Southeast Health System Recovers $64 Million in Cash

Challenge:

A nonprofit academic medical system in the Southeast was already outsourcing denials management, but revenue cycle leaders suspected they were leaving money on the table. Rather than replace their existing vendor outright, they set up an alpha split between Revecore and Vendor B to get a direct comparison of what each could produce. 

Solution:

Revecore worked the accounts assigned through the alpha split while Vendor B continued working the full remaining alphabet. Working only a portion of the inventory, Revecore outperformed Vendor B's results across the entire alphabet. The comparison was clear, and the health system had what it needed to make a decision. 

Results:

A head-to-head vendor comparison demonstrated the impact of a more effective denials recovery approach. 

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