Cleaned Up 55,000 Invoices from Backlog Inventory and $15m in Outstanding Credit Balance at Major Research Hospital

Infinx partnered with a major research hospital in California to clean up its backlog inventory of 55,000 credit balance invoices within 15 months and transition the hospital’s system from GE Centricity to EPIC. The project represented a significant challenge for any partner. The client was delighted with the outcome and subsequently hired Infinx to clean up the nearly $15 million in outstanding Accounts Receivable. This amounted to roughly 30,000+ outstanding claims with overdue dates ranging from 60 to 365 days.

The First Challenge – Credit Balance Invoices

The hospital approached Infinx with a massive backlog of 55,000 credit balance invoices. The purpose of the project was to clean up and eliminate the backlog from their balance sheet. The project included invoices from every specialty, making it even more complicated. Infinx evaluated the project and based on the volume and nature of the invoices, proposed a detailed plan to solve the problem within a 15- to 17-month timeframe. A team of six to nine credit balance specialists was deployed to work with the client for the duration of the project.

The scope of the work included analyzing credit accounts, identifying exact reason for credits, posting transactions to clean incorrect adjustments and write-offs, identifying correct refunds, and creating refund packets. The team cleaned the entire backlog in 15 months.


  • Over 55,000 credit balance invoices resolved
  • $15 million total amount
  • 15 months turnaround time
  • 6-9 credit balance specialists

The Second Challenge – Transition to EPIC and Outstanding Payment Postings

As the hospital transitioned from GE Centricity to EPIC, the company asked Infinx to support the massive payment posting backlog. The company had over 300,000 payments that needed to be posted. Payment posting errors had created a wide range of significant revenue cycle management issues. These included understated accounts receivables, increased denials, false credits, and inaccurate patient statements. The backlog had skewed the organization’s entire balance sheet.

To address the challenge, Infinx formed a team to evaluate the problem and ultimate manage and resolve the ongoing payment posting process. All of this had to be completed during the transition from GE Centricity to EPIC.

  • The team manually reviewed a staggering number of Electronic Remittance Advice (ERA) files to find and calculate the total payments for those accounts that belonged to EPIC and those that belonged to GE Centricity
  • Infinx provided 24/7 staffing workforce and complete support to ensure every payment was appropriately posted within both systems.
  • The posting team worked an average of 10 hours a day, plus weekends to clean up the backlog and get current within the target six months

A Third On-going Challenge – Outstanding Accounts Receivables

With two major projects completed, the hospital could see the value of a partner like Infinx. The company has successfully resolved 55,000 credit balance invoices in 15 months, and 300,000 late payment postings in 6 months. Management was thrilled with the outcome, and the employees were delighted to stop working overtime and weekends.

The next obvious step was to take on a new challenge. The hospital hired Infinx to address their aging accounts receivables. The project is currently underway, and the company expects to have a successful completion.


  • 300,000 payments postings in Centricity/EPIC
  • $60 million total amount
  • 6 months turnaround time
  • 10 payment posting specialists

Let’s Optimize Your RCM Workflow

Schedule a call with our team to learn how our solution can help optimize your revenue cycle.

      1. Loria K. Putting the AI in Radiology. Radiology Today, Vol. 19, No. 1, P. 10.
        Accessed on June 7, 2020.
      2. Carlson B. Molecular Diagnostics Market Now Larger than the Economies of 50 Nations, per New Report. Kalorama Information Website. October 30, 2019.
        Accessed on January 20, 2020.
      3. Atella V, Mortari A, Trends in are-related disease burden and healthcare utilization. Aging Cell, 2019 Feb; 19(1): e12681. Published online November 29, 2018. doi: 10.1111/acel.12861.
        Accessed June 1, 2020.
      4. Cohen R, Zammitti E. High-deductible Health Plan Enrollment Among Adults Aged 18-64 with Employment-based Insurance Coverage. Centres for Disease Control and Prevention NCHS Data Brief No. 317. August 2018.
        Accessed on January 24, 2020.
      5. PAMA Regulations, Important Update., Centers for Medicare and Medicaid Services.
        Accessed on January 28, 2020.
      6. 2018 AMA Prior Authorization (PA) Physician Survey. American Medical Association, Prior Authorization Research & Reports. 2019. file:///C:/Users/katem/Downloads/priorauth-2018%20(1).pdf.
        Accessed on November 23, 2019.
      7. Yu Y, MD. Transforming the prior authorization process to improve patient care and the financial bottom line. MGMA, Knowledge Expansion Insight Article, Reimbrusement.
        Accessed June 10, 2020.
      8. Finnegan J. MGMA19: No progress to fix prior authorization, as practice leaders say it’s gotten worse. Fierce Healthcare. October 16, 2019.
        Accessed June 8, 2020.
      9. 2019 CAQH Conducting Electronic Business Transactions: Why Greater Harmonization Across the Industry is Needed, p. 2. 2020.
        Accessed on January 30, 2020.
      10. Joint Authorship. Consensus Statement on Improving the Prior Authorization Process. American Medical Association. 2018.
        Accessed on January 22, 2020.
      11. Letter to the House of Representatives in support of Improving Seniors’ Timely Access to Care Act 2019 (H.R. 3107) from 370 Associations. September 9, 2019.
        Accessed on January 30, 2020.
      12. Livingston S, Luthi S. House Committee Throws Spotlight on Prior Authorization Burden, Modern Healthcare. September 11, 2019.
        Accessed on February 3, 2020.
      13. Ibid. 9.
      14. Industry Checkup: Measuring Progress in Improving Prior Authorization. American Medical Association. 2019.
        Accessed on February 2, 2020.
      15. Artificial Intelligence – What it is and Why it Matters. SAS Insights. 2020.
        Accessed on February 1, 2020.
      16. Siwicki B. At RadNet, AI-fueled Prior Authorization Tech Shows Promise, Healthcare IT News, Global Edition. May 6, 2019.
        Accessed on January 6, 2020.
      17. Napco’s iBridge Technology Named Top Innovation of 2014 by Security Sales & Integration Magazine – Recurring Revenue Model Makes iBridge a Top Choice for Security Dealers. January 13, 2015.
        Accessed on February 3, 2020.
      18. Integrating Prior Authorization Solution with Epic PMS While Protecting PHI at a Pennsylvania Hospital Group. Infinx Case Study. 2018.
        Accessed on February 2, 2020.
      19.  Implemented a Complete Overhaul of Revenue Cycle Management Program for Large Hospital-Owned Cardiology Clinic. Infinx/Enhanced Revenue Solutions Case Study. 2018.
        Accessed January 12, 2020.
      20. Ibid. 9.
      21. *******Chhaltralia V. What Does the Future Hold for Artificial Intelligence? Industry Analysis and Graphic, AI Business. March 22, 2018.
        Accessed on February 2, 2020.
      22. Maximize Hospital Revenue with a Holistic Insurance Discovery Strategy. January 7, 2019.
        Accessed on January 20, 2020.
      23. How Using Insurance Discovery Can Significantly Improve A/R, Infinx Blob. January 23, 2020.
        Accessed on January 23, 2020.
      24. 2018 Survey of America’s Physicians: Practice Patterns and Perspectives. The Physicians Foundation, Empowering Physicians/Improving Healthcare. 2019.
        Accessed on January 30, 2020.
      25.  New Findings Confirm Predictions on Physician Shortage. Association for American Medical Colleges. April 23, 2019.
        Accessed on February 1, 2020.
      26. Reporting appropriate use criteria in claims for Medicare Patients. American Medical Association. August 17, 2020.
        Accessed on August 19, 2020.