Case Studies: Transforming Revenue Cycle Management
Case Study: Endocrinology Group — Credentialing & Claim Precision
Client: Multi-provider Endocrinology Clinic in Florida
Service: Credentialing + Specialty Billing Support
The Challenge
The practice expanded quickly but struggled with delayed payments due to credentialing backlogs and claim denials tied to procedure coding errors (e.g., for CGM, insulin pump therapy).
Our Solution
Managed payer credentialing and CAQH profiles for all providers
Optimized coding for labs, DME, and endocrinology procedures
Educated the team on documentation requirements
The Results
All providers credentialed within 45 days
Claim approval rate jumped to 98%
Patient reimbursements were faster and clearer
The clinic now operates with predictable monthly cash flow
Case Study: Primary Care Practice — Boosting Efficiency & Revenue
Client: Family Medicine Practice in Tennessee
Service: End-to-End Revenue Cycle Management
The Challenge
This independent primary care clinic faced rising administrative costs, inconsistent collections, and denied claims due to coding errors and outdated workflows. The staff spent hours each week trying to follow up on unpaid claims.
Our Solution
We implemented a comprehensive RCM solution, including:
Accurate E/M coding support
Real-time claim tracking and reporting
Transparent patient billing with follow-up
The Results
Revenue increased by 28% within the first 90 days
Denied claims reduced by 75%
Provider satisfaction improved, with more time for patient care
Billing staff reported a 40% time savings
Case Study: Mental Health Clinic — Revenue Recovery & Compliance
Client: Outpatient Mental Health Center (LPCs, PMHNPs, LCSWs)
Service: Full-Service Billing + Compliance Monitoring
The Challenge
After switching EHR systems, the clinic lost track of $50,000 in claims due to missed documentation, improper coding (especially 90791/90837), and incorrect supervision billing.
Our Solution
Audited all historical claims and appealed eligible denials
Set up a compliance-first billing workflow
Delivered monthly KPI dashboards to track growth
The Results
Recovered over $41,000 in lost claims
Cut denial rate from 22% to under 5%
Maintained 100% compliance with documentation and supervision rules
Providers now focus on care, not billing headaches