Portfolio

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 […]

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 […]

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, […]

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 […]

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, […]

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 […]

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 […]

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 […]

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 […]

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 […]