather than in the hospital, as almost all of the insurance companies pay more for in-office procedures.

Ob-Gyn Practice
The Challenge - An obstetrician-gynecology practice wanted to improve its collections and create a system whereby their bills were submitted on a regular basis. Previously, the provider had done much of the billing by herself.

The Solution - Porteck Billing was engaged. Information is sent to Porteck through a normal fax system. Once the information is put into the system, our team collects payments from insurance companies. Claims for which insurance coverage has been non-existent (and the patients have not paid their bills) are turned over to an outside agency for collection.

Practice Management Software & Technology Services Case Studies

MGM Billing
The Challenge - MGM Billing, a Ohio based medical billing organization, wanted to invest in Physician Practice Management technology in order to increase operational efficiencies as well as increase revenues.

The Solution - Porteck experts worked with MGM employees to review internal processes, workflow, user groups and systems. Together, the team determined MGM's business and system goals, creating the roadmap for a "next generation" technology platform based on proven technologies that would result in better denial management, reduce the number of denied claims and improve audit tracking. Additionally, document management and scanning technology would aid in the warehousing of information and documentation. The system is designed to be fully redundant and available 24/7.