Case Study: Bone and Joint Surgery Center of Novi recovers $500K and negotiates 4 new payor contracts with PayrHealth

Bone and Joint Surgery Center of Novi recovers $500K with PayrHealth

The Bone and Joint Surgery Center of Novi, a multi-location orthopedic provider based in California, faced challenges with inconsistent payor agreements and a lack of internal resources for complex contract negotiations as it expanded. Their limited team struggled with oversight, leading to missed revenue optimization opportunities. To address this, they partnered with vendor PayrHealth for its contract negotiation and revenue cycle services.

PayrHealth implemented an analytics-first strategy for the client. This included creating data visualizations to show the financial impact of contracts, leveraging market data for rate comparisons, and optimizing fee schedules. The solution identified significant underbilling due to an outdated charge master. As a result, PayrHealth successfully negotiated four new payor contracts for the surgery center and identified $500,000 in potential revenue recovery.

Bone and Joint Surgery Center of Novi