Case Study: Large Physician Group achieves record A/R reduction and $11M collections increase with Optum360 Ambulatory Services

Large Physician Group - Customer Case Study

Large Physician Group, part of a large South‑Central nonprofit health system with over 1,000 practitioners across 250+ locations, needed help with yet another practice management (PM) system conversion and related back‑end revenue cycle functions. The group engaged Optum360 and implemented Optum360 Ambulatory Services’ flexible revenue cycle performance model and managed services to support the PM transition and change management.

Optum360 embedded on‑site staff supported by 270+ remote employees, tightened edits and claim formatting, improved payer relations and denial follow‑up, and delivered thousands of monthly reports for visibility and continuous improvement. Six months after go‑live average A/R days fell from 56.5 to 34.9 (22 fewer days), collections increased by $11M year‑over‑year (2017–2018), credit balances dropped 22%, and patient satisfaction reached 93.2% — measurable operational and financial gains from the Optum360 partnership.