Recovered Revenue
Clean Claim Rate
Avg. Revenue Increase
Challenge: A 5-provider cardiology group was facing high denial rates (18%) due to modifier errors and lacking documentation for catheterization procedures.
Solution: We deployed certified cardiology coders to audit charts pre-submission and educated providers on documentation gaps.
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Challenge: Staff turnover led to unworked denials piling up for 6 months. $1.2M in claims were sitting in the 90+ day bucket.
Solution: Deployed our "Rapid Recovery Team" to aggressively appeal denials and clean up the backlog within 60 days.
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Challenge: A 50-bed rural hospital was struggling with cash flow due to delayed billing and inefficient patient collections.
Solution: Implemented 24/7 billing cycles and a patient advocacy team to handle self-pay collections compassionately.
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