Experian
170 Case Studies
A Experian Case Study
Texas Orthopedics Sports & Rehabilitation Associates is a 27‑physician orthopedic, sports medicine and rehabilitation practice in Austin, Texas. Facing roughly 12,000 claims a month, rising patient-responsibility balances and constantly changing payer rules, the practice relied on partial manual contract coding and could not reliably detect underpayments, predict patient liability or collect at the time of service.
By implementing Experian Health Contract Manager, Patient Estimates with Passport Eligibility and Payer Alerts, the practice verified contract allowables, identified and appealed underpayments, accurately estimated patient responsibilities and monitored payer policy changes. The changes produced $1.44 million in validated recoveries, nearly 100% time‑of‑service collections, a 45% increase in monthly patient cash collections, a renegotiated contract yielding a 5% revenue increase and a 154% ROI.
Twyla Fuertes
Chief Business Officer