Improving Cash Flow With a 99.3% Clean Claim Rate

Spine Center of Excellence boosted their RCM processes by utilizing HST's surgery center management and Serbin Medical Billing Services for a fully integrated system.

Blane Uthman, CEO, highlighted:

99.3% clean claim rate
92% upfront collection rate
1.3 days to bill (industry average is 3.6 days)
Increased profit from month to month after 6 months of opening

# of Centers: 1

# of ORs: 2

Featured Solutions: Surgery Center Management

Solutions in Use: Electronic Charting, Patient Estimates, Scheduling & Care Communication

Specialties: Spine

State(s): LA

Customer type: ASC

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The Challenge

Blane Uthman, the CEO of The Spine Center of Excellence, knew he wanted to open his doors with an efficient and integrated revenue cycle management process. Blane has been managing, expanding, and building de novo facilities for over 20 years, so he understands how critical a seamless RCM process is to a surgery center’s overall financial health. During the COVID-19 pandemic, Blane experienced significant billing operations disruptions when most of his staff was out sick, and the remaining team members lacked the necessary training to maintain workflow continuity. This firsthand encounter informed his decision to embrace outsourcing for his next venture, recognizing it as the most reliable solution to ensure resilience and efficiency.

The Solution

Blane turned to HST Pathways for comprehensive practice management solutions and Serbin Medical Billing Services for expert revenue cycle management (RCM). The combination of these services provided a fully integrated system that addressed the Spine Center’s complex needs. HST Pathways delivered an all-encompassing suite that facilitated seamless EMR integration. Meanwhile, Serbin Medical Billing offered a concierge-like service that handled RCM with exceptional expertise and reliability and ensured comprehensive monthly reporting and operational support during critical times.

We were able to turn a profit in our first year, which is not typically an expectation for a de novo. Part of that is due to the concierge approach that Serbin provides to its clients, allowing us to brainstorm different ideas. Part of that is due to HST, and their seamless integration and comprehensive practice management tool.

– Blane Uthman, CEO

The Results

The integration of HST Pathways and Serbin Medical Billing Services transformed the operational efficacy of The Spine Center of Excellence. Blane highlighted:

99.3% clean claim rate
92% upfront collection rate, metrics that are well above industry standards.
An average of 1.3 days to bill, significantly lower than the industry average of 3.6 days
Increased profit from month to month after 6 months of opening

Blane’s experience exemplifies how integrating specialized medical billing and comprehensive practice management systems can dramatically improve the efficiency and profitability of healthcare facilities, even under challenging circumstances.

When it comes to end-of-month reporting, HST and Serbin provide me with a nearly 15-page report within maybe two days of the close of business. The report looks at every possible metric broken out by different categories. I can see what’s going on in nearly real-time. This makes me and my partners very happy.

– Blane Uthman, CEO