Multi-Specialty Physician Group
Processing approximately $800K in monthly collections across multiple specialties, this physician group needed a seamless vendor transition — without losing ground on aged A/R, underpayments, or operational control.
Vendor Transition Risk, Aged A/R, and Hidden Underpayments
The group was transitioning away from an underperforming billing vendor while managing complex multi-specialty coding, payer contracts, and a growing aged A/R balance. Leadership needed continuity, transparency, and measurable improvement — not another black-box handoff.
Vendor Transition Complexity
Switching RCM partners mid-cycle risked claim disruption, credentialing gaps, and knowledge loss across cardiology, orthopedics, and primary care service lines.
Aged Accounts Receivable
Days in A/R stood at 41, with significant balances over 90 and 120 days. Prior vendor follow-up had been inconsistent, leaving recoverable revenue on the table.
Contract Underpayments
Payer-specific fee schedule variances and contract rate mismatches were going undetected. The group lacked systematic underpayment identification across its payer mix.
Billing Overhead Pressure
Combined in-house and vendor costs created structural inefficiency. Leadership wanted a partner model that reduced overhead without sacrificing specialty billing expertise.
Expert RCM + Platform Visibility
Ascentiant executed a structured transition plan — absorbing open A/R, deploying specialty-trained billers, and giving the group's leadership real-time platform access from day one.
Revenue Cycle Management
- Structured vendor transition with zero claim submission gap
- Multi-specialty coding and charge capture review
- Aged A/R recovery with payer-specific follow-up protocols
- Contract underpayment detection and appeal workflows
- Credentialing continuity across all rendering providers
Revenue Cycle Operations Platform
- Real-time net collection and A/R aging dashboards
- Underpayment tracking by payer and CPT category
- Work queue visibility for claims, denials, and appeals
- Specialty-level performance reporting for physician partners
- Executive summaries for board and ownership review
Stronger Collections, Lower Overhead, Full Transparency
The transition delivered measurable financial improvement within the first 90 days — without the disruption the group had feared.
“We were nervous about changing vendors at our scale. Ascentiant took over without missing a beat — our net collections improved, A/R dropped, and for the first time we can see exactly what's happening in billing.”Chief Financial OfficerMulti-Specialty Physician Group · Southwest U.S.
Considering an RCM Transition?
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