Oceana Gastroenterology’s Journey to a Stabilized Reimbursement Cycle with MedCare MSO

Executive Summary

MedCare MSO helped Oceana Gastroenterology recover over 2,000 denied Medi-Cal claims, turning an unstable reimbursement cycle into a streamlined, efficient process. The partnership led to a 50% reduction in denials, a 95% collection ratio, and a 30% increase in revenue; delivering measurable improvements and long-term financial stability.

A Quick Comparison Table

Metric Before MedCare MSO After MedCare MSO Improvement
Collection Ratio 70-75% 90-95% +20%-30%
Revenue Increase Baseline 20%-30% Increase +20%-30%
First Pass Claim Ratio Below 80% 95% 15%
Denial Rate High Reduced by 50% -50%

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