Home/Case Studies/Independent Cardiology Benchmark
Cardiology Case StudyIndependent Cardiology Practice: Aged Receivables and Denials Brought Below Industry Benchmark in 90 Days
This case study documents an active AR Rescue-style claim recovery engagement with an independent cardiology practice. Details are anonymized and figures are rounded to protect client confidentiality.
Where Things Stood
This independent cardiology practice began engagement with elevated denial and aging levels, above recognized industry benchmarks for both metrics.
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 Challenges
Where this practice stood relative to industry benchmarks at the start of engagement.
Denial rate in the high 20s, well above recognized industry benchmarks
Aged receivables above the industry benchmark for claims past 90 days
Recurring claim errors, including member ID errors, coding issues, and coverage or modifier mismatches
Timely-filing and authorization denials that had not been appealed
AR Rescue-Style Claim Recovery
What Billed Right implemented to bring this practice to benchmark.
- Identified and corrected member ID errors across affected claims
- Made coding revisions where claims had been incorrectly coded
- Resolved coverage and modifier issues, then refiled corrected claims
- Filed appeals on timely-filing and authorization denials
The Results
Measurable outcomes within the first 90 days.
Common Questions About This Case Study
This independent cardiology practice began engagement with elevated denial and aging levels, above recognized industry benchmarks for both metrics.
Receivables aged past 90 days were brought down to the low double digits as a percentage of total A/R, below the industry benchmark.
The denial rate was reduced from the high 20s to the high single digits within the same 90-day period.
Through corrected and refiled claims addressing member ID errors, coding revisions, and coverage and modifier issues, along with appeals on timely-filing and authorization denials.
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.
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.
Related Resources
AR Rescue
See how our AR Rescue Team recovers aged claims, contingency based, with no long-term commitment.
Learn moreCardiology Billing Services
Learn how Billed Right handles billing for cardiology practices.
Learn moreCardiology Group: Denial Rate Cut by Half in 60 Days
See a second anonymized cardiology engagement focused on aged claims.
ReadReady to See Results Like These in Your Practice?
Fill out the form below so Billed Right can assess your current revenue cycle and show you exactly where improvement is possible.