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Cardiology Case Study

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

This case study documents an active AR Rescue engagement with a multi-provider cardiology group. Details are anonymized and figures are rounded to protect client confidentiality.

Cardiology
Specialty
AR Rescue
Engagement Type
60 Days
Timeframe
Active
Engagement Status
Background

Where Things Stood

Before engaging Billed Right, this multi-provider cardiology group was losing more than $1M annually to denials, underpayments, and expired filing windows, with over a third of receivables aged past 90 days and net collections well below industry benchmarks.

About This Case Study

  • This case study is genuinely anonymized. No client name, location, or identifying detail is disclosed
  • Figures are presented as rounded ranges, not exact numbers, consistent with confidentiality requirements
  • This reflects an active engagement 60 to 120 days in, not a completed or final outcome
The Situation

The Challenges

What was holding this practice back before Billed Right.

More than $1M lost annually to denials, underpayments, and expired filing windows

Denial rate running above 20%, well outside a healthy range

Over a third of receivables aged past the 90-day mark

Net collections well below industry benchmarks

Charge entry lag running up to nearly two weeks

The Approach

AR Rescue

A contained, contingency based engagement focused on the aged claims backlog.

  1. Conducted a full AR audit, reviewing and sorting every in-scope claim into collectible, uncollectible, or patient-responsible
  2. Worked denial resolution across all payer types: recoding, appeals, and resubmission until claims were paid or appeal rights exhausted
  3. Reviewed already-paid claims for systematic underpayments against contracted rates
  4. Ran active payer follow-up and escalation rather than a one-time submission and wait
  5. Delivered bi-weekly reporting on what had been recovered, what was in progress, and what was next
The Outcome

The Results

Measurable outcomes within the first 60 days of starting AR Rescue.

20%+
Denial Rate Before
<10%
Denial Rate After 60 Days
20% → <10%
Denial Rate Cut in 60 Days
More than half the prior denial rate
High Six Figures
Monthly Collections Stabilized
Month over month, after starting AR Rescue
~2 Weeks → Controlled
Charge Entry Lag
Brought under control from a near two-week backlog
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.

Common Questions About This Case Study

What challenge was this cardiology group facing before AR Rescue?

This multi-provider cardiology group was losing more than $1M annually to denials, underpayments, and expired filing windows, with over a third of receivables aged past 90 days and net collections well below industry benchmarks.

How much did the denial rate improve within 60 days?

The denial rate was cut from over 20% to under 10% within 60 days of starting AR Rescue, a contained, contingency based engagement focused on claims aged 90 or more days.

Were collections and charge entry also affected?

Yes. Monthly collections stabilized in the high six figures month over month, and charge entry lag, previously up to nearly two weeks, was brought under control.

Is this a final, completed result?

No. 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.

Is this case study identified by client name?

No. This case study is genuinely anonymized. No client name is used, and figures are presented as rounded ranges rather than exact numbers, consistent with Billed Right's confidentiality practices.

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