How a Behavioral Health Organization Began Rebuilding Revenue Performance Through Revenue Infrastructure

See how ClaiMed Solutions helped an orthopedic practice reduce revenue delays, improve collections, eliminate zero-pay claims, and create a more predictable revenue cycle.

Specialty

Behavioral Health

Engagement

Revenue Recovery & Revenue Infrastructure Optimization

The Challenge

The organization faced several revenue cycle challenges impacting financial stability and visibility.

Key Issues:

  • Aging Accounts Receivable
  • Large Outstanding A/R Balance
  • Unbilled Encounters
  • Delayed charge entry
  • Revenue Visibility Challenges
  • Inconsistent Revenue Cycle Processes

At the start of engagement, leadership lacked a clear roadmap for improving collections and reducing revenue leakage.

The Assessment

ClaiMed conducted a detailed review of operational and financial performance.

Initial Findings

  • Days in A/R: 109
  • Total Accounts Receivable: $419,190
  • Significant Unbilled Encounter Volume
  • Opportunities for workflow optimization
  • Revenue recovery opportunities identified

The Solution

ClaiMed implemented foundational Revenue Infrastructure improvements focused on:

Early Impact

Improved Revenue Visibility

Leadership gained a clearer understanding of financial performance and collection opportunities.

Revenue Recovery Strategy

A structured plan was developed to reduce aging A/R and recover outstanding balances.

Operational Alignment

Billing workflows and revenue cycle processes were standardized to support future growth.

Key Metrics at Project Launch

Metric

Days in A/R

Total A/R

Unbilled Encounters

Excluded Encounters

Value

109

$419,190

212

31

Every Behavioral Health Practice Has Revenue Opportunities Waiting to Be Discovered

The question is whether you know where to look.

Schedule a Revenue Leak Assessment and uncover opportunities to improve collections without increasing patient volume.