Medical Billing Case Studies:Documented RCM Outcomes

Per MGMA's 2024 Physician Compensation and Production Survey, the industry benchmark for A/R days in group practices is 30–35 days. DrCare MSO clients average 26 days — and the records below show exactly how each practice got there.

Every case below reflects a real client engagement with documented, audited outcomes. No composites. No estimates.

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26 days

Average A/R Days (DrCare MSO clients vs. 35-day MGMA benchmark)

5.8%

Average Denial Rate Achieved (industry average: 11.1%, per HFMA 2024)

47+

Completed Engagements with Documented Outcomes

18

Medical Specialties Served Across All 50 States

Documented Outcomes at a Glance

A/R Days

Before

52 days

After

24 days

ASC · GA

Denial Rate

Before

22%

After

5.8%

Orthopedic Group · FL

A/R Days

Before

62 days

After

27 days

Multi-Specialty · CA

Revenue Recovered

Before

$0

After

$290K

Behavioral Health · AZ

Days to Credential

Before

120 days

After

58 days

Psychiatry · CO

Featured Case Study

98%

Clean Claims Rate

Before: 60%After: 98%
Medical BillingCardiology

Heart & Vascular Associates was losing $340K annually to preventable claim denials rooted in outdated cardiology coding and zero denial tracking infrastructure.

Heart & Vascular Associates · TXRead Case Study
Denial ReductionOrthopedics

5.8%

Denial Rate

Orthopedic Group A/R Turnaround

Premier Ortho Group carried $1.2M in claims beyond 120 days with no prior authorization workflow and systematic modifier errors on high-value orthopedic procedures.

Before: Denial Rate: 22%After: Denial Rate: 5.8%
Premier Ortho Group · FLRead Case Study
Revenue CycleMulti-Specialty Group

27

Average A/R Days

Multi-Specialty Billing Unification

Valley Medical Partners operated 12 providers across 4 specialties with separate billing systems, generating compliance exposure and 62-day average A/R well above MGMA's 30-day benchmark.

Before: A/R Days: 62 daysAfter: A/R Days: 27 days
Valley Medical Partners · CARead Case Study
Denial ReductionGastroenterology

97%

Clean Claims Rate

GI Coding & Denial Optimization

Digestive Health Center faced a 45% denial rate on colonoscopy and EGD procedures due to CCI bundling errors, and was billing anesthesia separately without a qualified billing specialist.

Before: Clean Claims: 55%After: Clean Claims: 97%
Digestive Health Center · NYRead Case Study

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CredentialingPsychiatry & Behavioral Health

58

Days to Credential (Avg.)

Behavioral Health Credentialing Acceleration

Mindbridge was turning away insured patients because 8 newly hired therapists and psychiatrists sat uncredentialed for over 90 days, blocking $62K/month in billable revenue.

Before: Days Pending: 90+ daysAfter: Days to Complete: 58 days
Mindbridge Behavioral Group · CORead Case Study
Practice ManagementFamily Medicine

+31%

Net Collections Increase

Family Medicine Practice Management Overhaul

Clearwater Family Health cycled through three in-house billing staff in 18 months, each exit triggering denied claims and a delayed revenue cycle that compounded month over month.

Before: Collections: $1.1M/yrAfter: Collections: $1.44M/yr
Clearwater Family Health · OHRead Case Study
Medical BillingMental Health

$290K

Revenue Recovered

Mental Health Billing Revenue Recovery

Following the end of the COVID-19 Public Health Emergency, Sunrise Counseling was billing telehealth under outdated audio-only codes, resulting in $290K in avoidable denials from Aetna, BCBS, and UHC.

Before: Collected: $0 capturedAfter: Recovered: $290K
Sunrise Counseling Network · AZRead Case Study
Revenue CycleASC / General Surgery

24

Average A/R Days

Ambulatory Surgery Center RCM

Pinnacle Surgery Center was systematically under-coding facility fees on bilateral procedures and had no structured follow-up protocol for claims aged beyond 45 days.

Before: A/R Days: 52 daysAfter: A/R Days: 24 days
Pinnacle Surgery Center · GARead Case Study

Every case study on this page reflects a real DrCare MSO engagement with documented, auditable outcomes verified against practice management system data. No composites. No estimates. No projections presented as results.

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Each new case study includes the specific CPT codes involved, the payer-side denial reasoning, and the exact workflow change that reversed it — no marketing language, just the billing mechanics.

No promotional email. Case study publications only — typically 1–2 per month.

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