How VANAA Turned a 14,000-Claim Backlog into Recovered Revenue Within 9 Months
Specialty wound care
67 providers · 7 locations
23% denial rate at start
4,000 patients/month
64%
23% → 10%
denial rate
89% → 98%
clean claim rate
Executive Summary
Client Profile
- Specialty wound care
- 67 providers · 7 locations
- 4,000 patients/month
- 23% denial rate at start
A specialty wound care facility was carrying roughly 14,000 aged claims, a 23% denial rate, and credentialing gaps that left providers inactive and balances misallocated to patients. VANAA deployed multiple 20-day sprints with 22 experts, backed by AI tools and proactive communication, to resolve claims across every status. Within nine months, denials fell, clean claim rates rose, credentialing was corrected, and a substantial share of the backlog’s value was recovered.
The Problem
- 14,000 aged A/R claims with limited follow-up activity, pressuring cash flow and raising write-off risk
- 23% denial rate against an 89% clean claim rate
- Net collection rate stuck at 90%
- Providers not credentialed with payers, some left inactive in the PMS by human error
- No Medicare portal access for locations, so no visibility into claim statuses
- Misposted claims shifting balances wrongly onto patients
The Solution
AI-augmented tooling, human-led execution, in the order the work happened.
01
Aggressive A/R recovery sprints
- 22 experts dedicated to multiple 20-day sprints, tackling 20,000 claims
- Daily follow-up intensity increased to clear the backlog
02
Credentialing & provider alignment
- Escalated and resolved credentialing gaps
- Audited the client's PMS and reactivated inactive providers
03
Medicare portal access
- Created portals for all locations, enabling real-time claim visibility and proactive follow-up
04
A/R balance corrections
- Reviewed and corrected misposted claims
- Ensured balances were properly assigned to payers, reducing patient responsibility errors
05
AI-powered accuracy
- Leveraged the VANAA EV tool to strengthen eligibility and claim readiness
- Automated error detection and improved front-end billing accuracy
06
Proactive communication
- Continuous updates to the client on operational gaps
- Issues resolved before they could impact revenue
Measurable Impact
Business Impact
VANAA turned a backlog- and denial-ridden revenue cycle into a streamlined, growth-ready operation, combining AI-powered eligibility intelligence with expert A/R recovery and credentialing management. The client’s trust was strong enough that they referred additional practices to VANAA.