How a large multi-specialty group reduced their Days in Accounts Receivable

Problem: Staff spent too much time chasing authorizations and fixing credential issues after denials, driving up AR and delaying payments.
Goal: Eliminate silos, prevent avoidable denials, and give leadership clear, trackable KPIs.
Fix: Centralized credentialing and prior-auth teams with simple SOPs and specialty-based templates.
Integration: Auth and eligibility checks built into scheduling and billing, supported by clear dashboards.
Results: AR days dropped 55 → 38 (~31%), credentialing cycles sped up ~40%, and auth-related denials fell quickly.
Why it worked: Clear ownership, early prevention, real-time visibility, and repeatable processes—without adding complexity.

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Problem: Staff spent too much time chasing authorizations and fixing credential issues after denials, driving up AR and delaying payments.
Goal: Eliminate silos, prevent avoidable denials, and give leadership clear, trackable KPIs.
Fix: Centralized credentialing and prior-auth teams with simple SOPs and specialty-based templates.
Integration: Auth and eligibility checks built into scheduling and billing, supported by clear dashboards.
Results: AR days dropped 55 → 38 (~31%), credentialing cycles sped up ~40%, and auth-related denials fell quickly.
Why it worked: Clear ownership, early prevention, real-time visibility, and repeatable processes—without adding complexity.