Difficulty in managing growing volume, 90+ Insurance AR over 35%, provider credentialing delays and errors, delays in claim submission and taking a longer time to close a month were few Challenges CityDoc faced before they met our RCM specialists.
Case Studies
SYNERGEN Health Increases City Doc Revenue by 11% within 120 Days
Overview
- Urgent Care center
- 5 Facilities operated in different locations in TX
- Multiple providers at different levels (MD, DO, NP, FNP, PA) -83% of them are credentialed with Medicare at least for one location
- Highest revenue-generating months: December/January
Implementation
- Systems review and optimal configuration
- Implementation of Denial Management
- 21-30 day collection follow up cycles
- Root cause analysis & preventive actions
- E&M codes analysis
- Daily claims submission
- Weekly reconciliation of Deposits
- Best Practices recommendations training
- Standard policies & Procedures for RCM
- Weekly & monthly reports
- Doctrix dashboard for reporting
- Identify & reporting workflow opportunities of front desk staff & providers
Challenges
- Resources contrarians to do adequate follow up
- Insurance AR in 90+ at over 35%
- Over 8 days taken to close month
- Provider credentialing delays and errors
- Lack of transparency to Practice performance
- Delayed claim submission
- Difficulty in managing a growing volume
- ICD-10, PQRS & Meaningful Use
Results
- 90+ AR reduced by 95% from S111K in 2014 to S6K at present
- Avg. Revenue/Claim increased by 11% (from S133- $148)
- >95% claims submitted within 24 hours from DOS
- First time payment rate of 98%
- Days in AR reduced by 53% (from 32 days to 15 days)
- Best in class & compliant business processes
- 100% transparency into RCM processes
- Close of month reduced to 3 business days
Request your personalized RCM roadmap
Discover opportunities to transform your revenue cycle.
Disclaimer: Results shared on this website are the average performance of SYNERGEN Health clients. Results may vary by systems and processes.
RESOURCES
Comprehensive State of Denials Management in 2026
Healthcare denials are evolving fast due to payer automation, rising complexity, and new technologies reshaping revenue cycle management. This white paper explores why denial categories look the same but are harder to manage and what will define denials management in 2026.
