Key Impacts
$300K Recoverable accounts receivable
50% Reduction in Medicare-related denials
80% First Pass Resolution Rate restored
Up to $1.5M Annual revenue protection through combined strategies
Improved compliance with Medicare policies and CPT coding requirements
Revenue Cycle Optimization Case Study: Sleep Diagnostic Center
Overview:
The Client specializes in providing diagnostic and therapeutic sleep studies, primarily billing CPT codes 95811 (polysomnography with CPAP titration), 95810 (polysomnography, diagnostic), and 95806 (home sleep testing). While commercial payers consistently reimburse these services, the organization faced significant challenges with Medicare denials.
Neolytix Identify root causes of Medicare denials and implement strategic solutions to optimize revenue cycle performance for sleep diagnostic services.
