90+ day A/R down 66%while volume grew 45%in the same ten months.

A physician-owned ophthalmology ASC in Indiana with four providers, running a high-volume cataract and retina schedule alongside clinic visits.

Volume was growing and the money wasn't keeping pace. Nearly a third of receivables sat past 90 days, denials were being reworked late or not at all, and the administrator was accountable for a picture she could only see in a monthly summary.

Nothing was visibly broken. That was the problem: the loss was steady and quiet enough that no single month looked like a crisis.

We worked inside the center's own EMR and practice management system, so every claim stayed visible to the administrator from day one. A named team took the account, oldest receivables first, working the aged buckets systematically instead of chasing whatever came in last.

Coding was tightened around laterality and implant documentation, the denial patterns specific to the center's payers were worked upstream, and no dollar was written off without the owners' sign-off.

Over ten months: collections up 65.5%, collections per visit up 13.8%, total receivables down $196,150, and 90+ day A/R down 66% as a share of the total, all while visit volume grew 45%.

Reported figures reflect ten months of activity.