Case Study
2026
Home Health Agency Revenue Recovery
See how we helped a Home Health Agency reclaim 25 hours per week, reduce denials, and improve cash flow with our expert RCM solutions.
Weekly Hours Reclaimed
25+Hours Saved
⬆ 23.6% Revenue Growth
Key Results Achieved
Weekly Hours
40+
→
15
↑ 25 Hrs Reclaimed
Claim Denials
21%
→
4.8%
↓ 77% Reduction
AR Days
68
→
27
↑ 60% Improvement
Clean Claim Rate
79%
→
98.5%
↑ 25% Improvement
⚠ The Challenge
- High claim denial rate of 21% was impacting cash flow significantly
- Long AR days (68 days) were causing severe revenue delays
- Low clean claim rate (79%) resulted in frequent payment issues
- Practice Administrator was spending 25+ hours per week on billing tasks
- Lack of follow-up and ineffective denial management process
- PDGM documentation errors leading to grouping inaccuracies
💡 Our Solution
- Implemented expert coding and verification process
- Improved prior authorization and documentation
- Strengthened denial management and appeal process
- Daily AR follow-up and payer communication
- Technology-driven claim scrubbing and submission
- Dedicated appeals team for denied claims
Reclaimed 25 Hours Every Week
📅 Estimated Annual Revenue Gain $660,000+
📅 Estimated Annual Revenue Gain $660,000+
Revenue Growth Over 6 Months
Before $233K
After $288K
Our Process – Revenue Recovery Journey
Week 1
Practice Audit & Analysis
Week 2
Coding & Billing Optimization
Week 3
Denial Management Improvement
Week 4
AR Follow-up Strengthened
Week 5
Appeals Process Implemented
Week 6+
Revenue Growth Achieved
❝ "Billing Care Solutions transformed our revenue cycle. Our collections improved, denials dropped, and our cash flow has never been better! I reclaimed 25 hours per week to focus on patient care and growth."
23.6% Revenue Increase
77% Denial Reduction
60% AR Improvement
25 Hours Reclaimed Weekly
Happier Staff & Better Patient Care
