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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