How Hospital Revenue Cycle Management Helped Double Revenue and Capture $1.25M
Spectrum Medical Partners was facing complex billing challenges, claim rejections and stalled revenue growth. By strengthening hospital revenue cycle management, Coronis Health helped double net revenue in eight months
Client Profile
Spectrum Medical Partners
- Client
- A multi-site hospitalist group providing acute and post-acute care services across multiple payer contracts.
- Specialty
- Hospitalist services
- Size
- Multi-site hospitalist group
- Scope
- Hospital revenue cycle management and billing optimization
The Challenge
Complex Hospital Billing
Hospital billing services had become increasingly complex as Spectrum was managing acute and post-acute billing across multiple payers, contracts and care settings. Coding inconsistencies, contract limitations and disconnected systems were causing a growing backlog of uncollected revenue.
More than incremental improvements, Spectrum required specialized expertise to strengthen hospital billing services, improve coding accuracy and recover revenue that had been delayed or missed through its existing billing processes.
The Coronis Health Approach
Coronis Health Strengthened Hospital Revenue Cycle Management
Coronis Health strengthened hospital revenue cycle management by addressing the operational issues limiting reimbursement and financial performance. Within 72 hours the team identified necessary technology improvements and current billing issues. Next, they developed a collaborative plan to support immediate revenue recovery while creating a stronger foundation for long-term performance.
- Rapid assessment — deployed a dedicated team within 72 hours to evaluate revenue cycle challenges and identify the highest-priority improvement opportunities
- Technology optimization — implemented a new practice management system and clearinghouse to improve workflow efficiency and support more effective hospital claims management
- Revenue recovery — strengthened hospital medical billing services by correcting coding issues, improving payer mapping, optimizing contracts and recovering backlogged accounts
- Collaborative partnership — established regular planning meetings and continuous improvement initiatives to support sustained hospital revenue cycle optimization
The Results
Hospital Revenue Cycle Optimization
Hospital revenue cycle optimization helped improve financial performance by recovering missed revenue, reducing billing inefficiencies and strengthening reimbursement processes. Operational improvements positioned Spectrum for continued growth through more effective RCM.
Revenue growth: doubled net revenue within eight months
Claim performance: significantly reduced claim rejections through improved coding and payer mapping
Revenue recovery: helped capture an additional $1.25 million in skin graft billing during 2023
Accounts receivable: helped recover substantial revenue from previously backlogged claims
Disclaimer: All results are based on internal reporting from this specific client engagement and are not guaranteed outcomes.
Why It Matters for Hospitalist Groups
Effective hospital revenue cycle management is more than accurate billing. Strong hospital billing services along with proactive hospital claims management and ongoing revenue optimization help hospitalist groups improve reimbursements and build a stronger financial foundation across complex environments.
Hospitals
See where hospital RCM can improve reimbursement, recover missed revenue and strengthen long-term financial performance.
Let's discuss your transformation
Wherever you want revenue cycle operations to go, we can help!
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step 1
Connect
Tell us about your organization, specialty and revenue transformation goals.
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step 2
Evaluate
We'll evaluate your current state and identify strategic opportunities for improvement.
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step 3
Transform
Together we'll implement solutions that improve performance from day one.
