Strategic Consulting Revives a Multi-Specialty Practice’s Billing
Case Study: Project Overview
A growing multi-specialty clinic on the East Coast with departments in cardiology, internal medicine, and podiatry was experiencing inconsistent revenue despite high patient volume. They approached MCB for consulting support to identify revenue leaks, streamline workflows, and elevate billing operations across their three-provider team.
Challenge:
Despite solid patient inflow, the clinic’s collections lagged. Each department had different billing habits, leading to inconsistent charge capture and inaccurate coding. Their in-house billing staff lacked updated training on modifiers, payer rules, and prior authorizations, resulting in frequent rejections and underpayments.
- Fragmented billing workflows between departments
- In-house team lacked up-to-date training
- Missed charges and under-coded claims
Solution:
Despite solid patient inflow, the clinic’s collections lagged. Each department had different billing habits, leading to inconsistent charge capture and inaccurate coding. Their in-house billing staff lacked updated training on modifiers, payer rules, and prior authorizations, resulting in frequent rejections and underpayments.
- Fragmented billing workflows between departments
- In-house team lacked up-to-date training
- Missed charges and under-coded claims
Results:
Within 60 days, the clinic saw a substantial boost in clean claim rates and improved staff confidence. Patient AR days dropped from 46 to 28, and claims were submitted an average of 2.5 days faster. Leadership gained better financial visibility through new monthly reporting protocols.
- 80% increase in clean claim rate
- Reduced AR days from 46 to 28
- Submission time cut by 2.5 days
- Unified billing workflow improved communication
Impact in Numbers:
Percent Increase in Clean Claim Rate
0
Day Reduction in Average Days in AR
0
Days Faster Claim Submission Time
0
Departments Unified Under One Billing Workflow
0
“We didn’t need a new billing team—we just needed someone to help us fix what we had. MCB’s consulting was eye-opening. They brought in structure, clarity, and immediate results without disrupting our day-to-day patient care.”
