Case Study: Texas Orthopedics Sports & Rehabilitation Associates achieves $1.4M in recovered underpayments and near-100% upfront patient collections with Experian Health

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Preview of the Texas Orthopedics Sports & Rehabilitation Associates Case Study

Texas Orthopedics Sports & Rehabilitation Associates - Customer 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.


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Texas Orthopedics Sports & Rehabilitation Associates

Twyla Fuertes

Chief Business Officer


Experian

170 Case Studies