Case studies

Outcomes our clients can point to in a board deck

Each engagement below started with a measurable problem and ended with a measurable change. Client identities are withheld where consent was not granted for public naming.

Regional health system

Cutting preventable denials by 31% across a four-hospital system

A denial-prevention program that moved root causes upstream to registration, authorization and coding.

Reduction in preventable denials: 31%Reduction in preventable denials
Clean claim rate: 96.4%Clean claim rate
Incremental cash in year one: $9.1MIncremental cash in year one
Drop in appeal volume: 18%Drop in appeal volume

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Multi-specialty physician group

AR turnaround for a 180-provider multi-specialty group

Stabilizing collections through a practice-management system conversion while reducing aged AR.

AR > 90 days (from 28%): 16%AR > 90 days (from 28%)
Reduction in days in AR: 11 daysReduction in days in AR
Aged AR recovered: $4.3MAged AR recovered
Timely filing write-offs post-transition: 0Timely filing write-offs post-transition

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Ambulatory surgery center network

Recovering $2.4M in underpayments for an ASC network

A revenue integrity review that reconciled contracted rates against actual remittance.

Underpayments identified: $2.4MUnderpayments identified
Recovered within 9 months: $1.7MRecovered within 9 months
Increase in per-case net revenue: 6.2%Increase in per-case net revenue
Charge master standardization: 100%Charge master standardization

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