Client Overview
The client is a small healthcare practice providing outpatient services. While patient volume was steady, the practice struggled with billing inefficiencies, delayed reimbursements, and increasing administrative pressure on in-house staff.
Business Challenge
The practice faced multiple revenue cycle challenges:
- Lack of visibility into accounts receivable
- Delayed insurance payments
- High number of claim rejections and denials
- Overworked front-office staff handling billing tasks
These issues negatively impacted cash flow and operational efficiency.
Solution Provided by AGT VA 360
AGT VA 360 provided end-to-end medical billing support tailored to the practice’s workflow. The solution included:
- Insurance verification and eligibility checks
- Accurate claim submission and tracking
- Denial management and follow-ups
- Payment posting and reporting
- Ongoing billing performance monitoring
All processes followed HIPAA-compliant standards and payer-specific guidelines.
Implementation Process
- Review of existing billing workflow and systems
- Identification of common denial and delay issues
- Transition of billing operations to AGT VA 360
- Continuous monitoring and optimization
Results Achieved
Within the first few billing cycles, the healthcare practice experienced:
- Faster claim processing and reimbursements
- Reduced claim rejections and follow-ups
- Improved cash flow visibility
- Reduced administrative workload for staff
The practice was able to focus more on patient care while maintaining stable revenue operations.
Key Takeaway
By outsourcing medical billing to AGT VA 360, the healthcare practice gained a reliable, compliant billing operation that improved revenue efficiency without the cost of hiring additional in-house billing staff.
