Client Results

Real Outcomes for Real Practices

Numbers don't lie. Here's what happens when independent practices partner with Medoptixmb.

30%

Average revenue increase in year one

98.2%

Clean claim rate across all clients

500+

Practices served since 2009

18 days

Average days to first payment post-onboarding

62%

Reduction in denial rate within 90 days

$2.4M

Average annual revenue recovered per practice

In-Depth

Case Studies

Family Medicine

Solo physicianSoutheast

The Challenge

A solo family medicine physician was managing billing in-house with a part-time staff member. Denial rates had climbed to 22% and collections were running 60+ days behind. The physician was spending 10+ hours per week on billing issues instead of patient care.

Our Approach

Medoptixmb conducted a full billing audit, identified the top denial root causes, and transitioned the practice to our full-service billing within 30 days. We renegotiated two payer contracts and implemented real-time eligibility checks at scheduling.

"I had no idea how much money I was leaving on the table. Medoptixmb found it and got it back."

— Solo Family Medicine Physician, Georgia

The Results

Metric	Before	After
Denial rate	22%	4%
Days in A/R	64 days	21 days
Annual collections	$380K	$510K
Physician admin hours/week	10+ hrs	< 1 hr

Orthopedic Surgery

4-physician groupMidwest

The Challenge

A four-physician orthopedic group was experiencing high surgical coding errors and frequent payer audits. Their in-house billing team lacked specialty coding expertise, resulting in consistent undercoding and a growing backlog of unresolved claims.

Our Approach

We assigned a dedicated orthopedic coding specialist, conducted a 12-month retrospective coding review, and filed corrected claims for recoverable undercoded encounters. We also implemented a pre-submission coding QA process.

"The retrospective review alone paid for two years of their fees. We had no idea our coders were leaving that much on the table."

— Managing Partner, Orthopedic Surgery Group, Ohio

The Results

Metric	Before	After
Coding accuracy	71%	97%
Recovered revenue (retrospective)	—	$218K
Average reimbursement per surgical case	$1,240	$1,680
Payer audit flags	14/yr	1/yr

Mental Health / Psychiatry

8-provider groupNortheast

The Challenge

A growing mental health practice with 8 providers was struggling with credentialing delays that kept new providers out-of-network for 4–6 months. They were also seeing high claim rejections due to authorization gaps and incorrect mental health billing codes.

Our Approach

Medoptixmb took over credentialing for all providers, reducing enrollment timelines through proactive payer follow-up. We also implemented a prior authorization tracking system and retrained the front desk on mental health billing requirements.

"Getting new providers credentialed used to be a nightmare. Now it's handled — and our collections have never been stronger."

— Practice Administrator, Mental Health Group, New York

The Results

Metric	Before	After
Credentialing timeline	4–6 months	6–8 weeks
Authorization-related denials	31%	3%
Monthly collections	$142K	$201K
New provider revenue delay	4–6 months	< 2 months

From Our Clients

What Physicians Are Saying

"Switching to Medoptixmb was the best business decision I've made in 12 years of practice. My collections are up, my stress is down, and I finally feel like someone has my back."

Internal Medicine Physician

Texas

"They found $80,000 in uncollected revenue in our first audit. I wish we had called them years earlier."

Pediatric Practice Owner

Florida

"The reporting alone is worth it. I finally understand my own financials — and they're better than they've ever been."

Cardiologist

Illinois

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