Medcare MSO
4 Case Studies
A Medcare MSO Case Study
GLML, a growing laboratory in Farmington Hills, faced significant revenue cycle management challenges, including a high volume of unpaid claims over 90 days, a slow and error-prone manual billing process, and a lack of in-house expertise to manage denials. To address these issues and support nationwide growth, they partnered with vendor MedCare MSO for its medical billing and RCM services.
MedCare MSO implemented robotic process automation (RPA) to streamline billing, performed a detailed AR audit for targeted recovery, and trained GLML's staff to fix root causes of denials. The solution resulted in a 76% recovery of aged accounts receivable and a 56% revenue growth, increasing revenue from $19M to $43M. Prior authorization denials were also drastically reduced to 1-2%.