Healthy Financials: Turning Around a Rural Hospital

Executive Summary

Rural hospitals are closing at alarming rates. An Ohio community hospital was bleeding cash due to poor Revenue Cycle Management (RCM). Fynex conducted a deep-dive audit of their 'Chargemaster' and billing codes. We recovered $2M in under-billed insurance claims and restructured their debt, keeping the doors open.

The Landscape: Healthcare Context

Reimbursement rates from Medicare are fixed. Profitability comes from efficiency and capturing every billable service.

The Breaking Point

"If we close, this town creates a healthcare desert."

Dr. P

CEO

Community Hospital

Days Cash on Hand dropped to 14. Payroll was at risk.

The Fynex Protocol

We audited 5,000 charts. We found that the hospital wasn't billing for 'observation hours' correctly.

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Technical Implementation

We updated the EMR logic to auto-flag missed charges.

Verified Outcomes

Recovered Revenue ($M)

Audited

Cash on hand improved to 60 days. The hospital added a new MRI wing.

Future Horizon

Merger discussions with a larger health system.