Pain Management: A Case Study

North Shore Headache and Spine Center, is a pain management practice serving Nassau and Suffolk counties in Long Island, Queens, Brooklyn and Manhattan. Fedora Healthcare Solutons was recommended as a trusted partner to initiate the setup of a completely new entity in this area & develop the RCM processes. Leveraging Fedora’s unmatched revenue cycle management expertise and significant hands-on support of the practice setup, the practice has consistently outperformed peers and achieved significant revenue growth year over year.

Workflow Optimization

By deploying tried and true process and technology, Fedora ensured all claims are submitted within less than 48 hours, increasing time to payment and eliminating chances of timely filing denials.

Authorization Process Excellence

During the practice setup and implementation process, Fedora developed a tailored process and deployed technology to ensure 100% of authorizations are secured for each and every patient visit, eliminating front-end denials.

Underpayment and AR Management

NSHSC is an “out of network” practice. Through Fedora’s attention to detail, thorough management of underpayments, reporting & analytics the practice has grown revenus 28% YoY.

Negotiated Payments

Fedora’s ability to analyze rates and advocate on behalf of the practice, has led to a consistent average payment >40% higher than rates offered to in-network providers in the same market.

  • Collections increased by 28% YoY
  • Denial rate consistently <2%
  • Three year Auth accuracy at 99.7%

“I have worked with other billing services and Fedora has exceeded my expectations every time. The team is so easy to work with and are incredibly accommodating. They have ensured that my practice grows consistently every year. I am so thankful for them!”

– Dr. Frank Ocasio, MD