How Geom Helped a Multi-Specialty Hospital Reduce Claim Denials by 35%
A mid-sized multi-specialty hospital in the US handling over 20,000 claims per month faced significant revenue loss due to high denial rates.
Challenges
- 18% claim denial rate
- Manual claim review process
- Lack of denial analytics
- Delayed reimbursements
Solution by Geom
Geom implemented:
- AI-powered denial prediction system
- Automated eligibility verification
- Real-time RCM dashboard
- Workflow automation for claim correction
Results
- ✅ 35% reduction in claim denials
- ✅ 25% faster reimbursement cycle
- ✅ 40% reduction in manual workload
- ✅ Improved first-pass acceptance rate
Key Takeaway
Data-driven RCM can significantly reduce revenue leakage and improve operational efficiency.