Challenge
Before Athelas: Delayed Payments
- Credentialing issues and out-of-network (OON) denials blocked major payer payments
- Patient responsibility aging past 120 days, with no automation
- Limited visibility into denial root causes and revenue leakage
- Manual claim workflows and coding inconsistencies
“Working with Athelas, we are more of a team than a customer of theirs, which is important” - Kimberly Payton, Administrative Director
Solution
After Athelas: Streamlined RCM operations
- $239K recovered from rejections and denials
- Prior auth and coding denials down in Q4, with coverage denials clearly identified and Coverage Detection to find active insurances, deployed.
- $898K collected in patient responsibility with 86% collection rate (26% above industry benchmark)
- Given the revenue growth in business, Rockland was able to open 2 new facilities
“We simply don’t write off timely filing denials anymore” - Kimberly Payton, Administrative Director
Want to unlock smarter billing and faster collections like Rockland Urgent Care? Schedule a demo with Athelas, powered by Commure, today.
