A Colorado-based home infusion provider partnered with Prochant to address mounting revenue cycle challenges impacting reimbursement and cash flow. Systemic underpayments, driven by a payer configuration error combined with rising aged A/R and workflow inconsistencies, led to delayed payments and increased financial risk.
Prochant brought deep payer expertise and a focused, hands-on approach to resolve the issue at its source. By working directly with the payer, the team corrected the amendment error and drove reprocessing of underpaid claims. At the same time, a targeted A/R recovery strategy and the use of Prochant Pulse™ improved visibility, enhanced operational efficiency and ensured consistent follow-up across billing and collections.
Results:
- 59% increase in net collection rate
- 14% increase in payment rate
- 18% increase in clean claim rate
Beyond immediate financial gains, the partnership demonstrated the power of combining expertise and efficiency to drive meaningful outcomes. By addressing the root cause of underpayments and introducing greater transparency, accountability and workflow consistency, Prochant enabled a more proactive and resilient revenue cycle operation. This strengthened foundation positions the organization to sustain performance improvements, respond more effectively to payer challenges and continue driving outcomes as it grows.
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