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Case Study 04
Employed Physician Group · Multi-Site

From Chaos to Clarity — $22.2M Turnaround

How a 350-provider physician group consolidated two dysfunctional central business offices, unified its EHR, and achieved a transformational cash flow turnaround.

~350 ProvidersCBO ConsolidationEHR UpgradeRCM Transformation
~350
Employed Providers
2 → 1
CBOs Consolidated
$22.2M
Cash Improvement
+3.25%
Cash-to-Charge Gain
$22.2M
Cash Flow Improvement
▲ transformation
+3.25%
Cash-to-Charge Ratio Increase
▲ improvement
Improved
Staff Stability & Morale
▲ improved
Enhanced
Patient Experience
▲ enhanced
The Challenge

Two Offices, Zero Alignment

When the health system expanded to include a group of 350 employed physicians, they inherited two Central Business Offices with completely different systems, processes, and cultures. Multiple consulting firms were pulling in different directions.

There were no unified performance metrics, analytics were lacking, charge capture processes were inconsistent, and leadership gaps in both the CBO and IT departments compounded every problem.

Key Initiatives
  • Unified two separate CBOs into a single, standardized operation
  • Consolidated and upgraded the EHR across all physician practice sites
  • Standardized charge capture, fixed claim configurations, and retrained staff
  • Filled leadership gaps and improved staff morale across operations and HIM
Transformation

Before & After Texican

Before

  • Two disconnected Central Business Offices
  • Multiple consulting firms with competing priorities
  • No unified performance metrics or analytics
  • Inconsistent charge capture processes
  • Leadership vacancies in CBO and IT
  • Low staff morale and high turnover

After

  • Single, unified CBO with standardized workflows
  • One trusted partner executing a cohesive strategy
  • Complete analytics via Life of a Claim© platform
  • Standardized charge capture with clean claim configs
  • Leadership gaps filled; clear accountability structure
  • Improved morale, stability, and patient experience
Performance Visualization

Outcomes at a Glance

Cash-to-Charge Ratio Improvement
+3.25 percentage point increase
+3.25%Cash-to-Charge Increase
CBO Consolidation Impact
From fragmentation to unified operations
CBO 1System ACBO 2System BUnifiedCBOPowered by LOAC
We recognized the need to partner with Texican, a trusted advisor, to lead comprehensive and sustainable revenue cycle improvements for our medical group.
— CFO
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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