Proven Success:
A Case Study of Texas Medical & Surgical Associates


Texas Medical and Surgical Associates was a natural fit to be Lone Star MSO’s first client. Since commencing operations on May 23, 2006, TMSA has seen a significant improvement in their charge capture, Co-Pay collection, reimbursement for “same book of business”, Days in Accounts Receivable and overall employee satisfaction.

400% improvement in Co-Pay collections

8.2% increase in Charge Capture

-2.2% decrease in Contractual Adjustments

2.5% increase in Payments

Reduced DAR from 43 to 31

TMSA collects 90% of billed charges within the first 45 days

Resulting in an annualized cash improvement of over $568,000 on same book of business

Reduced Billing Office Staff from 11 FTE’s to 4 FTE’s, which resulted in an expense savings of over $210,000

Added IT Outsourcing and athenahealth

PMIS expense of $540,000 yearly

Positive cash flow of $238,000 annually by implementing LSMSO

Below is a snapshot of athenahealth’s Live Benchmarking statistics, dated February 16, 2007.

TMSA is ranked #1 in All Multispecialty (Primary and Specialty Care) Practices and ranks #2 of all practices in Texas
Texas Medical and Surgical Associates was ranked #1 in billing metrics for the 4th Quarter of 2006 out of all athenahealth Surgical Specialties in the West (1 out of 104).

By switching over to Lone Star MSO and athenahealth, TMSA can now focus on growth and profit-maximization of the practice. TMSA is also able to quickly benchmark their physicians not only against MGMA statistics, but use “real time” benchmarks against their athena peers in the industry. These metrics are devised using RVU standards and automatic calculations but also against DAR, Charge Entry Lag and Claim Error Queues.




LONE STAR MSO - 8440 Walnut Hill Lane, Suite 120, Dallas, Texas 75231 | 214.345.1423 | Perfecting the Business of Medicine