In transforming Buckeye Home Health Care's Medicare billing, Element5's automation dramatically reduced denial rate by 54%. In addition, Buckeye Home Health achieved 100% timely NOA submissions, up from 98.5%, highlighting enhanced efficiency. This has allowed Billing Specialists to allocate more time to strategic AR follow-up, positively impacting overall productivity.
Buckeye faced challenges with their Medicare operations, including time-consuming NOA audit/submission processes and limited resources within the Medicare team, consisting of just one Medicare Billing Specialist and supervisor for six locations. Additionally, they encountered denial management issues due to a high volume of remittances. Delays with past due denials meant that, even when they identified issues for re-billing, they were past the corrected claim timely requirements and resulted in write-offs.
.png)
Following the implementation of Element5 automation, Buckeye saw significant improvements across the board. The timely NOA submission rate increased to 100%. Additionally, there was a substantial drop of 34% in denial percentage, showing much-improved efficiency. This improvement also freed up more time for Accounts Receivable (AR) follow-up, resulting in fewer late claim submissions or appeals. Overall, these upgrades led to a remarkable increase in team productivity and workflow efficiency at Buckeye.
