Shiloh Family Medicine Revenue Cycle Case Study

This case study details the challenges faced by Shiloh Family Medicine, a family practice in Alexandria, Virginia, prior to partnering with OmniMD for revenue cycle management (RCM) services. The practice, led by Dr. Bradley R. Ware, encountered multiple issues that affected their financial health, including high costs for ineffective software, usability problems, data privacy concerns, staffing shortages, and inadequate process knowledge. In response to these challenges, OmniMD implemented a four-phase solution starting with a comprehensive RCM audit, followed by a seamless implementation of their EHR and billing services. The partnership resulted in significant improvements, including an increase in gross collection ratio from 30% to 44%, a decrease in denial rates from 21% to 4%, and the elimination of 90+ day aging claims. The case study emphasizes the importance of dedicated support and continuous optimization in achieving these results.