Client Profile
- Type: Specialty RCM provider
- Focus: Surgical and Anesthesia billing
- Team Size: 80 coders, AR specialists, and analysts
About The Client
PrecisionRCM Services is a Florida-based RCM provider specializing in surgical and anesthesia billing. With a focused team of 80 coders, AR specialists, and analysts, the company emphasizes accuracy and compliance in high-complexity claims, serving specialty practices that require deep domain expertise.
Challenges
PrecisionRCM was known for accuracy, but manual processes and payer complexities slowed them down. Coding audits were frequent, and AR follow-ups were delayed.
Key issues included:
- Denial rates of 15–17%
- 12-day average claim turnaround
- Manual coding checks causing variability
- Lack of client-facing analytics
The Director of Operations shared,
“Our coders were skilled, but we didn’t have the technology to scale their expertise.”
ImpactRCM’s Approach
ImpactRCM implemented its AI-powered coding and AR suite:
- AI Coding Agent: Flagged missing modifiers and mismatches in real time.
- AI AR Agent: Automated follow-ups and prioritized high-value claims.
- Compliance Guardrails: Integrated payer-specific rules for surgical and anesthesia billing.
- Analytics Dashboard: Delivered insights into denials, team performance, and turnaround times.
Results After 5 Months
| Performance Indicator | Before | After |
|---|---|---|
| Coding Accuracy | 92% | 98% |
| Denial Rate | 15% | 6% |
| Claim Turnaround | 12 days | 6 days |
| Client Growth | 0 | +8 new clients |
Potential outcomes
- Staff burnout reduced by 30%
- Recovered over $1 million annually in lost revenue
- Gained new clients through referrals
The Director concluded,
“ImpactRCM became an extension of our team. We now deliver faster results with fewer people and greater confidence.”
Cross-Case Summary
| KPI | Average Improvement |
|---|---|
| AR Days | 30–35% reduction |
| Denial Rate | 40–60% reduction |
| Claim Throughput | 40–50% increase |
| Client Retention | 10–15% increase |
| Operational Costs | 20–25% savings |
Conclusion
These case studies show how ImpactRCM helps RCM companies modernize their operations. Whether serving 10 clients or 1,000, the platform delivers measurable improvements in speed, accuracy, and client satisfaction.
By combining AI automation, predictive analytics, and operational intelligence, ImpactRCM enables RCM companies to:
- Accelerate reimbursements
- Reduce denials
- Scale without increasing headcount
- Improve compliance
- Strengthen client relationships
ImpactRCM empowers RCM businesses to become performance-driven, technology-enabled growth partners in the healthcare ecosystem.
