The Challenge
- High claim denial rates due to coding errors and incomplete documentation
- Extended A/R cycles averaging over 45 days
- Administrative staff overwhelmed with manual follow-ups
- Reduced cash flow impacting day-to-day operations
Our Approach
Aivra Health conducted a comprehensive revenue cycle audit to identify gaps and inefficiencies. The solution included:
- Accurate Coding: Implemented advanced coding checks to minimize errors at the source.
- Claims Automation: Streamlined submission workflows with real-time tracking.
- Denial Management: Applied systematic denial resolution strategies with fast appeals.
- Staff Relief: Took over repetitive billing tasks, enabling clinic staff to focus on patient care.
The Results
- Denial rate reduced by 65% within three months
- A/R cycle shortened from 45 days to 28 days
- Recovered over $180,000 in previously denied claims
- Patient satisfaction improved due to clear billing communication
- Staff freed up 25% more time to focus on patient engagement instead of chasing payers