Integrated Health System · Multi-Hospital · Employed Physicians · Health Plan
Full Revenue Cycle Operations Transformation · Life of a Claim© (LOAC)
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350 employed physicians, and a health plan serving 100,000 members, the organization faced mounting cash flow issues, outdated technology, and a lack of accountability.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.
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
“Texican worked side by side with our management and staff, providing guidance and industry-leading best practices.”
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.”