- Case Study
A Health System's Path to $21.9 Million in Denials Recovery Case Study
June 4, 2026
Challenge:
A large, multi-hospital health system across the South had a growing denials problem and limited access to specialized claims expertise. Revenue cycle leaders wanted a partner who could manage appeals, surface root cause, and build processes to prevent future losses — while helping staff refocus on higher-value work. They evaluated vendors carefully before committing to a direction.
Solution:
The health system partnered with Revecore on inpatient denials. Root cause triage identified top leakage drivers, including a payer with a notably high denial rate — Revecore recommended a process change that reduced denials across that payer and others. They then expanded to outpatient denials and added Zero Balance Underpayment Recovery, bringing total denials recovery to $21.9 million.
Results:
What began as a targeted denials initiative evolved into a broader revenue recovery program with lasting operational improvements.
