A 14-bed critical access hospital operating on Cerner was working to strengthen revenue cycle performance while maintaining a lean internal team.
Leadership wanted greater visibility into potential areas of revenue risk and a practical approach to strengthening compliance and sustaining best practices without increasing the burden on internal teams.
The Challenge
Limited Internal RCM Resources
Like many lean hospital teams, the RCM function was operating with limited bandwidth, which made it harder to run proactive deep dives alongside day-to-day work. Specifically, leadership was working to overcome:
- Limited staff capacity to step away from daily queues
- Gaps in specialized expertise for charge capture and revenue integrity analysis
- Limited time to systematically identify sources of revenue leakage and implement workflow improvements.
Missed Charge Capture and Revenue Leakage
Ni2’s audit identified substantial charge capture optimization opportunity and revenue gaps across claims submitted over the previous 12 months. The findings revealed:
- Underbilling and missed reimbursement opportunities
- Potential compliance risks
- Inconsistent charging workflows
- Financial performance below potential
The Solution
AI-Powered Claims Assessment
Ni2 conducted a full RCM assessment using its proprietary “ChargeView” AI platform, auditing over 11,000 claims from the prior year.
- 100% charge capture audit
- AI-driven claims analysis
- Medical record reviews
- Ni2 Data extraction and assessment analysis
Full Implementation Accountability
Rather than stopping at recommendations, Ni2 managed the implementation of identified improvements and ensured accountability for execution.
- Resolved 16 charge capture initiatives
- Implemented 1,324 CDM compliance edits
- Corrected root-cause workflow problems
- Eliminated recurring missed charge capture errors
Client Quote
“Despite having limited RCM team bandwidth, Ni2 provided the expert resources we didn’t have to partner seamlessly with us. They taught & implemented best RCM practices which delivered critical revenue lift beyond our expectations. Working with Ni2 was an easy decision that we would make again.”
— Client, CFO
The Results
Financial Impact
The RCM optimization initiative delivered significant financial results for the hospital, generating a $1.4 million net revenue lift and increasing net patient revenue by 9.6%. These improvements helped strengthen the hospital’s financial performance while reducing revenue leakage and improving overall revenue cycle efficiency.
- $1.4 million net revenue lift
- 9.6% increase relative to net patient revenue
Claims Review & Accuracy
- 13.6% Claims Flagged for Review
- 9.6% Validated error rate
Initiatives Addressed
Ni2 focused on key revenue cycle initiatives to improve billing accuracy, reduce revenue leakage, and strengthen overall financial performance.
- Charge Capture
- Strategic Pricing
- CDM
- Payer Contracting
Initiatives Addressed
The engagement delivered meaningful operational enhancements by strengthening charge capture processes, improving billing accuracy, and optimizing overall revenue cycle workflows to support long-term financial performance.
- 11,000+ claims assessed
- 16 charge capture initiatives resolved
- 1,324 CDM compliance edits completed
Through a combination of AI-powered analytics and hands-on RCM expertise, Ni2 helped the hospital identify revenue opportunities, improve operational performance, and implement sustainable workflow improvements that delivered measurable financial results and long-term revenue cycle optimization.
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