Discover how Atlantis RCM streamlined billing operations, reduced denial rates from 20% to under 4%, and helped a growing healthcare group increase monthly collections to $1M.
| Practice Type | Family Medicine & Multispecialty Group |
|---|---|
| Providers | Providers |
| Locations | 24 Clinics |
| Monthly Patient Volume | ~12,000 Visits |
| EHR | eClinicalWorks |
A growing multispecialty group contacted Atlantis RCM after their rapid expansion started creating serious billing problems.
Over the course of a few years, the organization had acquired multiple practices and expanded to 24 locations. Patient volume increased significantly, but their billing infrastructure did not scale with the growth.
Despite seeing thousands of patients every month, the practice was struggling with:
From the Leadership’s perspective, the biggest concern was simple:
The practice was busy and growing, but revenue was not reflecting the volume of patient care being delivered.
Monthly collections were averaging around $280,000, which was significantly below what the practice should have been generating for its size.
After reviewing their revenue cycle and claims history, several core issues became clear.
Despite seeing thousands of patients every month, the practice was struggling with:
Instead of simply “processing claims,” our focus was on rebuilding the completeRevenue Cycle Management process so physicians could actually collect what they had already earned.
A specialized AR team was assigned specifically to this practice.
Their sole responsibility was:
This effort alone began reducing the $5M AR backlog within the first few months.
We introduced a multi-layer claim review process before claims were submitted to insurance.
Claims were reviewed for:
This dramatically improved claim quality and increased the clean claim rate to 98%.
Denied claims were no longer allowed to sit in queues.
Every denial was:
By addressing the root causes of denials, we reduced the denial rate from over 20% to under 4% within three months.
Regular coding reviews were introduced to identify patterns that were triggering payer issues.
When needed, providers received clear feedback so documentation aligned with payer expectations. This prevented repeat denials and improved long-term billing accuracy.
Atlantis RCM’s payer communication team handled direct follow-ups with insurance companies for:
This eliminated delays caused by fragmented communication across multiple locations.
Once these changes were implemented, the practice began seeing immediate improvement in collections and claim performance.
Monthly collections increased from $280,000 to $800,000
Monthly collections reached $1,000,000
More importantly, payments became predictable and consistent, which gave leadership the financial stability needed to continue expanding their practice.
Beyond revenue growth, the practice experienced major operational relief:
The physicians could now focus on patient care and practice growth, rather than constantly questioning where their reimbursements were.
The practice continues to grow while maintaining stable collections and low denial rates across all locations.
With dedicated AR management, proactive denial handling, and consistent claim review, their revenue cycle now supports their expansion instead of slowing it down.
Atlantis RCM continues to manage the billing operations and revenue cycle for the group, ensuring their financial systems remain strong as they add new providers and locations.
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