Case Study: Saint Clare's LLC increases patient collections and reduces A/R days with Optum Change Healthcare billing and A/R management

Dramatically Increase Patient Collections and Reduce Days in A/R

Emergency Physicians of Saint Clare's LLC, a 21-physician group, wanted to improve its billing operations to accelerate cash flow, reduce days in accounts receivable, and get more effective management reports. Their previous billing service wasn't meeting these needs, so the customer engaged Optum's Change Healthcare for its emergency medicine billing and accounts receivable management services to address the challenge.

Optum implemented a comprehensive and proactive billing and A/R management solution that included an electronic interface for patient data and an aggressive denial management process. The results were significant: average monthly patient collections increased by 34%, days in A/R dropped from over 90 to 68, and the practice received easy-to-read, actionable management reports. Optum also provided value-added services like clinical documentation improvement programs, which further enhanced revenue cycle performance.

Saint Clare’s LLC

Rohan Somar

President and Chief Executive Officer