Overcoming Challenges in Financial Focus and RCM Transition

When P4D’s Keith Miller and Shawna Borchelt first joined the organization they relied solely on production numbers for financial decisions, which often resulted in inflated figures and hindered collection efforts. Recognizing the need for a more precise approach, P4D aimed to shift its financial focus to collections.

This transition required meticulous line item accounting, a time-consuming and precise process. Additionally, P4D had been collaborating with an external vendor for Revenue Cycle Management (RCM) operations, but the partnership did not meet expectations, leading to an abrupt end of the relationship.

Shawna faced a challenging task: bringing RCM operations back in-house within just two weeks. Acting swiftly, she acquired a project management tool, hired staff, and established internal processes to handle the transition.

Headquarters: Texas
DSO Size: 37 locations throughout the U.S.

InsideDesk was one of the best technologies we implemented last year, and things continue to improve.

– Keith Miller, P4D’s CEO and President

Tech-Driven Turnaround

Before partnering with InsideDesk, Shawna faced a tough year due to the dental field’s slow technological progress, adding to her job’s difficulty. However, after implementing a project management tool and stabilizing operations internally, she decided to try InsideDesk. Impressed after tests in five locations, Shawna swiftly saw the partnership’s potential, swiftly onboarding most locations within three weeks of their eight-week trial.

Ultimately, P4D’s collaboration with InsideDesk streamlined operations and easing the transition and enabling a shift from production to collections.

This move enhanced financial tracking and collection efficiency, setting the stage for future growth and operational excellence. Notably, one practice doubled its collections within the initial month of collaboration, underscoring the partnership’s substantial impact on P4D’s operations.

Revolutionizing RCM for Future Success

InsideDesk provides comprehensive visibility, allowing access to critical data and eliminating the need to navigate different systems.

Shawna highlighted the platform’s capacity to present data clearly, leaving no room for misinterpretation of financial metrics. This clarity fosters accountability within the organization, allowing Shawna to monitor her team’s performance effectively and ensure adherence to protocols.

The InsideDesk reporting feature has streamlined processes at P4D, providing comprehensive insights into operations and facilitating efficient decision-making. Shawna shared with InsideDesk that “there are no gray areas; everything is presented with clarity, allowing me to operate with confidence and certainty.”

In summary, InsideDesk’s implementation marks a pivotal change in P4D’s Revenue Cycle Management (RCM), transitioning from gross to net figures, enhancing transparency and accuracy in financial understanding. This shift empowers informed decision-making, in line with P4D’s values of integrity and excellence. InsideDesk revolutionizes P4D’s revenue management, paving the way for sustained success.

Client Results

Reduced days sales outstanding by 10, accelerating Accounts Receivable turnover.

Achieved a 10% decrease in accounts receivable aged over 90 days, improving cash flow management.

Increased Net Collection Rate (NCR) by 4%, enhancing efficiency in collections compared to production.

Achieved a significant 15% increase in clean claim rate, minimizing follow-up work on claims.

Improved claim yield by 4%, leading to higher average collections on submitted claims.

Maximize your realized revenue

Streamline claim follow-ups, reduce denials, and recover revenue faster with automation built for RCM teams.

Challenges: Inefficient Claims Management and Lack of Visibility

 

Lori, a seasoned RCM manager at Young Family Dental, faced significant challenges in managing claims before implementing InsideDesk. Her team struggled with manual processes, relying on reports from their PMS that lacked efficiency and visibility into claims. These limitations slowed payment cycles and made it difficult to assess the accuracy of submissions, hindering overall operational effectiveness. With years of experience in the dental industry, Lori turned to InsideDesk to transform these processes and dramatically improve AR management for her team.

Headquarters: Dallas, TX
DSO Size: 49 locations

InsideDesk has helped me guide my team by showing how many claims they’ve worked and who excels with aging claims. The clean claim rate has also been a great tool since my team started submitting claims. This data is a valuable resource for me as a leader.

– Lori Ruth, IDSO

InsideDesk Delivers Streamlined Processes and Saves Time

Once InsideDesk was implemented, the changes were immediate.

The platform introduced a “live aging report” feature that automated many manual processes, giving Lori’s team real-time access to claim statuses. Advanced filtering options allowed them to prioritize claims by insurance carrier, amount expected, and age, greatly improving their ability to manage and process claims efficiently.

Measurable Impact: Significant Reduction in AR

InsideDesk delivered remarkable time savings, cutting claim management time by 50%. More importantly, it helped Lori’s team drastically reduce their accounts receivable, achieving measurable improvements in a short time. The improved visibility into claim cleanliness and faster payment cycles also enhanced the overall quality of submissions.

Transition Made Easy With Exceptional Support

Lori’s familiarity with InsideDesk from a previous role made the transition to using the platform at Young Family Dental (IDSO) seamless. This prior experience allowed her to quickly optimize processes and lead her team with confidence. Additionally, Lori highlighted the excellent customer service and training provided by InsideDesk’s support team, ensuring her team could fully leverage the platform’s capabilities and improve efficiency.

A Partnership Built on Success

Lori’s experience with InsideDesk showcases the transformative power of the right AR management tools. InsideDesk’s automation, real-time reporting, and comprehensive support enabled Lori’s team to significantly improve efficiency, boost claim submission quality, and cut AR by more than 60%. This partnership has not only streamlined processes but also demonstrated InsideDesk’s commitment to client success, making it an invaluable asset to Young Family Dental (IDSO).

CLIENT SUCCESSES

  • Reduced AR by 565k May – Sept
  • Reduced 90+ by 347k Apr – Oct
  • Reduced days to collect from 44 to 24 Apr – Oct

Maximize your realized revenue

Streamline claim follow-ups, reduce denials, and recover revenue faster with automation built for RCM teams.

Overview

RCM in dental has always struggled with inefficiencies, especially when it comes to making manual payer calls. Jackie highlighted how these issues have been a real challenge for her team, dragging down productivity and making their work harder:

Jackie Holloway, a seasoned Revenue Cycle Management expert with over 20 years of experience in dental operations and revenue management. With a portfolio of over 100 locations, Jackie has been pivotal in optimizing processes, ensuring operational efficiency, and implementing innovative solutions to address persistent industry challenges.

Challenges

RCM in dental has always struggled with inefficiencies, especially when it comes to making manual payer calls. Jackie highlighted how these issues have been a real challenge for her team, dragging down productivity and making their work harder:

  • Operational Strain: Manual processes forced her team to multitask inefficiently, leading to frustration and increasing the risk of errors.
  • Extended Hold Times: Post-pandemic, insurance hold times skyrocketed, consuming valuable hours. Jackie’s team often sat on hold for up to two hours per call, impacting productivity.
  • Limited Claim Processing: Due to long hold times, her team could process only 10 claims per day per account, far below the potential.

Headquarters: Tempe, Arizona
DSO Size: 110 locations

If you had a way to magically eliminate hold times, you could go from working 10 claims a day to potentially 100 claims a day.

– Jackie Holloway, Gen4

Solution: AI Automation With InsideDial

In September 2024, Jackie and her team adopted InsideDial, InsideDesk’s AI-powered solution designed to automate payer calls and streamline claim resolution. Initially skeptical, Jackie started with a small batch of claims to prioritize accuracy and results. As the tool consistently delivered measurable benefits, her confidence in its capabilities grew, transforming how her team tackled payer inefficiencies:

  • Efficient Call Management: InsideDial’s AI handled calls seamlessly, eliminating the need for her team to spend hours on the phone.
  • Accurate Information Gathering: The AI retrieved necessary claim information—such as
  • missing documentation or claim status—allowing her team to focus on high-value tasks.
  • Scalable Implementation: Jackie’s initial test of 600 claims expanded to over 5,000 claims within weeks, showcasing the tool’s scalability and reliability.

A Team Transformed

The implementation of InsideDial delivered transformative results for Jackie’s RCM operations:

  • Significant AR Reduction: Within a short period, Jackie’s team achieved a $700,000 reduction in aged receivables and processed over 1,300 claims in two weeks.
  • Time Savings: By automating repetitive tasks, InsideDial saved her team months of manual effort, enabling them to reallocate time to more strategic activities.
  • Team Empowerment: Initial skepticism turned into enthusiasm as the team saw the tangible benefits of automation.

The team’s actually enjoying it,” Jackie noted.

InsideDial has revolutionized Gen4 Dental Partners’ approach to RCM by addressing inefficiencies, enhancing team productivity, and driving significant financial outcomes. Jackie’s journey underscores the transformative potential of AI-driven tools in the dental industry.

Next Steps

Looking ahead to 2025, Jackie is optimistic about the future: “The more automation we have, the quicker we can turn around claims and enhance the patient experience.” She advises organizations considering InsideDial to view it as a complementary tool that empowers teams rather than replacing them, enabling a more efficient and effective RCM process.

Maximize your realized revenue

Streamline claim follow-ups, reduce denials, and recover revenue faster with automation built for RCM teams.