A Midwest-based healthcare organization expanded into infusion and oncology care in 2023, launching multiple outpatient clinics across several states. With expertise in specialty pharmacy, the provider was well positioned clinically but faced unique operational and financial challenges as it entered a new line of business. To ensure scalable growth and financial stability, the provider partnered with Prochant to address:
- Complex multi-state payer and credentialing requirements
- Limited internal billing and coding expertise for high-dollar specialty therapies
- Inconsistent prior authorization and intake workflows across locations
- Need for a scalable RCM partner to manage claims, denials and A/R
By implementing Prochant Pulse™ and leveraging Prochant’s infusion billing experts, the provider gained the structure and oversight needed to grow its operations without sacrificing performance. The partnership delivered measurable results:
- 64.2% revenue growth in the first 10 months
- 12% increase in clean claim rate in one year
- Denial rate held below 5%, even with expansion and revenue growth
- 18% increase in collections in one year
With biweekly analytics reviews, standardized documentation and billing protocols for high-dollar therapies, and expert guidance on credentialing and payer setup, the provider maintained consistent workflows across multiple clinics. Prochant’s end-to-end revenue cycle management allowed the organization to focus on clinical care while ensuring financial performance remained strong.
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