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HealthcareClient: Carolina Health Partners (Multi-Site Network)
Carolina Health Partners RCM Turnaround
Completely revitalized the revenue cycle for a fast-growing North Carolina medical group, slashing A/R days and recovering lost revenue through intelligent claims scrubbing and dedicated denial management
55%
Reduction in A/R Days
98%
First-Pass Clean Claim Rate
$1.8M
Recovered Aged Revenue
55% Reduction
A/R Days
98%
Clean Claims
$1.8M
Revenue Recovery
The Challenge
- A/R days had ballooned to 65+ days due to staffing shortages in North Carolina.
- High denial rate (28%) caused by complex regional payer coding requirements.
- Inability to scale billing operations alongside new clinic acquisitions.
Our Solution
- Automated pre-submission claims scrubbing to catch errors instantly.
- A dedicated team of Certified Professional Coders (CPCs) specializing in NC payer rules.
- Aggressive, systematic A/R follow-up for aged claims over 60 days.
- 24/7 patient eligibility verification to prevent front-end denials.
"We were leaving money on the table every single day. Peakpoint didn't just fix our billing; they stabilized our cash flow. We’ve seen a 55% drop in A/R days in just six months, allowing us to open two new locations"
— Author: Dr. James Morrison, Medical Director at Carolina Health Partners
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