The healthcare industry faces relentless pressure to optimize operations, cut inefficiencies, and enhance financial performance. As a result, healthcare service providers are often expected to deliver more with fewer resources, risking quality compromises and straining customer relationships. Even organizations committed to exceptional service may struggle to keep up with industry demands, making outsourcing a necessary strategy for maintaining efficiency and service excellence.
That’s exactly the challenge faced by a leading cloud-based revenue cycle management (RCM) and point-of-care mobile app provider. Their previous outsourcing partner struggled to keep up with new customer demands, transparency with important medical billing processes, and emerging healthcare trends. Customer dissatisfaction skyrocketed and revenues plummeted. Seeking to regain control, the RCM company partnered with Access Healthcare to form a strategic outsourcing relationship based on collaboration, transparency, and scalable growth.
A crystal-clear customized collaboration
As an “all-in-one” healthcare services provider, the company needed to ensure their RCM operations were not just functioning but evolving alongside their customers’ needs. Their challenges included:
Lack of visibility into whether service level agreements (SLAs) were being met, leading to uncertainty in operations.
Growing customer expectations required faster, more adaptive service offerings.
Increased errors and inefficiencies in medical billing processes affect cash flow and customer retention.
Limited automation capabilities, leading to manual bottlenecks and process redundancies.
To address these challenges, Access Healthcare implemented a highly structured, transparent, and efficiency-driven outsourcing model. The partnership included:
End-to-end revenue cycle support: Access Healthcare managed provider enrollment, clinical documentation, denial management, A/R follow-up, and payment posting, ensuring greater accuracy and faster reimbursements.
Unparalleled transparency: With our proprietary technology, we provided real-time reporting and governance frameworks allowing complete visibility into 27 key quality metrics, exceeding the customer’s expectations.
Automation-driven efficiency: Access Healthcare identified automation opportunities that streamlined workflows and reduced turnaround times, creating a more agile revenue cycle operation.
Scalability without compromise: Access Healthcare rapidly identified and automated manual processes, improving efficiency and reducing data entry errors by 5.2 percent.
Quality excellence: A customer audit confirmed 97 percent accuracy, surpassing their established 95 percent benchmark.
Expanding capabilities: The collaboration evolved to co-developing new services such as code matching, micro-clustering claims, and advanced clinical documentation workflows.
A future-proof RCM model
Access Healthcare successfully transformed this company’s RCM processes by leveraging our proprietary technology to provide real-time transparency and automation, fueled by a collaborative approach. Within one year, the company achieved significant improvements in efficiency and accuracy. By eliminating redundant processes and reducing overall costs, the company boosted profitability and positioned itself for long-term success.
With Access Healthcare’s strategic support, expertise, and people-first approach, the company now has a scalable, future-ready RCM model that can adapt to customer needs, regulatory shifts, and market demands. Todaty, the company operates with greater agility, reduced costs, and a clear path for sustained growth.
Discover how Access Healthcare can streamline your revenue cycle operations, improve financial outcomes, and set you on a future path of success. Let’s start the conversation today.