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Portfolio

Stabilizing DNFB in 60 Days Through Labor Optimization

Academic Health System Stabilizes DNFB in 60 Days

Client Overview The conversation began in a small executive conference room just off the finance suite. On the screen: DNFB trending upward for the fourth consecutive month. Coding queues growing longer. Overtime costs climbing faster than budgeted. For a mid-sized Academic Medical Center with roughly 350 beds and $750M in annual net patient revenue, the […]
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28% Fewer Procedure Cancellations Through Pre-Service Control

Hospital Health System Cuts Procedure Cancellations by 28%

Client Overview The organization is a six-hospital health system with more than $2.1B in annual net patient revenue, supporting high procedural volume across surgery, imaging, gastroenterology, cardiology, and hospital-based outpatient departments. While downstream revenue cycle indicators appeared directionally stable, leadership identified a growing pattern of financial erosion occurring upstream—before claims were created and before traditional […]
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From Earned Revenue to Realized Cash

$18.4M in Cash Accelerated in 90 Days for a 300-Bed Hospital

Client Overview The client is a 300-bed community hospital with approximately $450M in annual net patient revenue, serving a mixed urban and suburban population. The hospital processes an average of 22,000 inpatient discharges and 180,000 outpatient encounters annually, supported by a lean internal revenue cycle team. The payer mix is weighted toward commercial and Medicare, […]
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12,000 Charts Reviewed with 98 Percent Accuracy

12,000 Charts Reviewed with 98 Percent Accuracy

Overview The OBGYN practice, serving over 5,000 patients annually across two locations, specialized in prenatal care, high-risk deliveries, and minimally invasive gynecologic procedures. Billing inaccuracies had led to claim denials exceeding 15% of submissions, primarily due to incomplete documentation of procedures like cesarean sections and hysterectomies. These issues strained cash flow and compliance with payer […]
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48-Hour Turnaround for Trauma Coding Backlogs

48-Hour Turnaround for Trauma Center Coding Backlogs

Overview A community trauma center handling 35,000–45,000 emergency encounters each year was struggling to keep trauma charts moving. With only a small coding team, trauma activations and critical care encounters were piling up, and a 4–5 day backlog had become the norm. Important details were being missed, injury specificity, sequencing, and critical care time increments, […]
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Proactive Audits Mitigate 60% of Payer Denials

Overview A mid-sized surgical and outpatient practice was experiencing mounting operational strain as preventable denials and documentation inconsistencies continued to disrupt their revenue cycle. Irregular pre-bill reviews, delayed clarification loops, and uneven modifier usage drove higher rework volumes and elongated reimbursement timelines. These gaps inflated AR, slowed cash visibility, and made month-end close increasingly unpredictable […]
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The Prior Auth Overhaul That Cut 22 Days to One Week

Overview A small but rapidly expanding pain management group in the Midwest, operating with four providers across two clinic locations, was experiencing significant delays in prior authorization processing. Despite using an EHR-integrated workflow, their average turnaround time had stretched to 22 days.  High volumes of authorizations for lumbar injections, RFAs, stimulators, advanced imaging, and conservative […]
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1700 Underpaid Claims Resolved in 6 Weeks

Client Overview A two-location dermatology practice in Philadelphia was thriving clinically but gradually losing revenue without realizing it. On the surface, claim payments appeared routine and consistent, but a closer look revealed a recurring pattern of payer underpayments across several high-volume CPT codes and procedure bundles. The in-house billing team, already stretched thin managing both […]
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RCM Turnaround Restores $4.2M

What We Saw at the Start A multi-specialty physician group in the southeastern United States, with more than 45 providers across primary care, orthopedics, and cardiology, was in a period of rapid expansion. Over 18 months, the group strengthened its network by acquiring three independent practices. The acquisition promised more revenue and efficiency. However, reality […]
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Utah Provider Collects $6.49M in Six Months

Setting the Stage for Recovery A Utah-based multi-specialty provider faced the complex challenge of liquidating a substantial legacy AR portfolio while maintaining operational efficiency. From February to August 2025, the organization aimed to convert aged receivables into cash, minimize write-offs, and reconcile outstanding credits. At the same time, leadership needed accurate financial forecasts to guide […]
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