How a Multi-Specialty Practice Increased Revenue by 27% and Cut Denials by 73% in Just 120 Days

A mid-sized, multi-specialty medical practice in the United States partnered with Dilijent Systems to streamline its revenue cycle operations, reduce claim denials, and stabilize cash flow. Serving approximately 2,500 patients per month across three specialties, the practice was experiencing increasing administrative pressure despite a strong patient volume. 

Despite a strong number of patients, the clinic was struggling with slow payments, frequent claim denials, and breakdowns at the front desk and coding level. Revenue was unpredictable, and the administrative team felt constantly overwhelmed.

The Challenge

Before working with Dilijent Systems, the practice faced operational challenges. Some of them are listed below:

1. High Denial Rate

Between 18-22% of claims were being denied. This was mainly due to poor RCM practices such as errors in coding and billing, incomplete documentation, and insurance eligibility problems. 

2. Slow Reimbursements

Accounts receivable had crossed 60 days. Payments were coming in late, making it difficult for the practice to plan financially or invest in growth.

3. Inefficient Front-Desk Workflow

Insurance eligibility checks were often missed or performed inaccurately, leading to claim rejections and patient frustration over unexpected billing amounts.

4. Underpayment and Missed Revenue

There was no proper audit or structured follow-up for missed payments. As a result, underpayments and missed payments were ignored every month, resulting in revenue loss.

How Dilijent Systems Solved the Problem

Dilijent Systems developed a whole new RCM solution catered to the specific needs of the clinic. Our customized RCM strategy perfectly fits the medical practice structure, and they saw a huge difference in no time. 

1. Comprehensive RCM Audit

Our comprehensive RCM audit of the past 6 months revealed all the pitfalls. We pinpointed exactly where revenue loss and payment leaks were happening.

2. Clean Claim Strategy

Then, we deployed highly professional certified medical billers and coders that trained for each specialty. We also implemented a real-time insurance verification system at the front desk. 

3. Denial Prevention and Recovery

We set up a separate team to handle denied claims. The team acted promptly in just 24-48 hours after receiving a denied claim. 

4. Monthly Analytics and Reporting

Delivered easy-to-read dashboards covering:

• CPT performance

• Payer profitability

• Denial patterns

• Revenue forecasting

Outcomes Attained (Within 120 Days)

Denial rate reduced from 22% to 6%.

Errors that could have been avoided were eliminated by automated eligibility checks and cleaner coding.

Accounts receivable days reduced from 60+ to 28

Cash flow was significantly enhanced by quicker follow-ups and payer-specific tactics.

Monthly revenue increased by 27%

Consistent growth was fueled by recovered underpayments and faster reimbursements.

First-pass claim acceptance rate improved to 96%

Payer responses were quicker because claims were filed correctly the first time.

Front-desk efficiency increased by 40%

Staff and patients experienced less friction thanks to automation, precise patient responsibility estimates, and more seamless check-ins.

Provider productivity increased by 18%

More time spent on patient care resulted from less administrative work.

Client Testimonial

“Partnering with Dilijent Systems, LLC completely transformed our financial operations. Our revenue stabilized, denials dropped, and our team finally had the support we needed. This partnership has been a game-changer for our practice.”
Practice Administrator, Multi-Specialty Clinic

Conclusion

This case study explains how a strategic, data-driven RCM approach can significantly improve financial performance, operational efficiency, and provider satisfaction. With Dilijent Systems as a trusted RCM partner, the practice achieved sustainable growth within just 120 days. If you also want to boost your RCM cycle in no time, collaborate with Dilijent Systems today.