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Multi-Specialty Case Study

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

This case study documents an active onboarding and revenue cycle stabilization engagement with a multi-specialty medical center. Details are anonymized and figures are rounded to protect client confidentiality.

Multi-Specialty Medical Center
Specialty
Onboarding / Stabilization
Engagement Type
~150 Days
Timeframe
Active
Engagement Status
Background

Where Things Stood

At onboarding, this medical center was managing an elevated denial rate and a high concentration of aging receivables, with nearly half of all A/R sitting past 90 days.

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 medical center back at onboarding.

Denial rate running near 30%, well outside a healthy range

Nearly half of all A/R sitting past the 90-day mark

A high concentration of aging receivables across specialties

The Approach

Onboarding and Revenue Cycle Stabilization

What Billed Right implemented to bring performance under control.

  1. Reviewed the full accounts receivable inventory across specialties and triaged claims by age, payer, and dollar value
  2. Worked the aged backlog systematically, prioritizing the highest-risk claims first
  3. Identified and corrected the underlying causes of the elevated denial rate
  4. Established an ongoing reporting cadence so leadership could track A/R composition and denial trends over time
The Outcome

The Results

Measurable outcomes within roughly five months of onboarding.

~30%
Denial Rate Before
Single Digits
Denial Rate After ~5 Months
80%+
Receivables Past 90 Days Cut
More than 80% reduction
50%+
Total Outstanding A/R Reduced
More than half
~30% → Single Digits
Denial Rate
Brought down over the same period
Majority Fresh
Total A/R Composition
Fresh, recently billed claims now make up the majority of total A/R
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 medical center facing at onboarding?

At onboarding, this medical center was managing an elevated denial rate and a high concentration of aging receivables, with nearly half of all A/R sitting past 90 days.

How much did aged receivables improve within five months?

Receivables aged past 90 days were cut by more than 80%, and total outstanding A/R was reduced by more than half within roughly five months.

What happened to the denial rate?

The denial rate was brought down from nearly 30% to the single digits over the same period.

What does this mean for cash flow predictability?

Fresh, recently billed claims now make up the majority of total A/R, a marked improvement in cash flow predictability compared to a backlog dominated by aged claims.

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.

Related Resources

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Service

Denial Management

How we systematically reduce denials across every practice.

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Service

Insurance A/R Follow-Up Services

Keep new claims from aging into another backlog once the cleanup is complete.

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Calculator

Aging AR Risk Calculator

See how much of your accounts receivable is actually at risk.

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