Case Study
Claims Manager

How a Large Massachusetts Health System Streamlined EHR Consolidation and Claims Management

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Business issue

The organization struggled with multiple EHRs and manual, labor-intensive claims processes. It needed a solution to integrate across systems and support its transition to a single EHR.

Before FinThrive

Operated six EHRs, requiring extensive manual claims intervention

A 12-person team manually submitted claims, built bridge routines and fixed system flaws

Legacy system lacked adaptability, causing inefficiencies and reliance on workarounds

Solution Highlights

Reduces claim delays and errors from manual processing

Enhances EHR functionality with extensive payer connections, including Medicare DDE

Proactive customer support acts as an extension of their team, improving edits, managing bridge routines and automation, and reducing denials

Customer Overview

A private, non-profit healthcare system in Massachusetts with 17 facilities, including academic and pediatric care

Processes 750,000 claims annually and generates $13.4B in net patient revenue

Uses Epic EHR

FinThrive Value

0.7%

Achieved a claims rejection rate of only 0.7%

↑4%

Improved clean claim rate by 4% (84% to 88%) despite complex edits and diverse providers

↓75%

Decreased FTE headcount 75% from 12 to 3

“FinThrive seamlessly transitioned us from multiple EHRs to Epic while minimizing the impact of cyberattacks. What once took an entire department is now managed by a small, efficient team, thanks to their innovation and support.”

Systems Manager

Confident business woman at easy

Revenue management without limits

FinThrive provides smarter, smoother revenue management to 3,250+ healthcare providers in North America, including 37 of the 40 largest hospitals and health systems in the U.S.