Protecting Cash Flow During Multi-Site Startup

A large independent Emergency Medicine group managing multiple emergency departments and hundreds of thousands of annual patient visits needed a reliable RCM partner that understood the complexity and financial risk of transitioning billing operations.

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Problem

Transitioning to a new RCM partner is a major undertaking, and even small startup issues can create billing variances that affect cashflow. For emergency medicine groups operating on thin margins, any disruption in reimbursement can make it harder to cover the cost of providing care.

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Action

Brault followed a detailed startup process to ensure data feeds, clinical documentation, charge capture, coding workflows, and visit reconciliation were working correctly from day one. Our coders completed QA testing to confirm they had the information needed to code accurately, while our team provided detailed cash flow projections – so the client knew what to expect in the months following startup.

Result

The client’s cash flow remained stable throughout the startup process, avoiding the early disruption that can often occur when transitioning to a new RCM partner. Within 75 days, cash flow began surpassing historical levels, giving leadership early confidence in the transition. The improvement was driven by a 9% increase in wRVUs and a 7% increase in collections per visit, reflecting stronger coding performance and more effective AR follow-up from the same payer mix.

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