How One Healthcare Practice Increased Collections by 30% Through Outsourced RCM Services?

A mid-sized specialty practice struggled with flat collections despite growing patient volume—denials, prior auth delays, and coding errors caused hidden revenue leaks.
Staff were overburdened; 40% of their time went to billing/admin instead of patient care.
The practice outsourced RCM to Practolytics, addressing concerns about control and ROI.
Practolytics applied data-driven leakage tracking, automated prior authorizations/denial workflows, and specialty-specific coding expertise.
Within 9 months: collections rose 30%, denials dropped 61%, prior auths were 58% faster, and staff billing time reduced by more than half.
Patient collections improved from 62% to 78%, thanks to clearer billing and proactive follow-ups.
The real gains came from scale and expertise: 5M claims processed annually, 28+ specialties, payer-specific insights across 31 states.
Key lesson: RCM outsourcing isn’t cost-cutting—it’s growth. Revenue leakage is invisible without data, and specialty coding expertise is now essential.

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A mid-sized specialty practice struggled with flat collections despite growing patient volume—denials, prior auth delays, and coding errors caused hidden revenue leaks.
Staff were overburdened; 40% of their time went to billing/admin instead of patient care.
The practice outsourced RCM to Practolytics, addressing concerns about control and ROI.
Practolytics applied data-driven leakage tracking, automated prior authorizations/denial workflows, and specialty-specific coding expertise.
Within 9 months: collections rose 30%, denials dropped 61%, prior auths were 58% faster, and staff billing time reduced by more than half.
Patient collections improved from 62% to 78%, thanks to clearer billing and proactive follow-ups.
The real gains came from scale and expertise: 5M claims processed annually, 28+ specialties, payer-specific insights across 31 states.
Key lesson: RCM outsourcing isn’t cost-cutting—it’s growth. Revenue leakage is invisible without data, and specialty coding expertise is now essential.