Case Studies

Real results, real practices

These are outcomes reported by U.S. practices that moved their billing to Elevate Revenue Group — lower A/R days, fewer denials, recovered underpayments, faster credentialing, and steadier cash flow. Each is a real client, in their own words.

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58 → 31A/R days in one quarter

Primary Care

Challenge

Aging A/R had crept to 58 days and month-end numbers couldn't be trusted, making cash flow impossible to plan around.

What we did

  • Worked the aged A/R claim by claim instead of writing off the backlog
  • Tightened front-end eligibility and clean-claim submission to stop new aging at the source
  • Put transparent weekly reporting in place so the numbers were reliable

Result

A/R days dropped from 58 to 31 within a single quarter, and the practice could finally trust its financials.

“Our A/R days dropped from 58 to 31 in one quarter. First time in years I actually trust my numbers.”— Sarah M., Practice Manager
First-pass ↑acceptance, with denial reasons surfaced

Cardiology

Challenge

Denials were eroding revenue, and the previous biller reworked failed claims quietly without ever explaining why they failed.

What we did

  • Root-caused denials by payer and procedure rather than reworking them one at a time
  • Fixed the upstream coding and documentation gaps driving cardiology rejections
  • Reported denial reasons back to the practice so patterns could be fixed for good

Result

First-pass acceptance improved quickly, and the practice gained visibility into exactly why any claim failed.

“Denials were killing us. First-pass acceptance went up fast, and they tell us why a claim failed — not just rework it quietly.”— Michael R., Billing Lead
Recoveredunderpayments the prior biller missed

Pain Management

Challenge

Payers were underpaying claims, and the prior billing company never flagged the shortfalls.

What we did

  • Audited remittances against contracted and expected reimbursement
  • Flagged and appealed underpaid pain-management claims
  • Set up ongoing payment-variance monitoring to catch future underpayments

Result

Recovered underpayments the previous biller had missed — enough on its own to cover the cost of switching to ERG.

“They caught underpayments our last biller never flagged. That alone covered the cost of switching.”— Dr. Kevin B., Provider
Written-offrevenue recovered on appeal

Denial Management & Appeals

Challenge

Denied claims were routinely written off because chasing appeals wasn't worth the group's time.

What we did

  • Reworked and appealed denials the group had given up on
  • Built payer-specific appeal packages with the documentation each denial needed
  • Tracked appeal outcomes to sharpen what gets fought and how

Result

Won appeals on claims that had been written off, recovering revenue the group had already given up on.

“Appeals we used to write off, they actually fight and win. Recovered revenue we'd given up on.”— Steven H., Billing Manager
Fasterprovider credentialing turnaround

Credentialing

Challenge

Provider credentialing stalled every new hire for months, delaying the point at which new physicians could bill.

What we did

  • Took over payer enrollment and credentialing end to end
  • Managed applications and follow-ups so files didn't sit idle in payer queues
  • Got providers loaded ahead of the timeline originally promised

Result

New providers were credentialed faster than promised, shortening the gap before they could see and bill patients.

“Credentialing used to stall every new hire for months. They got our providers loaded way faster than promised.”— David T., Office Administrator
Steadiercash flow from faster clean claims

Physical Therapy

Challenge

Slow, error-prone claim submission made the clinic's cash flow lumpy and hard to plan around.

What we did

  • Streamlined PT claim scrubbing so clean claims went out faster
  • Reduced resubmissions by catching errors before submission
  • Kept a steady daily submission cadence instead of batches

Result

Clean claims went out faster, which smoothed the clinic's cash flow.

“Clean claims out the door faster means cash in the door faster. Our cash flow finally smoothed out.”— Michelle T., Owner

Results reflect the experiences of individual ERG clients and are shared with their consent. Outcomes depend on each practice's payer mix, specialty and starting point, and are not a guarantee of specific results.

Your practice

See what we can recover for you

A no-obligation A/R analysis of your aging, denials and coding mix — with a clear picture of the recoverable revenue.

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