RCM Case Study

RCM Case Study

Customer Situation

Our client, multi-specialty physician group, was undergoing challenges in getting low reimbursement and staff turnover, which contributed to cashflow disruptions.

Root Cause Analysis

Our initial analysis revealed that there was no defined work flow and no clarity on the focus areas.


Delayed and incorrect billing, inappropriate coding, lower clean claim percentage, manual posting, inefficient bookkeeping, no vigorous follow-up, increased denials and AR days.

Solutions and Results