How VANAA RCM Delivered a Major Lift in Reimbursements Within 90 Days
Behavioural health
Full RCM takeover
12 → 20 locations across Michigan
New practice entity launched
90 days
to a measurable step-change in reimbursements
85% → 91%
fresh claim accuracy
14% → 9%
claim rejections
Executive Summary
Client Profile
- Behavioural health
- Full RCM takeover
- 12 → 20 locations across Michigan
- New practice entity launched
The organization handed VANAA its complete revenue cycle operation amid aged claims, rising denials, billing inaccuracies, and eligibility challenges left by a previous RCM vendor. Within three months, VANAA delivered a marked increase in reimbursements, lifted monthly collections significantly, and established a scalable revenue cycle foundation that later supported growth from 12 to 20 locations.
The Problem
- Revenue leakage across multiple stages of the revenue cycle
- Manual billing errors impacting first-pass acceptance rates
- Aged claims unresolved and timely filing limits missed
- Eligibility verification consuming significant staff time
- No specialist billing expertise or meaningful analytics for proactive decisions
The Solution
AI-augmented tooling, human-led execution, in the order the work happened.
01
Assessment & discovery
- Root-cause analysis across denial trends, eligibility, credentialing workflows, claim aging, reimbursement patterns, and front-desk intake
- Identified recurring denials tied to eligibility, out-of-network providers, non-covered services, and missed filing deadlines
02
AI-led transformation
- VANAA EV automated eligibility verification, 56 staff hours a week across 7 team members became about 10 minutes
- VANAA Analyzer delivered near real-time intelligence on FPR, GCR, NCR, denial trends, aging buckets, and payment performance
- AI-driven task allocation routed work to subject-matter experts automatically
03
Operational excellence
- Dedicated RCM specialists ran continuous payer follow-up, claim monitoring, and proactive denial resolution
- Daily collaboration, bi-weekly reviews, and monthly executive reporting kept leadership aligned
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
Stronger cash flow and operational visibility carried the client from 12 to 20 locations across Michigan and into a new practice entity. Denial reduction and disciplined insurance follow-up added meaningful incremental collections, and the client referred additional organizations to VANAA on the strength of the results.