Case Study
A/R Optimizer – Services
Health System Drives Measurable Cash Recovery Through Data-Driven A/R Services
Business Issue
A large regional health system faced persistent revenue leakage from denials and underpayments due to fragmented data, payer complexity, EHR plan mapping gaps and inconsistent appeal workflows, limiting its ability to generate reliable cash recovery and prevent repeat issues.
Before FinThrive
Large volumes of historical and recurring A/R with limited prioritization
Denials and underpayments driven by documentation gaps and contract misapplication
EHR plan mapping and portal access issues slowing recovery
Limited visibility into payer-specific root causes and forecasted cash impact
Solution Highlights
Applied payer-specific recovery playbooks and disciplined analytics
Segmented and prioritized pursuable cohorts by payer and root cause
Established closed-loop governance with weekly reviews and forecasting discipline
Addressed EHR plan mapping, portal access and contract alignment issues
Customer Overview
A large, multi-hospital regional health system serving diverse patient populations across inpatient and outpatient settings. The organization sought to improve recovery performance and eliminate recurring revenue leakage driven by payer and workflow complexity.
Revenue management without limits
FinThrive provides smarter, smoother revenue management to 4,100+ healthcare providers in North America, including 37 of the 40 largest hospitals and health systems in the U.S.