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Revenue Cycle Case Study |
Pain Management · A/R and Denial Recovery
From an unresponsive vendor to 40 percent better collections: a pain management billing turnaround
A Kentucky pain management clinic had the patients and the reviews. What it did not have was billing it could see. HRG moved the work into the clinic's own system and cleaned up the A/R.
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40%
Improvement in collections
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35%
Reduction in denials
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20%
Reduction in A/R
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Millions → thousands
A/R backlog worked down
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The situation
A pain management and preventative care clinic in Kentucky was busy. Patient volume was strong and the reviews were good. The cash flow did not match. Something was wrong, and leadership could not tell what. The prior billing company was the reason. Claims went out late or not at all. The vendor billed patients inaccurately. New doctors went uncredentialed, so no one could bill their visits. Millions sat in accounts receivable. Denials kept climbing. Worst of all, the vendor was hard to reach, so no one could get a straight answer.
What HRG built
HRG rebuilt the billing operation inside the clinic's existing EHR, in full view of leadership.
| ✓ | A claims process built into the current EHR, with verification that cut denials at the front end |
| ✓ | Credentialing for every new doctor who had been seeing patients without payer approval |
| ✓ | A systematic review of the entire A/R backlog, worked from oldest to newest |
| ✓ | Monthly leadership meetings and real-time visibility inside the clinic's own system, never a separate dashboard |
The clinic could finally watch its own revenue move.
The results
The numbers moved quickly. Collections rose 40 percent and denials fell 35 percent. Accounts receivable came down 20 percent, from millions to thousands. Cash flow steadied. The bigger shift was trust. The clinic once relied on a vendor it could not see. Now it watches the work happen inside its own system.
Staring at stuck A/R and a vendor who won't call back? Schedule a strategy call with Andy Garcia.
913-937-2995
healthcarerevenuegroup.com
100 percent U.S.-based medical billing and revenue cycle management. Details anonymized at the client's discretion. Outcomes reflect this client's experience and are not a guarantee of future results.