The Client: A mid-sized, high-volume orthopedic group.

The Challenge:

The practice was caught in a cycle of delays and administrative friction. Their claims were frequently getting stuck in a third-party clearinghouse “black box,” with little transparency into their status for days at a time. This created a significant lag in their revenue cycle. Compounding the issue, complex coding denials were being sent back to the physicians, forcing them to spend valuable time away from patients to research codes and assist with appeals. The result was unpredictable cash flow and frustrated providers.

The Inviveo Solution:

We implemented a two-part strategy focused on speed, transparency, and expertise. First, we migrated their entire claims submission process to our in-house clearinghouse. This immediately eliminated the typical delays and provided end-to-end transparency, allowing our team to track every claim in real-time and resolve submission issues instantly.

Simultaneously, we took the coding burden completely off their physicians’ plates. Our team of in-house, certified orthopedic coders was assigned to their account. This specialized team managed all coding from the outset, handled any coding-related denials, and built evidence-based appeals, freeing the physicians to focus 100% on patient care.

The Results:

• Claim submission-to-payment time was cut by 45%, thanks to the efficiency and real-time tracking of our in-house clearinghouse.
• Physician involvement in billing issues was reduced by over 90%, boosting morale and increasing clinical capacity.
• Coding-related denials dropped by 88% within the first six months.
• Achieved a stable, predictable cash flow that allowed for confident financial planning and practice investment.

“The difference was night and day. With Inviveo’s clearinghouse, we finally had visibility. But the real game-changer was getting our doctors out of the billing process. It has been invaluable for our practice and our patients.”

— Managing Partner, Orthopedic Group