How C&CCC Collections Grew from $160K to $1.5M+ Monthly & Cut AR Days to 32

Executive Summary

C&CCC, a multi-specialty practice, partnered with Medcare MSO in March 2024 to address critical revenue cycle challenges stemming from complex contract management and payment verification processes.

Through strategic implementation of customized Maximus (our proprietary software) configurations, HL7 integration, and analytics dashboards, C&CCC achieved an unprecedented 838% revenue growth, increasing monthly collections from $160,000 to an average $1.5M+ monthly collections.

32

AR Days

$1.5M+

Monthly Collections

The Challenges

C&CCC faced a critical operational challenge in revenue cycle management. As a multi-specialty practice dealing with multiple payers, they were unable to verify whether insurance payments matched their contracted rates.

Complex Contract Management Environment

C&CCC maintained multiple customized payer contracts, each with unique fee schedules and payment calculation methods. Without a centralized verification system, the billing team had no way to systematically confirm payment accuracy.

Key Issues

Manual Payment Verification

The billing team manually reviewed every claim payment against contract terms, a process requiring hours of daily staff time with high error rates at scale.

Process Failures

Undetected Revenue Loss

Payment discrepancies went unidentified, creating ongoing revenue leakage with no visibility into the total financial impact.

Impact

Inefficient Appeals Process

Payment discrepancies went unidentified, creating ongoing revenue leakage with no visibility into the total financial impact.

Barriers

The Bottom Line

The manual verification system could not scale with practice growth. Each new contract increased complexity without improving accuracy.

Leadership needed an automated solution for contract verification, real-time payment tracking, and systematic underpayment recovery.

The Solution

When C&CCC partnered with MedCare MSO in March 2024, we immediately recognized that their contract verification challenge required a technology-first solution. We developed a comprehensive approach combining system integration, automation, and custom analytics.

We began by conducting a thorough audit of all C&CCC’s payer contracts, documenting unique fee schedules across all insurance relationships. Each contract’s payment calculation methodology was mapped into our Maximus billing platform, creating a centralized contract intelligence system.

Custom Fee Schedule Configuration

Our team built custom templates within Maximus to handle C&CCC’s diverse contract structures:

Contract Types Configured

HL7 Integration & Automation

We implemented bidirectional HL7 integration between C&CCC’s EHR and Maximus, eliminating manual data entry and enabling real-time data synchronization. This integration created seamless workflows from charge capture through payment posting.

Custom Analytics Dashboards

MedCare MSO developed three custom proprietary dashboards to C&CCC’s needs.

AR Roll Forward Dashboard

Provides complete visibility into accounts receivable flow from opening balance through charges, payments, adjustments, and closing balance.

Business Intelligence Dashboard

Tracks financial metrics, claim analysis, and Days in A/R performance with location-specific and payer-specific breakdowns.

The Results

The partnership between C&CCC and MedCare MSO delivered exceptional financial transformation and operational improvement across all revenue cycle metrics. Within 16 months, the practice achieved over 10x growth in monthly collections while reducing Days in A/R by 47% and exceeding industry benchmarks in every key performance indicator.

Metric March 2024 July 2025 Improvement
Monthly Collections $160,000 $1,500,000+ 838% Increase
Days in A/R 68 days 32 days 53% Reduction
Clean Claim Rate 78% 94% 16% Improvement
Contract Accuracy Manual (Error-prone) 100% Automated Complete Automation
Payment Verification Time 8-12 hours/day Real-time 95% Time Reduction
Underpayment Detection Reactive Proactive (avg $480K/month) 100% Visibility

Talk to a Billing Expert

By outsourcing your billing services to us, you can expect revenue growth of up to 20%

Frequently Asked Questions

Oracle Health (formerly Cerner) positions Millennium as a whole enterprise electronic health record (EHR) spanning inpatient and ambulatory care.

Clinical documentation and orders (PowerChart/PowerPlans), e-prescribing, interoperability via FHIR/HL7 APIs, patient portal and analytics, plus integrated revenue cycle (RevElate/Patient Accounting).

Both are end-to-end EHR + RCM platforms. Cerner highlights PowerChart/HealtheLife/HealtheIntent and RevElate; Epic offers comparable modules (e.g., MyChart/Healthy Planet/Resolute). Choice typically depends on org size, workflow fit, and ecosystem.

Rebranded to Oracle Health, moved Millennium toward Oracle Cloud, expanded RevElate Patient Accounting, and introduced AI/voice tools like the Oracle Clinical Digital Assistant.

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Team up with us to optimize your revenue cycle. Watch your income grow by up to 30% while providing better care for your patients. Contact us now!

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