Case Studies

Real Practices. Real Revenue Recovered.

Composite, HIPAA-safe summaries of how practices across specialties improved collections, shrank A/R, and recovered denied revenue with Billed Right.

Cardiology · 6 providers

Cardiology Group Cuts Days in A/R Nearly in Half

Challenge

Cath lab modifier errors and NCCI bundling edits were driving a denial rate above 14%, with A/R aging past 38 days.

Solution

Specialty-trained coders rebuilt the claim edit rules and ran a 90-day backlog cleanup alongside new submissions.

+38%
Collections increase
19 days
Days in A/R (from 38)
−61%
Denial reduction
"We finally have visibility into where every claim stands. That alone changed how we run the practice."
Practice Administrator, Cardiology Group, FL
Results over 6 monthsDownload PDF
Behavioral Health · 9 providers

Behavioral Health Practice Resolves Telehealth Denial Spike

Challenge

A rapid shift to telehealth visits triggered modifier and parity-rule denials across multiple payers, stalling cash flow.

Solution

Built payer-specific telehealth billing rules and re-worked the existing denial backlog within the first 45 days.

+44%
Collections increase
22 days
Days in A/R (from 41)
−54%
Denial reduction
"They adapted right alongside us as our telehealth mix shifted. It felt like having a billing department down the street."
CEO, Behavioral Health Practice, CT
Results over 5 monthsDownload PDF
Orthopedics · 4 providers

Orthopedic Practice Recovers $190K in Aged Claims

Challenge

A backlog of claims aged past 90 days had accumulated under a previous in-house biller, with no clear recovery plan.

Solution

A dedicated A/R recovery team triaged the backlog by recoverability and worked appeals on a strict weekly cadence.

$190K
Aged claims recovered
24 days
Days in A/R (from 52)
−49%
Denial reduction
"We didn't think that money was coming back. Billed Right proved otherwise within a quarter."
Office Manager, Orthopedic Practice, TX
Results over 4 monthsDownload PDF
Pediatrics · 3 providers

Pediatric Group Closes the Eligibility Verification Gap

Challenge

Frequent coverage changes among pediatric patients were causing eligibility-related denials at intake.

Solution

Implemented real-time eligibility verification ahead of every visit, paired with front-desk training.

+29%
Collections increase
18 days
Days in A/R (from 33)
−71%
Eligibility denials
"Front desk denials basically disappeared. That was the piece we couldn't fix ourselves."
Practice Owner, Pediatric Group, OH
Results over 3 monthsDownload PDF
Multispecialty · 14 providers

Multispecialty Group Standardizes Reporting Across Locations

Challenge

Three locations ran on inconsistent billing processes with no unified view of performance across the group.

Solution

Standardized workflows across all locations and rolled out a single custom reporting dashboard for leadership.

+31%
Collections increase
21 days
Days in A/R (from 36)
−47%
Denial reduction
"For the first time, leadership can see all three locations in one dashboard."
COO, Multispecialty Group, NC
Results over 7 monthsDownload PDF
Cardiology · 2 providers

Solo Cardiology Practice Survives a PM System Migration

Challenge

A practice-management system switch threatened to interrupt claims submission for several weeks.

Solution

Parallel-ran both systems during transition and re-mapped claim templates to avoid any submission gap.

0 days
Submission downtime
20 days
Days in A/R maintained
+12%
Collections increase
"They adapted right alongside us as we switched systems. We never lost a beat."
Solo Practitioner, Cardiology, FL
Results over 2 monthsDownload PDF

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