Days in AR cut from 52 to 23 in two quarters.
A 32-provider orthopedic group was sitting on 52 days in AR and a denial rate north of 14%. In two quarters we cut AR by more than half and got the books clean enough to satisfy a private-equity diligence team.
− 56%
Days in AR
− 56%
Days in AR
23
Days in AR (from 52)
5.1%
Denial rate (from 14.7%)
$ 1.2M
AR recovered
The challenge
Global-period bundling and DME documentation were driving a 14.7% denial rate. AR over 90 days kept growing because nobody had time to work it, and the practice was preparing for a PE transaction that needed clean financials.
What we did
- Applied modifier 24/79 correctly so legitimate post-op care stopped getting bundled away.
- Rebuilt DME billing with documentation that survives the audit.
- Stood up a dedicated AR team to attack the 90+ day bucket first.
- Delivered board-ready reporting for the diligence process.
"I run the numbers from our last RCM and ClearClaim side-by-side every quarter. Same payer mix, same volume — they pay us twelve days faster and on cleaner books."
BK
Brandon Kim
CFO, Northgate Orthopedics
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