End-to-End RCM Outsourcing for a Fast-Growing Multi-Branch Agency
Home health network (3 → 9 branches in 18 months) · Multi-state (U.S.)
78 → 43
A/R Days
+22%
Net Collections
96%
Clean-Claim Rate
9
Branches Standardized
How full-cycle RCM outsourcing helped a fast-scaling home health network standardize coding, billing, and AR across branches — recovering revenue while it grew.
The Challenge
A home health network that expanded from three branches to nine in eighteen months had outgrown its billing infrastructure. Each branch had been acquired or opened with its own intake, coding, and billing habits, and nothing was standardized. The same service could be coded three different ways depending on which office handled it. The financial symptoms were predictable: accounts receivable had drifted to 78 days, cash flow was tight enough that the network leaned on a line of credit between service and payment, and leadership had no consolidated view of collections, denials, or clean-claim rates across the branches. Hiring enough experienced billers and coders to keep pace with the growth was neither fast nor affordable.
Our Solution
The network moved its entire revenue cycle to Medeoan as a full-cycle outsourced function — intake and eligibility, coding and OASIS review, claim submission, denial management, and AR follow-up — run on one standardized playbook across every branch. AAPC-certified coders applied consistent PDGM coding logic, and an AI-assisted pre-submission scrub caught errors before claims were filed. Just as important, leadership finally got a single dashboard: clean-claim rate, AR aging, denial reasons, and collections rolled up across all nine branches and broken out by location. Standardization did not just recover revenue that inconsistent processes had been leaking — it gave the network a repeatable RCM model it could bolt onto the next branch it opened.