Beyond outsourcing to a more agile RCM operation

How an RCM technology provider gained visibility, improved accuracy, and developed new services with Access Healthcare 

 

A cloud-based revenue cycle management (RCM) and point-of-care technology provider needed its outsourced operations to keep pace with changing customer demands. Its existing partner struggled to provide clear performance reporting and adapt its services. The company turned to Access Healthcare for a more responsive operating partnership.

The challenge 

The provider had limited visibility into whether service levels were being met. Billing errors and manual bottlenecks affected efficiency, while growing customer expectations called for faster, more flexible service. Their previous outsourcing partner struggled to keep up, leaving the company with: 

  • Lack of visibility into whether service level agreements were being met, leading to uncertainty in operations 

  • Growing customer expectations that required faster, more adaptive service offerings 

  • Increased errors and inefficiencies in medical billing processes that affected cash flow and customer retention 

  • Limited automation capabilities, leading to manual bottlenecks and process redundancies 

Customer dissatisfaction skyrocketed. Revenues plummeted. The company needed a partner able to strengthen daily operations and help its RCM services evolve. 

The solution

Access Healthcare implemented a highly structured, transparent, and efficiency-driven outsourcing model. The partnership delivered: 

  • End-to-end revenue cycle support. Access Healthcare managed provider enrollment, clinical documentation, denial management, A/R follow-up, and payment posting, ensuring greater accuracy and faster reimbursements. 

  • Unparalleled transparency. With our proprietary technology, we provided real-time reporting and governance frameworks that allowed complete visibility into 27 key quality metrics, exceeding the customer's expectations. 

  • Automation-driven efficiency. Access Healthcare identified automation opportunities that streamlined workflows and reduced turnaround times, creating a more agile revenue cycle operation. 

With Access Healthcare's expertise and technology, manual processes became automated, data entry errors fell by 5.2 percent, and a customer audit confirmed 97 percent accuracy, surpassing their 95 percent benchmark. 

The collaboration evolved to co-developing new services such as code matching, micro-clustering claims, and advanced clinical documentation workflows. Transparency bred trust, and results earned expansion. 

The results

Within one year, the company achieved significant improvements in efficiency and accuracy. By eliminating redundant processes and reducing overall costs, the company boosted profitability and positioned itself for long-term success. 

With Access Healthcare's strategic support, the company now has a scalable, future-ready RCM model that can adapt to customer needs, regulatory shifts, and market demands. Greater agility, reduced costs, sustained growth: a partnership measured in results. 


97% accuracy in a customer audit
5.2% reduction in data entry errors
27 key metrics reported in real time
 

WANT TO LEARN MORE?