Eagle Overlook
Overview
This case study explores how Coronis Health successfully recovered lost revenue and regained the trust of Eagle Overlook, an adolescent treatment facility.
Problem
Eagle Overlook, a newly opened facility, faced a critical issue in its first year:
No Insurance Revenue: They weren’t receiving any insurance reimbursements despite operating for a year.
Coronis identified the root cause as:
Incomplete Credentialing: Both facility and provider credentials were not properly established with insurance companies.
Solution
Coronis Health took immediate action:
Credentialing Expertise: Resolved credentialing issues, paving the way for insurance reimbursements.
Revenue Recovery: Collected a significant sum ($1 million in 8 months) in previously lost revenue.
Lost (but Not Forgotten) Client:
Despite the successful turnaround, Eagle Overlook opted to switch to another RCM provider, seeking patient billing services which Coronis didn’t offer at the time. However, a positive experience and Dr. Aflatoon’s (Medical Director) appreciation for Coronis’ work left the door open for a future return.
A Winning Return:
One year later, Eagle Overlook, under new leadership (CEO Patricia Hamilton), returned to Coronis. This decision was influenced by:
- Proven Performance: Impressed by Coronis’ previous success with revenue recovery.
- Transparency & Reporting: Valued Coronis’ clear communication and detailed reporting practices.
Results
Coronis’ intervention yielded dramatic results for Eagle Overlook:
$1M Recovered in 8 Months: Resolved credentialing issues and recovered a substantial amount of lost insurance revenue from out-of-network patients.
Improved Cash Flow: Streamlined billing processes, leading to a noticeable increase in monthly cash flow.
Maximized Facility Capacity: Effective billing secured consistent revenue, enabling Eagle Overlook to operate at its full capacity of 20 patients.
Financial Stability Achieved: Helped Eagle Overlook regain financial health and establish a sustainable revenue stream.