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Case Study
Clear Claims Backlog & Improve Quality

Client Profile
The client is the 3rd largest and fastest growing Emergency Medicine management organization in the United States. It provides solutions for emergency and hospital medicine practices; it offers medical director education and leadership development, nurse liaison value, operational assessment, data reporting, management, and hospital medicine services.

Client’s Pain Points

  • Lack of Inventory management led to huge claims backlog which had to be cleared immediately for timely billing
  • Scalability concerns in adding new business due to the existing backlogs
  • Unable to complete 100% over-coding for new coders due to inadequate audit resources at client’s end

e4e Solution

  • e4e set up a team to work 12 hours every day including weekends to clear the backlog
  • We provided a detailed Ramp-up plan for addition of resources to enhance scalability and expand the business
  • e4e added Subject Matter Experts (SMEs) to the team to provide 100% over-coding for new coders to improve the quality.

The Results

  • e4e not only cleared the claims backlog but exceeded the target with a 21.85% increase in efficiency
  • e4e’s team has continuously exceeded the production goal which helped client to expand its business
  • e4e’s 100% over coding support worked well and helped the client establish a smooth & scalable back office

Service Levels

  • Productivity – Revised periodically based on new business
  • Quality – 96 %
  • TAT – 24 hr

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Client Thoughts

"The dedication from our e4e teams to provide the best possible services is beyond comparison."

"We are amazed and pleased with…the difference the e4e team is making to our inventory levels."

"All work being performed by you is good and very well appreciated."

"We really appreciate all that you do to help make us a better company and increase our business's revenue."

"e4e continues to be a key player in the success of our company."

"They are very accurate in their work and are very responsive to our changing needs."

"By utilizing your services, we are able to focus more on our client and strengthen our core delivery."

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