Oncology Revenue Services

Restoring Health to a New York Cancer Center

Challenge: When the Clinical Administrator of a major New York-based Cancer Center was told that their Center was going to be "absorbed" into the hospital, she asked Oncology Revenue Services to help identify revenue opportunities.

Our Process: Immediately, our team began a billing "look-back" where we reviewed all zeroed-out accounts to mind lost monies. Through our work, we were able to find - and collect - an additional $654,000 of revenue. This was extremely noteworthy, since the Center was collecting an average of $714,000 per month. Which meant we collected nearly a month's worth of lost revenue.

Our Results: When we presented our findings to the President of the hospital, they were so impressed with our work that he they asked us to manage the billing cycle for the Center. Seven years later, we are still working on their behalf, and they have grown into one of the most prestigious Cancer Centers in New York.

Working closely with their clinical staff and physician development team, we have helped them grow their revenue to average collections of $5.75 million per month!

Finding the Cure for a Physician Group

Challenge: When a Physician Group began seeing unexplained - yet significant - revenue drops month after month, they called on Oncology Revenue Services to diagnose the problem.

Our Process: Although the Physician group's book of business had remained stable, they were experiencing severe revenue drops month after month. When Oncology Revenue Services began to examine their billing history, we noticed something strange. They had been using a local billing company for years without any problems. But after taking a deeper look, we discovered that the billing company had been outsourcing much of their work to decrease costs - without telling their clients! The offshore company they chose had no real knowledge of payors, or United States healthcare regulations. As a result, denials increased and successful appeals were virtually non-existent.

Our Results: Within a few short weeks of Oncology Revenue Services taking over the billing and follow-up collections, profits did not just get back to pre-offshoring levels - they actually increased by 22%.