The business
Our client runs the full revenue cycle for ambulatory surgery centers across the US, from coding and claims to denials, A/R follow-up and collections. Surgery centers are all it does, across specialties from orthopedics and spine to ophthalmology and pain management. Its promise to each center is simple: more revenue, fewer denials and faster cash.
The challenge
Growth was outpacing the business office
Cash arriving later than it should
Follow-up on payments, denials and open claims often started a day or more after the information was available, and accounts aged in A/R.
Skilled people on low-value work
Experienced specialists spent hours each day collecting data from hospital and surgery center systems, time they could have spent recovering revenue.
Growth tied to headcount
Every new surgery center added more manual work, so winning new business meant hiring before the revenue arrived.
Revenue at risk of slipping
When information arrived late, some accounts came close to payer follow-up and appeal deadlines before anyone could act.
The solution
What we delivered
- Find where collections time was goingDone
- Take the manual work off the teamDone
- Collections working from fresh data dailyLive
- Collections that start first thing
- Each morning the team has the latest payment, claim and A/R information from every surgery center and hospital it works with, gathered automatically overnight.
- Specialists focused on recovering revenue
- Time once spent gathering information now goes to payer follow-up, appeals and patient balances.
- Room to take on new centers
- A new surgery center is brought on in days, without adding staff to keep up.
- Fewer accounts left too late
- Accounts are worked while there is still time to appeal or rebill, so less revenue is written off.
- Secure and accountable
- Access to every system is controlled and every step is logged, so the client can show its centers exactly how their data is handled.
Results
The outcomes
Faster cash
Fewer days in A/R, because accounts are worked the day new information arrives.
Higher net collections
More revenue recovered per center, with fewer accounts aging past their follow-up window.
More centers, same team
More surgery centers served per specialist, so new business adds margin rather than cost.
Back every day
Specialist time moved from gathering information to recovering revenue.
What’s next
With fresh data in hand every morning, the next step is AI agents that rank each day’s accounts by the revenue at stake and the chance of recovery, so the collections team works the highest-value accounts first and approves each action.