Scripps Medical Foundation – San Diego, CA

Their Challenge
A 25-provider primary care group, the foundation processed their capitated encounters internally and used a local billing company for their fee-for-service billing needs, which produced less than effective results. Their outdated information systems and inability to retain billing staff compounded the problem.

Their Plan
The group hired CHMB to assume responsibility for their entire accounts receivable (CAP and FFS) and install, train, and support over 25 foundation staff on CHMB-hosted information systems.

Their Results

• 34% reduction in days in accounts receivable as the result of improved billing processes
• reduced overhead costs related to billing and revenue cycle management
• significant improvement in decision making capability through advanced reporting tools.

Their Thoughts
"Over the past 15 years we have performed billing functions on both an in-house and outsourced basis. The complexity of the industry and rapid changes in computer and software technology make it very difficult to run an effective and cost efficient billing department internally, and there are many billing service organizations that provide less-than-adequate service and results. We have used CHMB since 1998 and are extremely impressed with the service and results they produce for our group. When required, CHMB provides in-service coding expertise for our providers and staff to keep us abreast of policy and compliance matters. We have real-time access to CHMB's information system for account lookups and scheduling; have routine meetings and on-going communication with CHMB management to discuss A/R performance, opportunities for increased reimbursement, and updates on industry changes and challenges; and rely on CHMB's data warehouse reporting to identify previously unrealized revenue, monitor contract performance and provide strategic forecasting data. CHMB's management and staff are very knowledgeable and enthusiastic. I highly recommend CHMB."

– Craig Kishaba, Senior Administrative Director

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