ODAT Services partnered up with us in 2025 to fix multiple revenue cycle issues in their Case Management program. Missing claims, authorization denials, unbilled appointments, and a constantly growing AR backlog were disrupting the collections. We did a complete overhaul through rebuilding the reconciliation workflow, creating a proper claim management process, and recovered lost revenue. The results came out with a major increase in monthly collections as well as recovery of outstanding revenue.
Revenue Recovery
Monthly Collections
When we audited ODAT Services back in 2025, several issues were found in their case management billing operations.
ODAT Services had eight months of claims, from April through November 2025. This required a complete manual reconciliation due to tracking and submission gaps which we identified.
A large volume of completed appointments was not billed at all, along with several claims that were denied due to missed or incorrect authorization information.
As there was no formal appointment and authorization verification process, the ODAT team struggled. They weren’t able to ensure whether all encounters were being billed accurately or not.
In order to address these issues, MedCare MSO developed a comprehensive recovery plan that targeted the critical problem areas.
MedCare MSO manually resubmitted all claims for the period April through November 2025 to find any discrepancies. Based on this information, we performed corrections, resubmissions, and payer follow-up.
An appointment verification process was created to simplify the billing procedure, which was done weekly. The protocol contained matching claims, checking authorizations, and checking encounters with billed services.
A new systematic audit process was established to ensure that all patient encounters were billed. This reduced the risk of missed charges and ensured the accurate capture of all services.
MedCare MSO constantly monitored and addressed issues in real time. An ongoing communication process with ODAT Services enabled quick adaptation to emerging challenges.
With MedCare MSO’s strategic intervention, ODAT Services saw significant improvements in both operational and revenue efficiency.
| Metric | After MedCare MSO Services |
|---|---|
| Monthly Collections | $110K to $140K |
| Revenue Recovered | ~$80,000 |
| Programs Onboarded | Case Mgmt + GOSH |
| Revenue Growth | 115% increase |
| Monthly Collections Gain | +$75K/month |
| Billing Audit Process | Systematic encounter-level audit established |
By outsourcing your billing services to us, you can expect revenue growth of up to 20%
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!
Share your details below, and our team will get in touch soon
Please provide the following information, so our team can connect with you within 12 hours.
Or call us as 800-640-6409
