Case Studies
18 real case studies across 6 service lines. Real practices. Real results. No fluff.
Accounts Receivable
3 Case StudiesMulti-Specialty Group Cuts AR Days from 72 to 31
12-Provider Orthopedic & Pain Management Group | Southeast US
A 12-provider group was drowning in aging AR, with 38% of balances over 90 days. Within 60 days, we deployed targeted denial management and automated claim status checks — recovering $2.1M in previously written-off revenue.
Primary Care Practice Reduces Denial Rate to Under 4%
Solo-to-4 Provider Family Medicine Practice | Midwest
With a denial rate near 19%, this practice was losing significant revenue monthly. Our team audited root causes, identified coding mismatches, and rebuilt the claims workflow — dropping denials to under 4% within 90 days.
Behavioral Health Group Recovers $870K in Aged Receivables
8-Provider Outpatient Behavioral Health Group | Texas
Over $1.2M sitting in 120+ day buckets. Using our proprietary payer escalation process, we recovered $870K within six months while rebuilding clean claim submission rates to 92%.
Virtual Assistant Services
3 Case StudiesCardiology Practice Saves $180K Annually with VA Support
3-Provider Cardiology Clinic | Northeast
Two in-house billing coordinators cost over $180K in salaries and benefits. We deployed a dedicated VA team handling prior authorizations, scheduling, and patient follow-up — at a fraction of the cost.
Telehealth Startup Scales Without Adding Headcount
Virtual Primary Care Platform | National
Tripled patient volume in 8 months without adding a single in-house admin. Our VA team dynamically scaled — managing referrals, verification, reminders, and billing inquiries.
PT Group Eliminates Front Desk Bottlenecks
5-Location PT Group | Florida
2-day callback delays and high no-show rates. Our VA team took over inbound calls, reminders, and verification — cutting callbacks to under 4 hours and reducing no-shows by 22%.
Credentialing
3 Case StudiesNew Practice Gets 7 Payers Credentialed in 45 Days
New Internal Medicine Practice | California
Needed to start billing immediately. We fast-tracked credentialing across 7 major payers using established relationships — enabling billing from day one with no revenue gap.
28 Providers Managed Across Multi-State Re-Credentialing
28-Provider Hospitalist Group | Multi-State
Managing re-credentialing across 4 states and 11 payers. We took over the entire lifecycle — zero lapses over 2 years.
Psychiatry Practice Recovers $140K After Credentialing Lapse
3-Provider Psychiatry Practice | Georgia
A credentialing lapse caused three payers to suspend reimbursement. We launched parallel reinstatement applications and restored all contracts within 60 days.
Full RCM Transition
3 Case StudiesUrgent Care Chain Reduces Overhead by 42%
6-Location Urgent Care Chain | Mid-Atlantic
A 9-person internal billing team across 6 locations. After a 90-day transition, billing overhead dropped 42% while net collections increased 28%.
Dermatology Owner Exits Billing, Revenue Jumps 19%
4-Provider Dermatology Practice | Arizona
Physician-owner was spending 12+ hours/week managing billing. We completed a 30-day transition and generated 19% more revenue in year one.
GI Practice Doubles Collections After Switching Firms
5-Provider GI Practice | Illinois
Previous billing company rarely followed up on denials — 34% denial rate. Within six months, denials dropped 67% and net collections doubled with $1.4M recovered.
Audit Services
3 Case StudiesSpine Surgery Center Avoids $600K in Audit Penalties
Ambulatory Spine Surgery Center | Nevada
Facing RAC audit scrutiny, our team identified and corrected 47 high-risk claims, trained coding staff, and achieved a 98% pass rate — protecting $600K in reimbursement.
Internal Medicine Group Finds $520K in Undercoding
9-Provider Internal Medicine Group | North Carolina
Providers were consistently selecting E/M codes 1-2 levels below documentation. After provider education and template redesign — $520K annual revenue lift.
Home Health Agency Passes Medicare TPE Audit
Multi-County Home Health Agency | Michigan
Medicare TPE review triggered by high-utilization claims. We reviewed 200+ records, led a 60-day remediation — zero claims flagged post-overhaul, protecting $1.1M.
Additional Results
2 Case StudiesOB/GYN Group Identifies $520K in Undercoding
9-Provider OB/GYN Group | North Carolina
Routine chart audit revealed consistent E/M undercoding. After physician education and workflow changes — $520K additional annual revenue without seeing one more patient.
Orthopedic Group Captures $300K in Missed Modifier Revenue
8-Provider Orthopedic Surgery Group | Tennessee
Routinely failing to append modifiers on multi-procedure claims caused automatic bundling. After review and retraining — $300K annually in legitimate unbundled reimbursement.
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