The Hospital Story: How Dominion Helped a Regional Hospital Recover $2.4M in Denied Claims
Facing millions in denied claims and a growing A/R backlog, a regional hospital partnered with Dominion to take control of its revenue cycle. Through denial tracking, aggressive appeals, and real-time reporting, Dominion recovered $2.4M in denied claims, reduced A/R aging by 60%, and restored the hospital’s financial stability
🔍 The Challenge:
A 150-bed regional hospital was facing an alarming spike in denied claims, leading to millions in outstanding accounts receivable. The hospital’s billing department struggled with high staff turnover, inconsistent follow-ups, and missed appeal deadlines. With shrinking reimbursement rates and rising operational costs, the hospital was at risk of financial instability.
💡 The Solution:
Dominion partnered with the hospital's leadership team to perform a deep-dive analysis of denial root causes. Our team implemented an end-to-end Denial Management Program, which included automated tracking, real-time dashboards, and a weekly denial analysis report. Dominion also trained the internal billing team on best practices for denial prevention and handled high-risk appeals on the hospital’s behalf.
🚀 The Results:
- Recovered $2.4M in denied claims over a 12-month period.
- Reduced accounts receivable (A/R) aging from 90+ days to 30 days on over 70% of claims.
- Appeal success rate of 85% due to focused denial tracking and payer follow-ups.
- Reduced staff workload and lowered the need for temporary labor, saving operational costs.
- Dominion didn't just recover lost revenue — they helped us build a proactive strategy to prevent future denials. We now have full visibility into our claims, and our A/R backlog is gone. – Hospital CFO
- Want to see results like these for your practice, hospital, or ASC?
- 📞 Contact us for a FREE consultation and find out how Dominion can transform your RCM process.
