“Medical billing and coding companies are all different, but one common denominator they all have is how they process claims,” says Michael McDonough of Duplitron. Now the Boston, MA-based reseller is turning that common denominator into repeatable sales, beginning with an implementation of Workflow to Physicians Professional Services (PPS), one of its seven billing and coding clients.

According to McDonough, PPS’ IT Director became interested in Workflow after Duplitron created electronic lockboxes to batch claims documents using Quick Fields last year. “That brought us one step closer to automating the whole process,” he explains.

Actual Workflow implementation took place earlier this year as part of an upgrade to Laserfiche 8. “There were a lot of what I’d call ‘curveballs,’” says McDonough. “For instance, when we created the lockboxes, we split up the documents to be processed in Quick Fields based on their FSC coding, but that one lockbox had to remain intact—the documents could move but the folder couldn’t.”

Working with Laserfiche Presales Engineer Jonathon Kim as well as VAR Desk’s Lisa Durham and Jessica Smith, Duplitron configured Quick Fields and Workflow to fit the intricacies of PPS’s claims process—with significant results. “It use to take a day or two to process a claim; now it’s processed back in the batch folder within an hour,” McDonough says.

As a result, McDonough is confident Duplitron will be able to repeat this success with its other billing and coding clients. “We’ve already got four other clients using the electronic lockboxes to capture everything on the front end, so we can show them what PPS is doing and use that as a template.”

Meanwhile, PPS’s IT Director is impressed. “She’s worked in healthcare industry many years and never had a product that’s been able to do everything it says it can do.” Now, he adds, she’s asking how Workflow can be used as an accounting tool. “They want to use an exceptions report to reconcile claims, almost like a balance sheet,” McDonough says.

“This project has evolved has from a document management solution to a business process management solution—it’s true ECM from a claims perspective and BPM from a CFO/accounting point of view,” he concludes.

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Author Info

Laserfiche
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Hobey Echlin is a Writer/Researcher in the Laserfiche Marketing department and is active in the Laserfiche Luminaries program.

Tags: BPM, Duplitron, ECM, laserfiche 8, medical billing, Quick Fields, Workflow

Posted on Monday, June 14th, 2010 at 4:55 pm under VAR of the Month. You can comment on this post.