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
Cardiology · AR Rescue

Cardiology Group: Denial Rate Cut by More Than Half in 60 Days

Before

Losing more than $1M annually to denials, underpayments, and expired filing windows, with over a third of receivables aged past 90 days.

Within 60 Days

Denial rate cut from over 20% to under 10%, monthly collections stabilized in the high six figures, and charge entry lag brought under control.

20% → <10%
Denial rate
High 6-Figures
Monthly collections
Controlled
Charge entry lag
This is an early-stage result from an active engagement, 60 to 120 days into the relationship, and reflects one client's experience. Results vary by practice.
Results over 60 daysRead full case study
Multi-Specialty · Onboarding

Multi-Specialty Practice: Aging Receivables Cut Nearly in Half in Under 4 Months

Before

Carrying a heavy concentration of aged receivables, with over 70% of total A/R sitting past the 90-day mark.

Within 4 Months

Receivables aged past 90 days cut nearly in half, total outstanding A/R reduced by roughly a third, and the share of fresh claims nearly quadrupled.

~50%
Aged A/R cut
~33%
Total A/R reduced
~4x
Fresh claims share
This is an early-stage result from an active engagement, 60 to 120 days into the relationship, and reflects one client's experience. Results vary by practice.
Results over ~4 monthsRead full case study
Pain Management · Financial Assessment

Pain Management Practice: Denial Rate Reduced by Two-Thirds in 90 Days

Before

A comprehensive Financial Assessment identified key opportunities across denials, collections, and workflow efficiency ahead of engagement.

Within 90 Days

Denial rate reduced from the mid-teens to the low single digits, with modest early revenue growth and core workflows stabilized.

~2/3
Denial rate cut
Mid-Teens → Low Single Digits
Denial rate
Modest
Early revenue growth
This is an early-stage result from an active engagement, 60 to 120 days into the relationship, and reflects one client's experience. Results vary by practice.
Results over 90 daysRead full case study
Multi-Specialty Medical Center · Onboarding

Medical Center: 90+ Day Receivables Cut by More Than 80% in Five Months

Before

Managing an elevated denial rate and a high concentration of aging receivables, with nearly half of all A/R sitting past 90 days.

Within ~5 Months

Receivables aged past 90 days cut by more than 80%, total outstanding A/R reduced by more than half, and denial rate brought down from nearly 30% to single digits.

80%+
Aged A/R cut
50%+
Total A/R reduced
~30% → Single Digits
Denial rate
This is an early-stage result from an active engagement, 60 to 120 days into the relationship, and reflects one client's experience. Results vary by practice.
Results over ~5 monthsRead full case study
Cardiology · AR Rescue-Style Recovery

Independent Cardiology Practice: Aged Receivables and Denials Brought Below Industry Benchmark in 90 Days

Before

Elevated denial and aging levels, above recognized industry benchmarks for both metrics.

Within 90 Days

Aged receivables brought to the low double digits and denial rate reduced from the high 20s to the high single digits, both at or below benchmark.

Low Double Digits
Aged A/R, below benchmark
High 20s → High Single Digits
Denial rate
This is an early-stage result from an active engagement, 60 to 120 days into the relationship, and reflects one client's experience. Results vary by practice.
Results over 90 daysRead full case study

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