Case Study: a leading fertility center reduces denials and accelerates collections with SunKnowledge

Leading Fertility Center cuts authorization-related denials 89% with SunKnowledge

A leading fertility center in New York faced significant revenue cycle management challenges, including persistent denials due to eligibility verification discrepancies, prior authorization errors, and inefficient accounts receivable follow-up. These issues impacted its financial performance and operational efficiency. To address these problems, the fertility clinic partnered with SunKnowledge for a specialized RCM intervention.

SunKnowledge implemented a transformative solution grounded in data analytics and process automation. This included redesigning the benefits verification form, providing specialized staff training, implementing a standardized payer-validation checklist, and conducting in-depth aging report and denial trend analyses. As a result, SunKnowledge helped the fertility center achieve an 89% decrease in authorization-related denials, a 68% reduction in eligibility discrepancies, and a 52.36% cut in aging AR over 90 days. This partnership significantly accelerated collections, reduced denials, and improved both financial stability and patient satisfaction.