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Set up Rules for Payors. Let the Software Do the Rest.

Case Study

By Dr. Cameron Zargar

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    This organization is saving a whole FTE thanks to flexible billing software.

    Business Problem

    When Nanda Stadtherr and her team were using MatrixCare’s billing software, they could not make changes to statements after they were initially created.

    Solution

    By switching to NetSolutions, the billing team at Cassia can generate statements at any point and continue working on them throughout the month. That is saving them countless hours and a lot of money.

    Details

    Billing statements are only issued once a month even though charges continue to come in after closing periods. Unfortunately, when Cassia was using MatrixCare, the billing team could not easily post cash or make changes without impacting its statements. Thanks to moving to NetSolutions’ billing software, Stadtherr can now generate statements at any point in the month. Further, the system makes analysis and training a lot easier, saving Cassia an entire FTE.

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    Flexible Software for Busy Schedules

    As the director of reimbursement at Cassia, Nanda Stadtherr must ensure that billing goes out accurately and that her organization is paid in a timely fashion. Previously, though, she wasn’t getting the support she needed from her software system. This is because, even after a closing period passes, claims continue to come in, and MatrixCare’s financial software was limiting their ability to update statements. “Once you’ve created statements with MatrixCare, it’s a little hard to go post more cash or make additional changes without it affecting your statements,” she said.
    And so Stadtherr pushed for more flexible software and chose NetSolutions by Experience Care. “NetSolutions makes it easy to generate statements in the middle of the month,” she said. “It locks in those statements so I can continue working in that facility and posting adjustments until the end of the month, and it will save that information for the next statement. That makes our financials a lot more accurate.”

    “[NetSolutions] easily saves our collectors four or five hours per month because they don’t have to backtrack when making collection calls.”

    Nancy Stadtherr, Director of Reimbursement, Cassia

    The result of using Experience Care’s NetSolutions is that Cassia is saving a lot of time and work. “It easily saves our collectors four or five hours per month because they don’t have to backtrack when making collection calls,” Stadtherr said. “You get something committed and take care of it right away instead of putting it into a pile.”
    In addition, NetSolutions’ ability to customize payor information has made the jobs of billers a lot less demanding. “One of the big things with NetSolutions is that it’s flexible enough to allow us to build payors or payor information based on all of the different payors we see in Minnesota and what they require,” Stadtherr said. “So it’s easy to identify who we’re billing, and what type of billing it is, and then we can manage it easily from our claims side too.”
    Stadtherr also shared the value of having a ledger that gives users a snapshot view. “It shows AR balances by payor, so I can go into Blue Cross or Minnesota Senior Health Care Options, Managed Medicaid, and it will show me all of the months, and how much is outstanding,” Stadtherr said. “It’s kind of shocking to me that not every billing software has a ledger, because it’s a little harder to analyze accounts if you can’t see ledgers.”

    “Honestly, moving to NetSolutions this past year has saved us a whole FTE because of how much easier it is to read the systems.”

    Such an intuitive system is a great convenience for Cassia’s billing department. “It makes it really, really easy for people to read and analyze accounts,” Stadtherr said. “It’s a lot easier to train on it and easier to explain, because you’re not training them on every single rule, so it’s easy to get them up and going.”
    And the user-friendly nature of the system is something she doesn’t take for granted. “We struggled a lot more with other systems, because they aren’t as clear,” Stadtherr explained. “We would have to touch every single claim before sending them out to make sure they were right, and that’s a lot of extra work.”
    How much work is Stadtherr’s team saving? “It’s saving us up to four hours per biller per month, and that adds up when you have twenty billers,” she said. “Honestly, moving to NetSolutions this past year has saved us a whole FTE because of how much easier it is to read the systems and have a continuous work line instead of doing things in pieces.”
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    Why Experience Care?

    What Stadtherr likes most about Experience Care is that the development team takes the concerns of users very seriously. “They always listen to their clients,” she said. “If there’s something they can do to make your life easier, they will do it.” This is something that she hasn’t always found. “It’s very rare to find software vendors that actually listen and are willing to make changes.”

    “They bend over backward to help and never make me feel like I’m imposing. [Experience Care’s] customer service is beyond excellent.”

    And Cassia knows that they can always rely on Experience Care’s customer support when needed. “If I need to run a report but don’t have the time, Sue [Friesth, the financial product manager] will say, ‘Let me see if I have a report,’ and before I know it, she’s given me what I need,” said Stadtherr. “They bend over backward to help and never make me feel like I’m imposing. Their customer service is beyond excellent.”