Maximizing Revenue with eCareMD: A Principal Care Management Success Story

Client Background

The client is a mid-sized healthcare practice located in Virginia, specializing in providing care for patients managing single chronic conditions such as diabetes, hypertension, anxiety, etc. The practice serves more than 5000 patients annually with a qualified healthcare staff and has been in the healthcare industry for more than 10 years.

Business Challenges

While being in the healthcare services field for a long period of time and having a qualified medical staff, the practice faced several challenges that affected efficiency, revenue, and patient satisfaction rates.

1. Inefficient Billing & Documentation Processes

The practice struggled with manual and error-prone billing processes for PCM services. Time spent on documentation often failed to meet CMS requirements, leading to rejected claims and reduced reimbursements.

2. Limited Scalability for Patient Enrollment

The practice’s existing software could not handle the increased demand for PCM services. The administrative burden limited the practice’s ability to onboard and manage more patients efficiently.

3. Lack of Insightful Data Analytics

The absence of robust reporting tools hindered the practice's ability to monitor and optimize care delivery, track patient progress, and identify gaps in services.

4. Difficulty in Time Management

Care teams faced challenges in allocating time for patients, as scheduling and task assignments were managed manually. This led to inefficiencies and missed opportunities for revenue-generating PCM activities.

Solution

The client has faced these challenges for a long time and has decided to implement software that automates manual processes and expedites and enhances care delivery. Hence, the client approached Medarch Inc. for eCareMD software for their advanced technological capabilities. Our team of business analysts understood the client’s requirements and implemented the software in practice after getting the client's approval.

After software implementation, the client experienced increased revenue, efficiency, and improved patient-centered care delivery.

Solution Highlights

The eCareMD software comprises advanced technological features that smooth the practice workflow and documentation processes, and increase revenue for the practice.

Some of the key features that resolved the client’s challenges are:

1. Automated Billing Codes Assignment & Comprehensive Documentation



The eCareMD automated the tracking of time spent on PCM activities and assigned the accurate CMS-compliant CPT codes based on the activity performed and time spent. It also provides a comprehensive report of care management activities as well as a billing report with crucial information. These automated billing code assignments and comprehensive reports reduced inaccuracies and errors and increased the claim success rate, ultimately increasing revenue for the practice.

2. Seamless Patient Onboarding & Outreach

The eCareMD software streamlined the patient onboarding and enrollment process as it allowed seamless import of bulk patients from EHR and through CSV files within seconds. It also enabled healthcare providers to reach patients in bulk through SMS or email to increase the enrolled patient count. These activities have reduced the manual time spent, and efforts have expedited the enrollment process and, ultimately, care.

3. Advanced Analytical Dashboard

The eCareMD’s real-time analytics capability enabled healthcare providers to track the practice patient information in real-time and identify the trends and areas of improvement, as well as the billing statistics.

4. Efficient Task Management

The task assignment and monitoring features helped care teams prioritize PCM activities. Automated reminders ensured timely follow-ups, improving patient care and adherence.

Value Delivered

1. Increased Revenue for Practice by 40%

The practice achieved a 40% increase in PCM reimbursements within the first six months of implementation. Features like automated CPT code assignment and time tracking reduced the claim denials.

2. Expanded Patient Base

eCareMD enabled the practice to enroll 40% more patients in their PCM program, driving additional revenue without increasing administrative overhead.

3. Increased Practice Efficiency

Automating documentation, billing, and task management reduced administrative time by 35%, allowing care teams to focus more on patient care.

4. Enhanced Patient Satisfaction

With seamless communication and personalized care plans, patient engagement improved, resulting in higher retention rates and more referrals.