Behavioral Health

Eagle Overlook

$1M
Out-of-Network Insurance Payments in 1st 8 Months
20
Capacity of Treatment Facilities

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.

crossroads

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.

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