Case studyRevenue cycleProvider · Revenue cycleAugust 2026

Recapturing 1,000+ labor hours a month in the revenue cycle.

The largest physician-led radiology practice in the U.S. was absorbing thousands of labor hours a month in repetitive revenue-cycle work. We automated the highest-burden workflows one at a time, taking routine processing off the team while leaving exceptions and consequential decisions with people.

Customer
Physician-led radiology practice
Scale
Largest of its kind in the U.S.
Scope
Charge recon, record fulfillment
Model
Automation + human review
Outcomes · measured
1,000+
labor hours recaptured every month.
~74%
of the repetitive processing load removed.
Daily
charge reconciliation runs automatically.
100%
of automated actions logged for audit.

Outcomes are the customer’s own, from their revenue-cycle engagement.

The key finding

The revenue cycle did not need a new platform. The problem was the repetitive work around it. We automated that work one workflow at a time while keeping consequential decisions with people.

01 · The challenge

The revenue cycle ran on repetitive manual work.

Revenue-cycle work was spread across a dozen systems. Charges were reconciled by hand, records were fulfilled through repetitive processing, and more than 1,350 labor hours a month went into work that followed largely repeatable steps. Staff had to move between systems, check the same information, and document what had been done.

a

Repetition at scale. Thousands of transactions a month, each one needing a careful check, most of them the same.

b

Not every case followed the rules. Routine work could be automated, but exceptions still needed someone to review them.

c

Experienced staff on routine work. Skilled people spent their days processing rather than resolving.

d

Manual work was harder to trace. It was difficult to consistently show what had been checked, changed, and approved.

02 · What changed

What changed: the routine work was automated, people kept the exceptions.

Before
Charges & recordsReconciled by hand1,350+ hours a monthExceptions and missed work harder to catch
Routine work absorbed the team
After
Charges & recordsRoutine work automatedExceptions sent to people1,000+ hours returned each month
People spend their time on the exceptions
03 · The approach

Routine work is automated. Consequential actions are checked and approved.

We started with two of the highest-burden workflows: charge reconciliation and record fulfillment. For routine processing, the system prepares the action and checks it against defined requirements. Anything consequential or outside those requirements goes to a person before it is completed.

That allowed the practice to automate repetitive work without giving up control over the decisions that required judgment. Every automated action was recorded for audit.

04 · Why it holds

Routine volume no longer requires the same manual effort.

More than 1,000 of the 1,350+ monthly hours previously spent on repetitive processing were returned to the team. Routine charge reconciliation could run every day, while exceptions still went to people.

As volume grows, more of the routine work can be absorbed by automation rather than requiring staff to process every transaction by hand.

Where is your revenue-cycle team spending time by hand?

Point us at one of your highest-burden workflows: charge reconciliation, denials, record fulfillment, or another repetitive process. We will map the work, measure the time it takes today, and identify what can be automated.