01 — Healthcare Operations · Revenue Cycle · Financial Performance

$380K Medicare Revenue Recovery

$380K of approximately $450K in aged Medicare claims recovered in approximately 60 days.

$380K

Recovered

01 — The problem

Approximately $450,000 in aged Medicare claims had accumulated in an environment requiring strict documentation and audit compliance.

02 — The diagnosis

This was not simply a collections problem. The unpaid balance was the downstream result of failures across intake, documentation, billing, follow-up, and accountability.

03 — The intervention

Worked backward from unpaid claims to identify process failures, coordinated recovery across functions, and rebuilt the operating path responsible for converting eligible claims into cash.

04 — The result

  • $380K of approximately $450K recovered in approximately 60 days.
  • Monthly Medicare cash flow increased from approximately $20K to approximately $135K.

05 — Capabilities / tools

  • Revenue Cycle
  • Root-Cause Analysis
  • Medicare Operations
  • Financial Recovery
  • Process Control
  • Cross-Functional Execution

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