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Billing Company Case Study

How a 62-client billing company doubled appeals worked per biller and added $2.1M in collections without new headcount.

Precision Revenue Management · 62 Provider Clients (Orthopedic, Cardiology, GI) · Dallas, TX · Systems: athenahealth, AdvancedMD, Waystar

Appeals Worked / Week
3.8x increase
First 60 days
Annual Net Recovery
$2.14 Million
12-month period
Cost per Claim Worked
Dropped from $52 to $8.40
Post-implementation
Client Retention Rate
100%
Past 24 months

The Challenge

Precision RCM was facing severe labor pressure. Experienced billers spent an average of 45 minutes researching each denial, looking up payer policies, and typing letters. To stay profitable, the team had to establish a hard $150 write-off rule: any denial below $150 was automatically written off without appeal.

The Breaking Point

The firm realized they were abandoning over $180,000 in legitimate provider collections every month simply because manual labor made low-dollar appeals loss-making units of work.

The Solution & Implementation

Precision connected RecoupOps via read-only 835 feeds across all 62 client practices. Within 48 hours, RecoupOps parsed 12,400 historic denials, scored their appeal-worthiness, and pre-drafted 8,100 payer-specific appeal packages ready for biller review.

RecoupOps changed our entire economic unit model. We stopped writing off denials under $150 and recovered $2.1M in revenue our clients thought was gone forever. We took on 14 new practices this quarter without hiring a single additional biller.
Manoj Varghese
President & Managing Partner, Precision Revenue Management
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