Case Study

Case Study

Transforming Revenue Cycle Operations for Sustainable Growth

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The Client

Founded in 2014, this specialized healthcare provider delivers wound care and hyperbaric treatment services across 10 clinic locations. With 100+ employees and annual revenue between $20-50M, the company had established itself as a significant player in the specialty care space. Despite recent leadership changes, including the appointment of a new CEO and executives with Big Four Revenue Cycle Management experience, the organization struggled to optimize its financial operations.

The Challenge

Even with experienced leadership at the helm, the portfolio company faced persistent obstacles in its revenue cycle management:

  • Inconsistent RCM processes across multiple locations created operational inefficiencies and hindered scalability
  • High denial rates were constraining cash flow and impairing financial performance
  • Operational bottlenecks in billing and collections processes were limiting revenue capture
  • The company’s financial infrastructure couldn’t keep pace with its clinical growth, threatening long-term sustainability

These challenges created a significant gap between the company’s clinical excellence and its financial performance, limiting both valuation potential and expansion capabilities.

 

The E78 Approach

E78 deployed a comprehensive, data-driven strategy to transform the client’s revenue cycle operations:

First, the team conducted an exhaustive denial analysis to identify root causes and systemic trends affecting collections. This diagnostic phase revealed specific process gaps and technology utilization issues.

Building on these insights, E78 established a structured monthly reporting framework that dramatically improved financial and operational transparency across all locations. This created accountability and highlighted improvement opportunities.

The team then delivered targeted training programs and process optimizations designed to accelerate claims processing and increase collections efficiency. These interventions were precisely calibrated to address the specific pain points identified in the initial analysis.

Finally, E78 focused on unlocking the full potential of the client’s existing technology infrastructure to drive revenue cycle efficiency and maximize digital ROI, avoiding costly system replacements while substantially improving outcomes.

Key Results

The implementation of E78's revenue cycle management strategy yielded immediate and significant financial improvements:

Record-Breaking Performance: The company achieved the highest month of collections in its history following E78's intervention

Enhanced Revenue Capture: Collections increased by 15-25% through streamlined billing workflows and improved processes

Strengthened Cash Position: Monthly cash flow improved by 9-14% with enhanced revenue cycle strategies

Recovered Revenue: Previously unworkable claims were successfully processed through optimized denial management

Sustainable Improvement: The standardized processes and reporting frameworks established long-term operational excellence

These results not only strengthened the portfolio company's immediate financial position but also established scalable processes to support continued growth and enhance enterprise value for future capital events.

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The Results

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