The Challenge
A growing internal medicine group faced serious revenue bottlenecks:
- High denial rates due to inconsistent coding and eligibility errors
- Delayed reimbursements, with A/R stretching beyond 60 days
- Revenue leakage from under-coded visits and missed claims
- Lack of transparency in reporting, making it difficult to track revenue gaps
Our Approach
Aivra Health designed a holistic revenue optimization strategy:
- Front-End Fixes: Automated eligibility & benefits verification to prevent errors before submission.
- Accurate Coding: Deployed certified coders to ensure every service was captured and billed correctly.
- Denial Analytics: Used AI-driven denial trend analysis to identify root causes and eliminate recurring issues.
- Revenue Intelligence Dashboard: Delivered real-time visibility into collections, denials, and payer performance.
The Results
- Overall revenue improved by 22% within six months
- Denial rate dropped from 18% to 5%
- Days in A/R reduced from 62 to 32
- $450,000 in recovered revenue from previously missed or under-coded claims
- Doctors gained full transparency into their revenue cycle through data-driven dashboards
