Client Profile
- Type: Multispecialty Medical Clinic
- Employees: 500
- Annual Revenue: $75M
- Location: Western U.S.
The Challenge
The clinic’s CFO knew they were leaving money on the table. Underpayments from insurers, outdated billing practices, and inefficient employee benefit structures were draining profitability. The leadership team needed a partner to uncover hidden revenue, but without disrupting patient care.
Our Approach
- Revenue Cycle Audit: We analyzed payer contracts, billing workflows, and underpayment trends.
- Specialty Program Optimization: We introduced reimbursement programs for wound care and oral oncology services.
- Payroll Tax Savings: Implemented a Section 125 plan to reduce employer FICA contributions while improving employee retention.
The Results
- Underpayment Recovery: +$3.75M/year
- New Reimbursement Programs: +$1M/year
- Section 125 Savings: +$1.91M/year
Total Impact: $6.66M in new revenue and savings annually
Engagement Model
We charged 30% of verified savings and revenue increases, totaling $2M.
Net Gain to Client: $4.66M in year one
Client Quote
“The changes paid for themselves many times over. We didn’t just stop revenue leaks—we unlocked entirely new income streams.”
