Case Studies

Case Studies

Case Study

Zotec Partners Grows Radiology Group Reimbursement despite Changing Payer Mix

Radiology Associates of Frederick (RAF) is a Frederick, Maryland-based radiology practice with 11 physicians reading over 213,000 procedures annually. Since 1998 RAF had relied on Medical Management Professionals, Inc. (MMP) for its billing and practice management. Mark Glass-Royal, MD, president of RAF was guarded when he heard MMP had been acquired by Zotec Partners (Zotec). “I was nervous when I was notified about the acquisition for a few reasons. First I was unsure if we’d be able to retain the trusted team of people who managed our billing, but more than anything else, I was worried about decreased cash flow during the transition from MMP’s billing system to Zotec’s.”

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Case Study

Smart Growth in a Tough Market: Leveraging Business Intelligence at Texas Radiology Associates

Radiology’s business environment has changed considerably since the heyday of the late ‘90s and early 2000s, when, says Paul Staveteig, MD, the equation for success was comparatively simple. “You would have your contracts, you would staff your hospitals, you would submit claims, and the claims got paid,” he recalls. “Now the environment is different. There are multiple competing entities, and the only way to survive in this marketplace is to be able to look at things very critically and make decisions very quickly.”

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Case Study

Outsourcing Partnership Combats Rising Costs and Declining Reimbursement

Medical Center Radiologists, Inc. (MCR), a 42-physician group in the Hampton Roads region of Virginia, has 55 years of experience in advanced radiology practice. Currently, MCR provides radiology services in six hospitals and two imaging centers, operates a 24/7 teleradiology service, and serves the broader community through many physicians’ practices, nursing homes and correctional facilities.

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Case Study

Business Intelligence Series: Pueblo Radiology

Like most radiology practices nationwide, Pueblo Radiology Medical Group, based in Santa Barbara, California, is facing the imperative to do business differently than in the past. Wayne Baldwin, CEO of the 18-radiologist practice, attributes the shift to changes in the regulatory environment that have made today’s radiology marketplace anything but “business as usual.”

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Case Study

Business Intelligence Series: TRA

Toledo Radiological Associates Inc (TRA) in Toledo, Ohio, a 28-physician practice, made its decision to switch from in-house to outsourced billing based on factors that will sound familiar to many radiology practices. Richard Wagner, TRA’s practice administrator, says, “We looked at factors like the switchover to ICD-10 and what that would do to our coding needs. We had two coders who were doing a great job, but we knew it was risky, having only a couple of key people. The other thing that really made us look at outsourcing was the uncertainty resulting from health-care reform.”

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Case Study

How a Seamless, Rapid Anesthesia Billing Transition Rebuilt Critical Business Relationships

Kettering Anesthesia Associates (KAA) employs 51 anesthesiologists and 98 certified registered nurse anesthetists (CRNAs). It has predominately partnered with the Kettering Health Network at its main facility, Kettering Medical Center, as well as the Sycamore Medical Center campus. In addition, the practice provides coverage to several rural hospitals and local partners.

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Case Study

Three Billing Improvements Yield One Measurable Result for a North Carolina Emergency Practice

Prior to its transition to Zotec Partners (formerly MMP), Asheboro Emergency Physicians suspected it was losing revenue. What the group feared more was losing money during a transition with a new billing company. The group’s fears were unfounded when Zotec gained full cooperation from the group’s current billing company, worked closely with the hospital, trained Asheboro’s staff, and notified payers in order to create a seamless transition. According to Scott Hill, MD and group board treasurer with Asheboro Emergency Physicians, “our greatest concern was going from one billing company to another, but the transition was outstanding because we lost nothing and gained a lot – mostly due to efficient execution and planning on the part of our Zotec billing team.”

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Case Study

Personalized Service and Advanced Reporting Technology: How one of Central Indiana's largest anesthesia groups streamlined revenue cycle management

As one of the largest physician anesthesia groups serving central Indiana, Northside Anesthesia Services, LLC (NAS) administers more than 70,000 anesthetics per year. With 88 active providers in the group, the practice spans four suburban hospitals within the St. Vincent Hospital system, and 12 free-standing ambulatory surgery centers. St. Vincent Hospital is a premier U.S. hospital consistently recognized as one of the nation’s top 100 hospitals in U.S. News & World Report.

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Case Study

Established Partnership Improves Pathology Billing Processes Over Time and Expands Services Beyond Billing

Just as the billing and reimbursement atmosphere has evolved in the last decade, so has the long-standing relationship between Gainesville Regional Pathology Associates (GRPA) and Zotec Partners (formerly MMP). At the onset of the partnership in 2000, Zotec Partners worked closely with its staff to deliver advanced billing technology and patient collections experiences that have continued to be refined over the years. Due to the development of a close partnership, Zotec Partners also began to provide services beyond billing to assist the group in other financial arenas.

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Case Study

Improving Patient Service Through BI: Atlantic Medical Imaging

Atlantic Medical Imaging (AMI), a New Jersey radiology group with eight locations and 38 radiologists, first transitioned to outsourced billing to improve its revenue-cycle performance. Hemal Patel, director of finance for the practice, observes, “Healthcare is experiencing this fundamental change. It’s leaning toward a value-based business model, meaning organizations everywhere are challenged by the demands of creating efficiencies in all areas of business.”

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Case Study

Maintaining Independence in a Consolidating Market: Pitts Radiology

Pitts Radiology (Pitts), based in Columbia, SC is like a lot of radiology groups facing a consolidating marketplace: the practice wants to maintain its autonomy while providing the comprehensive service its patients need. “Our market, like many, is undergoing change,” observes Suzie Allen, practice manager at Pitts. “Health care environment changes, including reimbursement cuts and new health care legislation, have had an impact on all medical practices. We are seeing practices consolidate or join hospital systems.”

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