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Case Study 01
Integrated Health System · Central Florida

$52M in 15 Months

How a Central Florida health system transformed its revenue cycle operations — exceeding every deliverable and establishing a new standard for cash performance.

Multi-HospitalEmployed PhysiciansHealth PlanFull RCO Transformation
4
Hospitals
350
Employed Physicians
100K
Health Plan Members
15 Mo
Engagement Duration
$52M
Incremental Cash Flow
▲ vs $48M target
+4.8%
Cash-to-Charge Ratio
▲ improvement
+15%
Point-of-Service Collections
▲ increase
0.5%
Bad Debt % of Gross Revenue
▼ reduction
9.9%
Cost to Collect
▼ reduction
The Challenge

A System Under Strain

A Central Florida integrated health system was growing fast — but its revenue cycle operations couldn't keep pace. Cash flow was deteriorating, critical RCO positions remained unfilled, analytics were insufficient, and Discharge Not Final Billed (DNFB) claims were piling up.

The new executive team recognized they needed more than a quick fix — they needed a partner capable of driving sustainable change and cultural transformation across the entire revenue cycle.

Key Initiatives
  • Automated insurance eligibility verification and improved registration accuracy
  • Reduced DNFB by 16% through revamped claim types and coding prioritization
  • Launched 5-tier workflow system with 15-Minute Review cadence
  • Aligned staff skills with daily expectations and fostered accountability
Performance Visualization

Outcomes at a Glance

Cash Improvement vs. Target
$48M commitment exceeded by $4M
$0$20M$40M$60MTarget$52MMo 1Mo 4Mo 8Mo 12Mo 15
Key Metric Shifts
Before vs. After engagement
Cash-to-ChargePOS CollectionsCost to CollectBefore+4.8%Before+15%Before−9.9%BeforeAfter
DNFB Reduction
Discharge Not Final Billed — claims backlog cleared
16%Reduction AchievedBeforeAfter
Bad Debt as % of Gross Revenue
Reduced by 0.5 percentage points
BaselineBefore−0.5%AfterHalf-point reduction represents significant savings at scale
Texican exceeded all deliverables from their initial assessment, including significant increases in cash and recurring net revenue.
Chief Financial Officer
Texican worked side by side with our management and staff, providing guidance and industry-leading best practices.
VP of Revenue Cycle
Powered by Life of a Claim©
Phase 1

Claim Health

Data-driven assessment that identifies exactly where cash is trapped and what it's costing.

Phase 2

Cash Realization

Systematic execution that transforms identified opportunities into collected revenue.

Phase 3

Cash Legacy™

Sustained adoption that ensures gains compound forward — not evaporate after engagement.

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