88.9% to 95.2%
Revenue Realization Rate
Primary care/ Internal Medicine
5 Staff Members
Rapidly changing reimbursement landscape
Like all practices, Alvior Medical was trying to keep pace with the changing reimbursement landscape. Despite their best efforts, Alvior Medical faced too many workarounds with their existing practice management (PM) and electronic health records (EHR) systems, causing them to fail the Physician Quality Reporting System (PQRS) requirement for Medicare reimbursement.
High administrative overhead
A practice administration system is supposed to streamline the day-to-day tasks for front desk and billing, but for Alvior Medical, the opposite was true. Working with an inefficient system and outsourced biller was taking so much time, it was leading to regular overtime for the front office staff.
Gain greater transparency over practice performance
Alvior Medical lacked an easy way to gain insight into the practice’s performance. Moving patients through the care process, documenting, billing – and even checking on the status of the billing in each individual chart – was eating up hours per day. Reports from the third-party biller only came once per month, with ‘bad debt’ accumulating collections that simply needed to be appealed.
“We did not know, until we switched to CareCloud, how life can be much easier.”
Alieen Alvior, Practice Manager, Alivor Medical Clincic
Future-proofing the practice
Dr. Alvior chose CareCloud to help him future-proof the practice for a changing regulatory environment. Facing another round of change with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and the Merit-Based Incentive Payment System (MIPS), Alvior Medical turned to CareCloud for tailored advice and a powerful integrated MIPS dashboard. Not only did Alvior Medical avoid penalty, but they also aimed for a bonus incentive.
Making leaps on practice efficiency
The simplified billing process and the automation built into the CareCloud platform have translated to an hour a day saved in practice administration, but the efficiencies are felt across the whole practice. The front staff saves up to an hour-and-a-half per day thanks to the simplified scheduling and automated patient reminders built right into CareCloud.
Optimizing practice performance
Alvior Medical leverages CareCloud’s powerful analytics suite to dig into real-time data about the practice’s financial, administrative and clinical performance to find opportunities to improve. Alvior is able to code, bill and review the charge, leveraging advanced automated billing rules to spot costly errors, bringing their FPRR up from 88.9% to 95.2%. Better yet, Alvior knows that the RCM support at CareCloud will chase down every dollar – not accumulate it as ‘bad debt.’