Client Overview:
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Location: Newark, NJ
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Practice Type: Multispecialty group with Internal Medicine, Pediatrics, and Cardiology
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Challenge: Frequent claim denials and underpayments across departments
Problem:
The client was experiencing inconsistent cash flow and growing A/R days due to a high volume of claim denials. Internal staff lacked the time and specialized knowledge to follow up properly and maintain credentialing with all necessary payers.
Solution by Cure Health Billing:
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Conducted a full medical billing audit to identify gaps in coding and charge capture.
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Updated billing processes for each department with specialty-specific modifiers and CPT usage.
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Took over end-to-end revenue cycle management, including denial management and credentialing.
Results:
✅ Denial rate dropped by 42% within 90 days
✅ Revenue increased by 29% over six months
✅ Reduced A/R days from 48 to 26 days