Testimonials & Case Studies

The initial improvements were achieved through a mix of process remediation and physician education, such as, but not limited to, schedule to charge reconciliation(s), clinical documentation improvement(s), physician education on payor and CMS guidelines, payment adjudication, and a constant focus on denial avoidance.

Fellow Health Partners relied on the use of advanced automation technologies, such as: robotic process automation (RPA), which replicates human interactions with technology, mimicking common tasks such as payor status queries, cut/paste, and merging; cognitive automation, which employs algorithms to extract concepts and relationships from data and “understand” their meaning, learning independently from data patterns and prior experience; and artificial intelligence to realize the above improvement, within a short seven month period, and at a cost significantly lower than the client’s historical cost to collect.

1. Center went from underperforming and loosing money to profitability within one quarter of FHP “go live”.
2. Newsweek Voted #1 ASC in Brooklyn and Top 5 In America for 2022.
3. FHP performed a high-level external audit of billing protocols and procedures and was able to identify significant operational gaps in the current process and associated revenue leakage during 2019.
4. FHP remediated operational inefficiencies and documented a new Standard Operating processes for the center to follow and helped them implement the policies during late 2019 early 2020.
5. FHP’s technology team replaced its legacy PM system with a more robust system that provided increased transparency into KPI’s and financial outcomes, and hosts legacy data for the group prior to “go live”.
6. The ASC is able to pull on-demand reports from FHP’s Savi Insights system, and FHP prepares monthly reports to its board and associated stakeholders. FHP is even able to forecast future month cash collections to a 5% deviation.
7. FHP worked with the center and its clinicians directly to improve clinical documentation and processes which improved claim processing time, denials, and improved chargeable procedures and associated reimbursements.
8. Fellow Health Partners was engaged by Brooklyn Surgery Center, a high-volume NY based multi specialty ASC during Q4 2019. To date denial rate for the group improved by upwards of 15% and revenues have increased approximately 30%, despite a decline in procedural and payor mix over time.

Fellow Health Partners partnered with a large multi-specialty ASC to optimize revenue performance, improve transparency, and reduce revenue leakage. The engagement began in February 2023 and focused on comprehensive revenue cycle transformation across both front-end and back-end operations.

Key initiatives included surgical appointment reconciliation, accurate coding for all surgeries and implants, external annual coding audits, payment reconciliation, contract adjudication, and denial management. In parallel, the team took over patient statement processing and executed systematic follow-ups on open balances to ensure timely and complete collections.

By identifying root causes of underpayments and billing delays, FHP developed and implemented targeted solutions for coding, documentation, denial resolution, and ongoing clinical and administrative education. Standard operating procedures were refined to ensure overall accuracy and efficiency.

Advanced technologies such as robotic process automation (RPA) and machine learning models were used to flag anomalies, identify high-risk claims, and streamline repetitive tasks. This not only accelerated resolution timeframes but also improved accuracy and compliance.

The results were realized within the first 12 months, delivering significant financial improvement while lowering the client’s historical cost to collect—and laying a sustainable foundation for continued growth and profitability.

Since partnering together in November 2021, Fellow Health Partners has guided a large, multi-location orthopedic group through a major transition period or an era of substantial improvements. After departing a large health system, the group urgently needed practice management expertise, back-office support, and efficient processes. FHP’s comprehensive services enabled the group to grow from 25 to more than 100 clinicians through both organic expansion and M&A activity, ultimately becoming the largest orthopedic group in New Jersey.

Key services include complete coding for complex, multi-code surgical procedures and office visits, billing and follow-up for all services, and full authorization management for physical therapy, occupational therapy, surgeries, and injections. Denial management and resolution workflows were also overhauled to aggressively target high-value claims and recurring payer issues.

Fellow Health Partners worked closely with the clinical and administrative teams to implement ongoing physician education, real-time policy updates, and improved documentation practices. By aligning workflows with payer requirements and CMS guidelines, the organization significantly reduced friction in the billing process.

Leveraging automation and AI-enabled tools, the FHP team helped flag missing or misaligned data, reduced manual errors, and accelerated clean claim submissions. The result: a sustained improvement in collections and operational efficiency, all while reducing the administrative burden on internal staff and improving provider satisfaction.