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Proven Result

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PEDIATRICS & ALLERGY

Multi-Specialty Practice Increases Revenue 28% in First Year

The Problem

  • 5-physician practice struggling with in-house billing inefficiencies
  • Clean claim rate hovering around 82%
  • Average 52 days in accounts receivable
  • Denial rate exceeding 15%
  • Staff turnover requiring constant training and onboarding
  • Under-billing due to coding errors and missed charges

The Solution

  • Seamless Transition: 45-day phased onboarding with zero disruption
  • Coding Audit: Identified $87K in missed revenue from under-coding
  • Process Optimization: Implemented charge capture protocols
  • Denial Prevention: Root cause analysis and corrective actions
  • Dedicated Team: Assigned specialty-trained coders and AR specialists

The Results

28%
Revenue Increase Year 1
97%
Clean Claim Rate
31
Days in AR
4.2%
Denial Rate

"We have been utilizing IntelliRCM Solutions now for one year. We are pleased with the results we have achieved. They take care of us as if they are in-house."

— Practice Administrator, Pediatric & Allergy Practice, NY
PULMONOLOGY & SLEEP MEDICINE

Sleep Medicine Practice Recovers $240K in Previously Lost Revenue

The Problem

  • Previous billing company missed complex sleep study billing nuances
  • Frequent denials for medical necessity on polysomnography
  • Poor communication left practice unaware of issues
  • AR over 60 days represented 45% of total receivables
  • Authorization failures causing claim rejections

The Solution

  • Specialty Expertise: Assigned pulmonology-certified coders familiar with split-night studies
  • Authorization Protocol: Implemented 48-hour advance verification
  • Documentation Training: Educated providers on medical necessity requirements
  • Aggressive AR Recovery: Worked aged claims with proper appeal documentation
  • Weekly KPI Reviews: Transparent reporting and strategy sessions

The Results

240K
Recovered from Old AR
98%
Sleep Study Approval Rate
98%
Denial Reduction
26
Days in AR

"I feel incredibly fortunate to have such an outstanding group to handle the billing for our Pulmonary and Sleep Medicine Practice. They work as if they were collecting for their own business."

— Physician Owner, Pulmonology & Sleep Medicine Practice
MULTI-SPECIALTY GROUP

15-Provider Group Achieves 95% First Pass Success Rate

The Problem

  • Multi-location group with inconsistent billing practices across sites
  • Different EHR systems at different locations
  • No centralized reporting or performance visibility
  • Registration errors causing preventable denials
  • Payer credentialing gaps limiting revenue opportunities

The Solution

  • Standardized Processes: Unified workflows across all locations
  • Multi-EHR Integration: Connected Epic, Athenahealth, and eClinicalWorks
  • Front-End Training: Registration best practices to prevent downstream issues
  • Credentialing Expansion: Enrolled with 12 additional payers
  • Centralized Dashboard: Real-time visibility for leadership team

The Results

35%
Revenue Growth 18 Months
95%
First Pass Success Rate
12
New Payer Contracts
100%
Location Standardization

"We were pleasantly surprised to see the additional revenue stream as well as point-by-point comments on billing errors we had been making for years. We have no reservations about making the switch."

— CFO, Multi-Specialty Medical Group
NEUROLOGY

Neurology Practice Reduces Denials by 92% in 90 Days

The Problem

  • High denial rate on nerve conduction studies and EMG procedures
  • Frequent medical necessity denials
  • Lack of expertise in neurology-specific billing requirements
  • Documentation not supporting billed services
  • Prior authorization issues for Botox treatments

The Solution

  • Neurology Specialists: Assigned coders with neurology certification
  • Provider Education: Monthly training on documentation requirements
  • Pre-Service Authorization: Automated Botox authorization tracking
  • Denial Analytics: Identified patterns and implemented preventive measures
  • Appeal Templates: Created specialty-specific appeal letters

The Results

92%
Denial Rate Reduction
99%
Botox Authorization Success
180K
Additional Annual Revenue
24
Days in AR

"IntelliRCM's neurology expertise made all the difference. Our denial rate dropped from 18% to under 2% in just three months."

— Practice Manager, Neurology Clinic, Texas

Aggregate Client Results

Average performance improvements across our 250+ client practices

27%
Average Revenue Increase Within first 18 months of partnership
98.2%
Average Clean Claim Rate Across all specialties and payers
85
Denial Recovery Rate On initially denied claims
30
Average Days in AR Industry average 45 days

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