Facing challenges with high insurance and patient aged receivables along with total days in AR at 137, a remote cardiac monitoring company servicing over 1,000 clinics turned to SYNERGEN Health for revenue cycle management transformation.
Case Studies
Revenue Cycle Transformation increases revenue by 50% while reducing days in AR by half
Overview
- Remote Cardiac Monitoring service provider based in California and Texas
- Servicing over 1000 ordering clinics and providers
- Over 5,000 event monitoring cases per month
- Over 6,500 claims submitted / month
- In-network and out-of-network payors
- Internal central billing office
- Monthly revenue at $3M
Implementation
- Reconfigured billing system for optimized collections
- Revised charge master
- Re-engineering patient billing and collections process
- Implemented DOCTRIX® Analytics and dashboards
- Implemented weekly KPI monitoring and reporting
- Converted payments and EOBs to electronic format
- Optimized denials and appeals management
- Implemented monthly root cause analysis and transformation
- Help complete non-credentialed payors
Challenges
- 90+ Insurance AR > 71% and 90+ Patient AR > 84%
- Days in AR >137 Days
- First time payment rate < 55%
- Revenue losses due to delays in securing patient consent letter
- Revenue losses due to delay in securing medical records from referring providers
- Out of network payors sending payments directly to patients
Results
- 50% increase in overall revenue
- Days in AR reduced to 68 days
- First time payment rate > 62%
- 154% increase in patient collections
- Direct pay patient payment collections >80%
- 80% to 100% increase in large commercial payor payments
- Over 98% of claims reviewed within 48 hours
- Secured successful outcomes on major denials
Embrace the synergy
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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.
