Stabilizing revenue cycle reporting for a gastrointestinal healthcare provider
We helped a gastrointestinal healthcare organization restore trust in revenue cycle reporting by rebuilding and standardizing critical billing, A/R, and compliance reports used by the RCM team.
Outcomes
- Re-established reliable billing, A/R, and aging reports used by the RCM team
- Standardized revenue cycle definitions across recurring reports
- Reduced manual effort and discrepancies in monthly and compliance reporting
Client Context
The client is a gastrointestinal healthcare organization with a dedicated Revenue Cycle Management (RCM) team responsible for billing, collections, aging analysis, and regulatory reporting.
Accurate and consistent revenue cycle reporting was essential for managing cash flow, prioritizing collections, and meeting compliance requirements.
The Problem
Fragile legacy reporting
The RCM team relied on a set of legacy reports that had become increasingly difficult to maintain and trust. Over time, small inconsistencies and manual workarounds compounded, leading to uncertainty in key revenue cycle metrics.
Limited confidence in recurring reports
Critical reports—including monthly billing summaries, accounts receivable, aging, and MIPS-related reporting—were used regularly but required ongoing manual validation. Different versions of the same report often produced conflicting results.
High operational dependency on a few reports
These reports were not exploratory or ad hoc. They were core operational tools used to manage collections, monitor performance, and support compliance. When numbers were questioned, decision-making slowed.
What Changed
Prexisio worked closely with the Revenue Cycle Management team to rebuild and standardize their core reporting set, ensuring that each report produced consistent and repeatable results.
Rather than introducing new analytics or changing how decisions were made, the focus was on restoring reliability to existing reporting workflows. Legacy reports were redeveloped with clear, consistent definitions so that billing, A/R, aging, and compliance metrics aligned across reporting periods.
Reports were designed to support recurring monthly and operational use, reducing the need for manual reconciliation and rework.
Impact
Reliable revenue cycle visibility
The RCM team regained confidence in their billing, collections, and aging reports, enabling faster and more decisive action.
Reduced manual reconciliation
Standardized reporting logic minimized the need to manually validate numbers across different versions of the same report.
Stronger support for compliance reporting
MIPS and other compliance-related reports could be generated consistently, reducing reporting risk.
Sustainable reporting foundation
Over the course of the engagement, reporting stabilized into a dependable set of operational tools rather than fragile one-off outputs.
Summary
Over an 18-month engagement, Prexisio helped a gastrointestinal healthcare organization stabilize and standardize revenue cycle reporting for its RCM team. By restoring trust in billing, A/R, aging, and compliance reports, the organization reduced friction in revenue cycle operations and improved confidence in recurring financial reporting.