CASE STUDY
$1.6M Recovered: The Power of True Revenue Visibility
Midwestern Health System Case Study
A regional health system in the Midwest runs four hospitals and multiple outpatient centers with 450+ providers and over 7,000 staff. Their central billing office has 55 experienced billers and coders handling claims for thousands of patients across inpatient, ambulatory, and specialty care.
But size and expertise weren’t solving their revenue cycle problems. The finance team couldn’t keep pace with constantly changing payer rules. They were manually auditing claims, working with disconnected systems, and operating in the dark about where money was actually slipping through the cracks. Denials kept stacking up. The CFO’s biggest frustration? They were spending almost as much trying to recover lost revenue as they were actually getting back.
THE PROBLEM
Limited Visibility Into Claim Accuracy and Revenue Recovery
The finance team knew how to manage claims. Their challenge wasn’t skill — it was visibility. The Central Billing Office handled thousands of claims a week, but the team only reviewed small samples to check payer accuracy. Without a way to audit every claim automatically, the CFO couldn’t see the true financial picture or measure the impact of denial management efforts.
They wanted a solution that would give them full transparency into claim accuracy, automate payment validation, and deliver a clear return on investment — all without adding more staff.
THE STRATEGY
Automate Claim Audits and Strengthen Payer Data Intelligence
The health system partnered with Impart Health to redesign its revenue cycle approach from the ground up.
Automated Payment Validation
Impart deployed EOB Resolve, a web-based platform that audits every claim and payment against the payer’s contracted rate. This removed the need for manual sampling and instantly flagged underpayments across six months of historical data.
Contract Intelligence
Impart built and verified all payer contracts within the system, cross-checking each one against real fee schedules to ensure accuracy. Variances were reported back to the CFO and billing teams weekly, giving them an exact list of claims to rework or appeal.
Smart Reporting and Collaboration
Each week, Impart delivered secure worklists to billing staff, providing clear next steps for recovery. The data also revealed patterns in denial causes, helping the team add smarter front-end edits to Epic to stop preventable denials before submission.
THE IMPACT
Higher ROI and Greater Efficiency Across the Revenue Cycle
The impact was immediate. Within months, Impart helped the organization uncover $150K in lost revenue and recover $1.6M in underpayments. Over the next three years, the billing office tripled monthly recoveries, doubled them again in year two, and grew another 50% by year three.
Denials dropped by 60%, contract compliance rose above 95%, and the denial team size decreased by 15% through natural attrition. Most importantly, the CFO could finally see the ROI — a 6:1 return on denial management efforts.