Featured Case Study
customer success
A major hospital system strengthens revenue integrity across 17 locations.
A 17-location hospital system replaces an underperforming claim scrubber with deeper clinical coding and billing content, strengthening denial prevention across $1.39B in billed claims while keeping its long-standing PM/EHR platform in place.
RESULTS
Proof in practice.
- $1.39B in total billed claims
- $358M revenue protected
- 17 locations
A complex system built around specialized care.
The 17-location system includes a research institute, Level 1 surgery center, residency program, and credentialing center. It also has a 20-year relationship with its PM/EHR vendor and wanted to keep that platform at the center of its revenue cycle strategy.
Keeping up with clinical content.
The health system needed stronger clinical content across coding and billing without replacing the broader PM/EHR environment its teams already relied on.
Its existing claim scrubber wasn’t meeting those needs, leaving the organization looking for deeper clinical expertise, easier configuration, and content that could keep pace with changing reimbursement requirements.
A strong revenue cycle, without replacing the platforms around it.
The team replaced its existing claim-scrubbing solution with ClaimStaker while preserving the PM/EHR relationship already embedded across the system.
That gave them a more configurable clinical coding and editing layer, with content maintained in near real-time instead of on a quarterly cycle. The health system strengthened denial prevention and revenue integrity without asking clinicians or billing teams to adopt an entirely new operating model.
With deeper clinical content and more frequent updates, the health system can address complex coding scenarios across all 17 locations while keeping its existing PM/EHR relationship intact.
The result is stronger denial prevention, better revenue integrity, more productive workflows, and more time for practitioners to stay focused on care. C
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