Resolved pervasive coding discrepancies and recurring credit adjustment write-offs in the reauthorization workflow, reducing inaccuraci...
Overcame critical CPAP re-authorization bottlenecks where compliant patients were misclassified as non-compliant, achieving 98% trackin...
Revamped front-to-back revenue cycle operations for a premier cardiology group, slashing claim denials by 75%, accelerating collections...
Eliminated an urgent 6-month EOB & ERA payment posting backlog, boosted posting throughput by 250%, and scaled the engagement from 4 to...
Transformed front-end intake and prior authorizations for endoscopic procedures, virtually eliminating same-day cancellations and maxim...
Streamlined prior authorizations for high-cost retinal biologics (Eylea®, Vabysmo®), securing 96% first-pass approvals and ensuring pro...
Re-engineered inpatient admission and emergency room revenue cycle operations, slashing facility denials by 48% and freeing $3.2M in wo...
Standardized patient intake and prior authorizations for systemic biologics and surgical excisions, securing 100% clearance 72+ hours p...
Overhauled high-volume prior authorization processing across 14 affiliate clinics, slashing duplicate inquiries by 93% and maintaining...
Eliminated intake bottlenecks, achieved strict sub-24-hour verification SLAs, increased polysomnography booking capacity by 35%, and cu...
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