End-to-End RCM Turnaround for a Multi-Location Internal Medicine Practice
Case Study: Project Overview
A multi-location internal medicine group across the Northeast had fragmented billing systems and was dealing with aging receivables, missed charges, and siloed teams. They engaged MCB for full Revenue Cycle Management to centralize operations, increase collections, and establish consistent billing across their growing network.
Challenge:
The practice had three separate billing workflows, little oversight of key metrics, and a backlog of claims older than 90 days. Providers often undercoded to avoid rejections, leading to lost revenue. Internal handoffs between front desk, coders, and billers lacked standardization and visibility.
- Decentralized billing processes across locations
- No tracking of key RCM KPIs or aging claims
- Undercoding and unbilled services affecting revenue
Solution:
The practice had three separate billing workflows, little oversight of key metrics, and a backlog of claims older than 90 days. Providers often undercoded to avoid rejections, leading to lost revenue. Internal handoffs between front desk, coders, and billers lacked standardization and visibility.
- Decentralized billing processes across locations
- No tracking of key RCM KPIs or aging claims
- Undercoding and unbilled services affecting revenue
Results:
The practice saw a 36% increase in collections and reduced AR over 90 days by more than half. Denial rates dropped significantly, and physicians started coding more confidently thanks to MCB’s support team. Monthly financial meetings now drive strategic decisions using real-time data.
- 36% increase in total monthly collections
- AR >90 days reduced by 58%
- Denial rate cut from 18% to 6%
- 100% provider adoption of centralized RCM workflow
Impact in Numbers:
Percent Increase in Monthly Collections
0
Percent Reduction in Aged AR Over 90 Days
0
Percent Denial Rate After Optimization
0
Percent Provider Adoption of New Workflow
0
“Partnering with MCB changed everything. Their RCM team didn’t just process claims—they gave us a system, structure, and strategy that improved our entire business.”
