Case Study
Denials and Underpayments Analyzer

From Recovery to Resilience: How Phoebe Putney Stops Denials Before They Start

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Business Issue

Denials and underpayments often surface too late, after cash is delayed or lost, forcing teams into reactive rework instead of preventing errors upstream, weakening first-pass claim quality, inflating A/R and eroding earned revenue.

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Before FinThrive

Phoebe Putney was already successfully using Contract Analyzer to recover underpayments. With the addition of Denials and Underpayment Analyzer, denial rates, underpayment rates and aged A/R improved even further, driving greater financial performance, efficiency and additional value – also known as FinThrive’s platform effect.

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Solution Highlights

Unified denial classification – Removed noise to surface true denial patterns

Line-level visibility – Identified underpaid CPTs and high-risk services

Workflow flexibility – Embedded insights into existing workflows

Proactive prevention – Fixed root causes to improve first-pass yield and protect future revenue

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Customer Overview

Phoebe Putney Health System is a regional healthcare leader recognized for clinical quality and operational excellence.

  • Operates three Georgia hospitals and a large physician group

  • Serves 500,000+ outpatient and emergency encounters annually

  • Generates over $800M in net patient revenue

FinThrive Value

↓1.1%

Reduction in underpayments, driving tighter recovery and nearly $1M in retained net cash

↓2.5%

Overall denial rate reduction, cutting the no-pay rate in half

↓6.94%

Decrease in A/R over 90 days, improving working capital and cash velocity

Denial
Received less than the expected reimbursement and a reason was provided. The denied amount could be all or some of the reimbursement.

Underpayments
Received less than expected reimbursement, but there was no reason provided.

Overall Underpayments
Any difference between what was expected and actually reimbursed (includes underpayments and denials).

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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.