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Casos de estudio

Trabajo que podemos mostrar, descrito con honestidad.

Cada caso sigue la misma estructura: el reto que tenía la práctica, lo que hicimos, las cifras que cambiaron y lo que dijo la práctica. Las prácticas se describen de forma genérica, salvo que hayan pedido ser nombradas.

5
casos descritos
4
tipos de trabajo
4
estados representados

Las cifras provienen de proyectos representativos y están redondeadas; ilustran lo que medimos, no lo que verá cada práctica.

EHR
25
roles with their own workspace and workflows
Nationwide · Revelrex product

Revelrex EHR: a training EHR with pharmacy, laboratory and payer workspaces

El reto

Training programs teach revenue cycle and clinical workflows on slides or on production EHR demos that cannot be broken. Learners never see what happens after they click send: the pharmacy …

Lo que hicimos

Revelrex designed and built a multi-tenant training EHR where every hand-off is real inside the simulation. Practice, pharmacy, laboratory, imaging, specialist, payer, clearinghouse and pat…

256
end-to-end workflow steps verified automatically
5 min
to install on standard cPanel hosting
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RCM Transformation
2 days
median charge lag, down from 9 days
Texas · Independent family medicine practice

Family medicine group: billing and denial management transition

El reto

The practice's only biller was leaving. Charge lag averaged nine days, clearinghouse rejections were reviewed weekly, and denials were written off when the appeal window was missed. The own…

Lo que hicimos

Revelrex onboarded the practice in three weeks: delegated system access, payer rule setup, a documented start date of service and a legacy AR scope for the previous biller to finish. Weekly…

97%
first-pass acceptance, up from 91%
60%
fewer eligibility denials within 90 days
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RCM Transformation
$41k
in rejected claims billed before the filing deadline
Florida · Internal medicine group

Internal medicine associates: RCM audit before a vendor change

El reto

AR over 90 days had reached 28% of total AR. The outgoing vendor reported collections but not unbilled encounters, rejections or denial causes. The group needed facts before deciding what t…

Lo que hicimos

Ninety days of appointments, encounters, claims and remittances were reconciled. The audit found unbilled encounters, unworked clearinghouse rejections close to timely filing, and a systema…

1.8%
of visits never billed, found and recovered
18 days
from access to the findings report
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Healthcare Websites
35%
fewer phone calls for appointment requests
Ohio · Pediatric practice

Pediatric practice website with appointment requests and forms

El reto

The practice's site was seven years old, not usable on phones, and every request came through the phone line. Adding a new provider required a developer.

Lo que hicimos

Revelrex designed the site around parent tasks: request an appointment, find the nearest office, check accepted insurance, complete new patient forms. Forms were designed to collect only wh…

<2 s
mobile page load on the main pages
5 weeks
from kick-off to launch
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PCMH
7 mo
from readiness assessment to submission
Pennsylvania · Primary care practice

Primary care practice: PCMH transformation to recognition

El reto

A payer contract required medical home recognition within a year. The practice had strong clinical habits but no documented workflows for referral tracking, result follow-up or quality impr…

Lo que hicimos

Weekly working sessions with the practice champion. Access, referral and result-tracking workflows were redesigned and run for several weeks to generate evidence. An evidence library mapped…

100%
of criteria with evidence at first submission
3
reviewer follow-up questions, all answered from the library
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El próximo caso: el suyo

Cada caso comenzó con uno de tres primeros pasos

Una auditoría para conocer los hechos, un solo servicio con un alcance claro o una transición completa de la facturación con el plan de 30 días. Elija el paso más pequeño que responda a su pregunta.

Su práctica podría ser el próximo caso que describamos.

Empiece con una auditoría, un solo servicio o una transición completa de la facturación.