In under 90 days, the practice’s Gross Collection Percentage (GCP) increased by 2%.
When a medical practice with $50m in gross revenue signed on with one of the “big guys” for revenue cycle management, they expected results.
What they got instead was a bit of a mess.
It didn’t take long after go-live for red flags to show and some holes in the story begin to emerge. Old A/R was piling up. Denials were slipping through the cracks. And there was little visibility into key performance metrics. These are typical hallmarks of a system optimized for scale, not performance.
That’s when they brought us in.
Step 1: Clean-Up
We started by digging into the old aging A/R untangling the backlog. Aged receivables were sitting untouched. Money owed but forgotten, millions were sitting uncollected, untouched, and frankly, unnoticed. Unfortunately a good portion already past the timely-filing date and deemed uncollectible.
That alone told us everything we needed to know about the oversight happening under the surface. This wasn’t just an oversight, it was a symptom of something bigger and systemic.
Step 2: Audit & Assess
Once the old A/R was stabilized and the backlog addressed, we turned our attention to current revenue cycle performance specifically on the denial management, and A/R strategy.
What we found was eye-opening, but not altogether surprising.
Denial management lacked any real strategy. Follow-up workflows were being driven by scripts, not logic. Critical process gaps were costing the practice money every single day.
When we pushed for answers instructing the outsourced billing team to dig further and apply a specific strategy or policy/procedure, there wasn’t pushback or reluctance but a generic ignorance of its importance was displayed with with statements like:
“No one ever asks us this.” and “We’ve never been told to look into that before.”
That’s not a fluke. That’s a feature of how big RCM companies operate. Big RCM companies operate on standardization. Templates. Scripts. Automations. These systems are designed to maximize their scale not your profitability.
That’s not how we work.
We thrive in the complexity. We don’t just chase down the low-hanging fruit. We squeeze every last ounce of value from the revenue cycle because that’s where true profitability lives.
The Result? A 2% Increase in GCP
In under 90 days, we lifted the practice’s Gross Collection Percentage (GCP) by 2%.
To put that into perspective, at $50 million in gross revenue, that’s $1 million in cash flow almost all of it profit, dropping directly to the bottom line.
· Not due to an increase in volumes
· Not due to additional ancillary services
· No additional overhead
Just smarter operations.
Standardization vs. Optimization
Big RCM firms scale with templates. We scale with strategy .
They optimize for their P&L. We optimize for your profitability.
Clients vs. Partners
Here’s the difference:
Big RCM firms have clients mobbed together as accounts on a dashboard, numbers on a spreadsheet, levers for improving their own valuation.
We have partners; organizations we collaborate with deeply, personally, and strategically.
You’re either a number in someone else’s P&L… Or you’re part of a close-knit network of operators focused on what matters most: the health of your practice.
So ask yourself, “Is your RCM vendor really working for you? Or are you working for them?”
If you’re feeling like just another line item in someone else’s revenue strategy…
Maybe it’s time for a partner who prioritizes your bottom line not theirs.
Ready to shift from being a client to becoming a partner?
Contact Us today to find out how we can help you squeeze more profitability from your revenue cycle.