RCM Case Study: Accounts Receivable Management Cash Flow Boost

What was holding revenue back

Before working with us, the practice faced serious A/R-related issues:

How Dilijent Systems Solved the Problem

Here’s how Dilijent Systems handled all the problems in the healthcare facility:

1. Deep A/R Audit

   Dilijent System did a deep account receivable audit that helped us analyze all the shortcomings and revenue losses. We analyzed all the claims that were older than 30,60, and 90 days. Each claim was analyzed to identify payer-related issues, denial reasons, and the current claim status so no problem was overlooked.

2. Dedicated A/R Task Force

   A dedicated team of A/R team was assigned based on payer type. Every open claim was given clear ownership, ensuring accountability and consistent follow-up until payment was received. 

3. Structured Follow-Up System

   We started a strict 14-day follow-up cycle for unpaid claims. This way, the different rules were applied for different insurance companies, and each claim was handled individually. 

4. Denial & Underpayment Recovery

   Previously ignored claims were carefully reviewed and appealed. We also identified underpaid claims and recovered lost revenue.

5. Payer Intelligence Mapping

   The researchers detected slow-paying insurance companies that presented a high-risk assessment through their research. The researchers used payer behavior information to create new strategies that improved their response times and payment accuracy.

6. Transparent Reporting

   The team used weekly A/R aging reports to monitor their progress. The monthly reports showed recovered revenue and cash flow performance, together with information about collectible and non-collectible claims.

Results Achieved (Within 90 Days)