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$52 Million in 15 Months — How a Central Florida Health System Transformed Its Revenue Cycle with Texican

Integrated Health System · Multi-Hospital · Employed Physicians · Health Plan

Full Revenue Cycle Operations Transformation · Life of a Claim© (LOAC)

A System Under Strain

A Central Florida integrated health system was growing fast — but its Revenue Cycle Operations (RCO) were struggling to keep up. With four hospitals, 350 employed physicians, and a health plan serving 100,000 members, the organization faced mounting cash flow issues, outdated technology, and a lack of accountability. Critical RCO positions were vacant, analytics were insufficient, and the Discharge Not Final Billed (DNFB) claims were piling up.

The new executive team knew they needed more than a quick fix — they needed a partner who could drive sustainable change and cultural transformation.

A Strategic Partnership Begins

Enter Texican. With a bold commitment to deliver at least $48 million in cash improvement, Texican tied its compensation directly to results — and got to work.

Using its proprietary Life of a Claim© (LOAC) platform, Texican launched a full-scale transformation across Patient Access, HIM/Revenue Integrity, and Financial Services. Their approach combined deep analytics, workflow optimization, and hands-on staff training.

Key Initiatives

  • Automating insurance eligibility and improving registration accuracy
  • Reducing DNFB by 16% through revamped claim types and coding prioritization
  • Launching a 5-tier workflow system and 15-minute performance reviews
  • Aligning staff skills with daily expectations and fostering two-way communication
Texican worked side by side with our management and staff, providing guidance and industry-leading best practices.
VP of Revenue Cycle

A Remarkable Turnaround

In just 15 months, the System saw extraordinary results:

Incremental Cash Flow

$52M

Cash-to-Charge Ratio

+4.8%

Point-of-Service Collections

+15%

Bad Debt % of Gross Revenue

-0.5%

Cost to Collect

-9.9%

Texican didn't just meet expectations — they exceeded every deliverable.

Texican exceeded all deliverables from their initial assessment, including significant increases in cash and recurring net revenue.
Chief Financial Officer