Case Study: Appalachia Medical Clinic achieves faster payments and reduced A/R with Tebra

Appalachia Medical Clinic Finding Flexibility with Kareo

Appalachia Medical Clinic is a rural, single‑physician family medicine practice open since 2009 that sees about 15–20 patients a day. When office manager Theresa Jenkins joined in 2012 she found billing had been brought in‑house with Kareo but mishandled by an inexperienced biller: only ~25% of visits were billed, timely filing was missed, postings were incorrect and average days in A/R exceeded 100. The physician’s resistance to fully adopting EHR workflows and unreliable internet added operational strain.

Theresa implemented Kareo Billing and later Kareo Clinical, cleaned up six months of backlogged claims, established point‑of‑care patient collections, and adapted a hybrid workflow with scanned physician notes. Results: average days in A/R dropped to about 45, denials fell below 5%, Medicare claims are paid in roughly two weeks, cash flow became steady, and staff can submit claims remotely even with intermittent office internet.

Appalachia Medical Clinic

Theresa Jenkins

Appalachia Medical Clinic