Case Studies

Case Studies: The Results Behind Our Numbers

Three anonymized snapshots of the work we do every day — cleaning up aged claims, rebuilding revenue cycles, and getting practices paid faster.

Aged AR Cleanup for a Florida Specialty Practice

The problem: A specialty practice came to us with months of unworked denials and aging insurance claims — revenue their previous process had effectively written off, with filing deadlines approaching.

What we did: Our team inventoried the outstanding AR, prioritized claims by dollar value and timely-filing deadlines, then corrected, appealed, and resubmitted them payer by payer — tracking every claim until resolution.

The outcome: Our claim cleanup work routinely recovers thousands of dollars in claims that would otherwise have expired, and our denial recovery rate averages 85% — significantly above the industry average. Root-cause fixes then stopped the same denials from recurring.

85%
average denial recovery
$1,000s
recovered from aged claims

Revenue Cycle Turnaround for a Primary Care Practice

The problem: A primary care practice was waiting 45+ days on average to collect what it had earned. Eligibility wasn’t verified consistently, claims went out with avoidable errors, and follow-up happened only when someone had spare time.

What we did: We took over the full revenue cycle — insurance verification before visits, claim scrubbing before submission, disciplined payment posting, and proactive follow-up on everything outstanding — integrated directly with the practice’s existing EHR.

The outcome: Our streamlined processes reduce average accounts receivable days from 45+ to under 30, with claims processed and paid up to 35% faster. The practice gained predictable monthly cash flow and clear reporting on every dollar in flight.

< 30
AR days (from 45+)
35%
faster payments (up to)

Collections Growth for a Growing Multi-Provider Group

The problem: A growing group added providers faster than its billing could scale. Under-coded visits, first-pass rejections, and inconsistent patient statements meant collections lagged well behind the care being delivered.

What we did: Experienced coders reviewed and corrected coding patterns, claim scrubbing lifted first-pass acceptance, and patient billing moved to clear, itemized statements on a consistent cycle.

The outcome: With a 98%+ clean claim rate and accurate billing with disciplined follow-up, we’ve helped practices increase collections by 10–15% — and our billing and denial-recovery programs consistently increase client revenue by 20% or more.

98%+
clean claim rate
10–15%
collections increase
20%+
typical revenue increase

These vignettes are anonymized, representative scenarios drawn from the results our clients consistently achieve; they do not identify specific practices or disclose any protected health information.

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