CASE STUDIES

In early
2018, Vinod Gulati, MD, found his practice going through a transition. Two
partners were breaking off, and Dr. Gulati planned to continue his primary care
practice with one other physician and two nurse practitioners. The legal name
would change, and the providers needed to expedite their credentialing with
insurance panels. At the same time, Dr. Gulati was dissatisfied with the
billing company that his former group had been using. There was a consistent
lag of weeks before bills would be submitted to insurance carriers, and the
company often failed to bill patients for the 20% that was their contractual
responsibility.Several
colleagues recommended ECM, so Dr. Gulati and the office manager, Kim Kieninger,
asked to meet with ECM President Louis Burke and Anthony Vuozzo, Director of
Credentialing and Implementation.They found
that ECM offered them a solution that addressed both the operational aspects of
the practice transition as well as their ongoing coding, billing and collection
needs.“We were going
through the process of changing the name and practice entity,” Kim explained.  “ECM got our providers credentialed quickly. Tony
did a great job of doing all of that for me. It was fantastic.”Although the
new practice configuration included two fewer providers, Ms. Kieninger said
that each remaining provider experienced a revenue increase within the first
month of working with ECM. “Moving the
billing to a new company, you get worried that something is going to be left
behind,” Kieninger said. “ECM did a very good job. There was no lull in any
payments to us. We expected that the transition would take months, but I found that
within the first month after switching to ECM, we had an increase in payments.”She also
noticed a stark difference in ECM’s approach to handling the practice’s billing
and collections.“ECM is more
diligent in getting the work out quickly and being aggressive with the
insurance companies,” she said. ECM has also worked with the practice to ensure
that they are coding the bills appropriately in order to receive the full
reimbursement for the services they provide.Kim and Dr.
Gulati are also pleased with the monthly reporting they receive from ECM, which
makes it easy for them to track productivity, measure and compare their
financial performance on an ongoing basis.“They send
me a productivity analysis, so I know exactly what doctor brings in how much revenue,
broken by down by facilities,” Kim noted. “Each month I receive a full report
which includes a financial history going back to when we started. I’m very
satisfied.”But the
bottom line is truly the bottom line, which for Dr. Gulati’s practice is on a
steadily increasing trajectory thanks to the expertise that ECM provides.“Since we
left our previous billing company, the income has gone up tremendously,” said
Kim. “It is due to the fact that ECM taught us how to code and made sure that
we understand what we can code for. Also, our old billing company did not bill
for 20% differences. And ECM is quick with turnaround. They get the billing out
in a timely fashion. If I bill today, it’s out tonight.”























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