DME Service Solutions

Achieving 207% Growth: Elevating RCM Authorization Through Strategic Improvements

This case study details how DME Service Solutions enhanced the RCM authorization process for a healthcare client, leading to significant gains in efficiency and compliance across their operations.

The Client

The client is a prominent provider, dedicated to improved patient outcomes. The client places a strong emphasis on patient-centric care, working to foster transparent communication and trust with patients, ensuring that each individual feels valued and understood throughout their healthcare journey.

The Challenge

The client wanted to improve their pre-authorization denial rates and inefficiencies in their RCM process, as this posed a risk in critically affecting financial performance and undermining patient satisfaction. The existing system contributed to delays that adversely affected patient care and overall satisfaction. The client required a more dynamic approach to effectively handle the variability in authorization requests and ensure a smoother workflow. This approach needed to be robust enough to quickly adapt to changing regulations and diverse patient needs while minimizing bureaucratic overhead.

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Growth from M01 to M03

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Accomplishment Rate