The Challenge
A rapidly growing telehealth network was experiencing a 34% denial rate and had $1.2M in aging AR over 120 days. Their billing team was overwhelmed and their collections rate had dropped to 61% of net collectible revenue.
Our Approach
We conducted a full RCM audit in week one, identifying three root causes: incorrect modifier usage, missing prior authorizations, and a broken denial appeals workflow. We rebuilt all three systems and trained the billing team over 60 days.
"We had tried two other consultants before JRS. They were the first ones who actually fixed the problem instead of just documenting it."
— Practice Administrator