Case Study: Nanticoke Health Services achieves $1M cash flow boost and faster revenue cycle with Optum

Accelerating Cash Flow and Business Office Efficiency

Nanticoke Health Services, a 99‑bed system in Seaford, DE, sought to improve business office efficiency and deliver more patient‑centered care by automating revenue cycle and patient access workflows. To address rising Medicare volumes and reduce A/R days, Nanticoke implemented Optum’s Assurance Reimbursement Management and Clearance Patient Access Suite (including Clearance Lobby and Clearance QA).

Optum’s solutions automated claim edits, remittance monitoring, patient financial clearance and wait‑time tracking, producing a $1 million increase in cash flow within 30 days, cutting Medicare RTP incidents dramatically, and reducing A/R from about 40 to 37 days with a target of 35 days (nearly a 12% improvement). The system also enabled a shift from two dedicated billers to five cross‑trained staff (expanding to seven), improved data accuracy at registration, and established a KPI of five minutes or less from registration to the next service area.

Nanticoke Health Services

Linda Morris

Director