Case Study: Fast‑growing healthcare provider restores cash flow and cuts claim rejections with Protiviti

Fast-growing healthcare provider revs up its revenue cycle with Protiviti’s help

Healthcare Provider, a fast-growing health system that saw revenue drop after acquisitions, engaged Protiviti to assess and remediate its struggling revenue cycle. Protiviti delivered Internal Audit, Risk, Business & Technology Consulting services—using its Managed Business Services model—and even placed its project lead as interim vice president of revenue cycle to quickly identify process bottlenecks and stabilize operations.

Protiviti implemented people, process and technology fixes: filling critical roles, building an in‑house collections call center, upgrading core patient management and credentialing systems, creating reporting dashboards, and rolling out HIPAA and reimbursement compliance programs. The work cut claim rejections from 11% to 5%, reduced accounts receivable by about 9%, shortened credentialing from a week-plus to ~2 hours, accelerated acquisition onboarding by 30 days, and completed the engagement in four months, restoring cash flow and enabling resumed growth.