Client Profile
- Type: National RCM vendor
- Client Base: 250+ hospitals and clinics
- Team Size: 1,000+ global RCM professionals
About The Client
Apex Revenue Solutions is a national RCM outsourcing firm headquartered in California, supporting more than 250 hospitals, clinics, and specialty practices across the U.S. Their 1,000+ global workforce handles large-scale operations spanning coding, billing, denials, and compliance for diverse healthcare systems.
Challenges
Apex managed a large and diverse client base, but lacked centralized visibility. Each team used different systems, leading to inefficiencies and compliance risks.
Key issues included:
- Fragmented AR, coding, and denial processes
- No unified dashboard for executive oversight
- Inconsistent payer compliance
- High operational costs due to manual work and contractors
The CFO explained,
“We were running a thousand-person operation without a unified command center. Every team had its own playbook.”
ImpactRCM’s Approach
ImpactRCM deployed a centralized platform combining automation, analytics, and AI:
- Multi-Client Architecture: Unified all accounts in a cloud-based system, enabling KPI comparisons across clients and regions.
- AI Coding Assistant: Automated edits and ensured payer compliance across specialties.
- Denial Management: Standardized workflows and used AI to identify root causes.
- Executive Dashboards: Delivered real-time KPIs and alerts for underperformance.
Results After 9 Months
| Performance Indicator | Before | After |
|---|---|---|
| AR Days | 58 | 41 |
| Denial Rate | 12% | 6% |
| Cost per Claim | $1.28 | $0.93 |
| Compliance Accuracy | 94% | 99% |
Potential outcomes
- Manual workload reduced by 40%
- Saved $2.3 million annually by eliminating contractor dependency
- Regional leaders gained real-time decision-making capabilities
The CFO added,
“We now manage 250 clients from one platform. Every process is trackable, and our accuracy is at 99%.”
