Case Study: Orthopedics MSO identifies $10.3 million in underpayments and automates surgery estimates with MD Clarity

Orthopedics MSO finds $10.3 million in underpayments with MD Clarity

An orthopedics MSO faced revenue leakage from payer underpayments and inefficient, time-consuming workflows for generating patient surgery estimates. Their legacy vendor, Experian, was not effectively identifying underpayments and provided slow customer service. To address this, they partnered with MD Clarity and implemented its RevFind and Clarity Flow solutions.

MD Clarity's RevFind systematically identified $10.3 million in underpayments, which amounted to 13% of reported revenue. The Clarity Flow tool automated the estimate process, reducing the time to generate each estimate from 5 minutes to 1 minute and enabling 12,500 accurate estimates annually. This automation also saved $43,000 by avoiding an additional staff hire and helped the MSO maintain compliance.