The Queen’s Medical Center

The Customer:

The Queen’s Medical Center is a renowned health system and Level I Trauma Center, recognized as a U.S. News & World Report Best Regional Hospital and Best National Hospital. With 500 inpatient beds and numerous auxiliary services, the business office stays busy following up on the status of hundreds of thousands of claims. 

The Challenge:

Although the vast majority of claims were approved, notification would not occur until 45 days after service when payment or denials would arrive in the form of remittances.

The Solution:

With Recondo’s ClaimStatusPlus, Queen’s can now rapidly obtain status on the health system’s entire inventory and identify claims requiring manual intervention.

The Outcomes:

Queen’s has reduced write-offs by 96% (from $2.7M to $92K) and improved cash flow by $5M.

“Recondo’s ClaimStatusPlus really digs into and translates the data. It even flagged when a payer’s turnaround time changed; which would have taken us considerably longer to identify before. We quickly got the payment period adjusted, amounting to a $5 million cash flow improvement.”

Jodilyn Mafua

Operations Manager for Hospital Billing, The Queen's Medical Center

Download the case study

Share This