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Pain Management Case StudyPain Management Practice: Denial Rate Reduced by Two-Thirds in 90 Days
This case study documents an active engagement that began with a Financial Assessment and moved into revenue cycle optimization for a pain management practice. Details are anonymized and figures are rounded to protect client confidentiality.
Where Things Stood
Ahead of engagement, a comprehensive Financial Assessment identified key opportunities across denials, collections, and workflow efficiency for this practice.
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
What the Assessment Found
Key opportunities identified ahead of engagement.
Denial rate running in the mid-teens, well above a healthy range
Collections opportunity identified across existing workflows
Core workflows around eligibility, authorizations, and denial management not yet stabilized
Financial Assessment to Revenue Cycle Optimization
What Billed Right implemented following the assessment.
- Conducted a full performance benchmarking review against pain management specialty standards
- Identified root-cause findings behind denials, collections gaps, and workflow inefficiency
- Delivered a prioritized action plan and moved directly into revenue cycle optimization
- Stabilized core workflows around eligibility, authorizations, and denial management
The Results
Measurable outcomes within the first 90 days.
Common Questions About This Case Study
Ahead of engagement, a comprehensive Financial Assessment identified key opportunities across denials, collections, and workflow efficiency for this practice.
The denial rate was reduced from the mid-teens to the low single digits within the first 90 days, roughly a two-thirds reduction.
Modest early revenue growth occurred alongside stabilization of core workflows around eligibility, authorizations, and denial management, positioning the practice for continued gains as older claims resolve.
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
Financial Assessment
Know exactly where your revenue cycle stands, before you decide anything else.
Learn morePain Management Billing Services
Learn how Billed Right handles billing for pain management practices.
Learn moreDenial Management
How we systematically reduce denials across every practice.
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