Client Profile
- Type: Multi-Specialty Physician Group
- Size: 25 physicians
- Location: Texas
- Annual Patient Volume: High
About The Client
This well-established medical group delivers care across multiple specialties and manages a high patient volume. Despite its clinical success, the group relied heavily on manual billing and coding processes, which led to rising denials, inconsistent reimbursements, and staff burnout.
Challenges
- Claim rejection rate reached 22% due to coding inconsistencies
- Manual workflows delayed collections and strained staff resources
- Lack of visibility into AR performance and denial trends
- Operational inefficiencies impacted morale and cash flow
ImpactRCM’s Approach
- AI-Powered Coding Validation to correct errors pre-submission
- Denial Prevention Analytics to flag high-risk claims
- Real-Time Dashboards for AR tracking and denial insights
- AR Automation Agents to follow up and post responses automatically
Results After 4 Months
| Performance Indicator | Before ImpactRCM | After ImpactRCM |
|---|---|---|
| Claim Rejection Rate | 22% | 15.6% (↓29%) |
| AR Days | 46 | 33 |
| Collections | Baseline | ↑18% |
| Staff Efficiency | Manual-heavy | ↑40% improvement |
Conclusion
ImpactRCM helped this multi-specialty group shift from reactive denial management to proactive revenue cycle performance. The integration of AI automation improved accuracy accelerated collections, and empowered staff to focus on strategic tasks.
