Hospital: 'There’s no money left to be collected... benefits are exhausted.' Streamline: 'Oh honey... you sure about that?' Our favorite game is Find the Money™... and we’re undefeated. We don’t stop at face value. We flip the cushion, check the pockets, and dig until the money shows up. What is your approach to Benefits Exhausted?

A real-world recovery built on audit precision and payer accountability.This case study details how our team recovered $4.1 million in missed revenue from Zero Balance Accounts after performing a deep audit of our client’s payment activity. By reviewing all assigned accounts, payment reports, check copies, and system activity, we uncovered a series of discrepancies that had prevented proper reimbursement. Key findings included: - Payments that had been retained instead of forwarded as agreed - Posted amounts that did not match actual check totals - Payments applied to incorrect patient accounts - Audit logs and reports withheld from our team, later revealing hidden checks Through detailed account reviews, payment reconciliation, and cross-verification of supporting documentation, we were able to identify and correct over $1.4 million in unreported revenue. This recovery effort demonstrates the power of consistent ZBA audits, transparent workflows, and proactive financial oversight. Visit www.streamlinercm.com

Let’s crowdsource the RCM plays that actually move metrics. Drop ONE best practice your team uses and copy this format so it’s easy to learn from: Template to post your best practice: 1. Context: setting/specialty/payer mix 2. The Play (steps): what you do, in order 3. Metrics Moved: before → after (e.g., first-pass %, denial rate, days in A/R) 4. Artifacts: checklist/script/template (attach if you can) 5. Pitfalls & Tips: what to watch out for Starter ideas (pick one): - Eligibility “double-verify” at scheduling and day-of - Prior-auth tracker with SLAs and next-action reminders - Monthly edit tune-up: top rejections → new pre-submission edits - Daily 10-minute denial triage huddle + 48-hour follow-up standard - Weekly KPI one-pager (clean claim rate, first-pass yield, denial rate, days in A/R) - Appeal letter template customized by payer + reason House rules: no PHI; anonymize accounts; keep it practical. Who’s got the first one? 👇

When organizations partner with Streamline for consulting, the outcomes go beyond faster payments. We see: - More claims paid on the first pass - Fewer denials and write-offs - Faster reimbursements and stronger cash flow - Staff who feel confident handling complex cases - Leadership making decisions backed by real data - Sustainable improvements without added overhead Which of these resonates most with you? Have you seen similar benefits, or challenges, in your own revenue cycle? Let’s compare notes.

In a world where automation is becoming the default answer to every problem, Streamline takes a different approach. We believe automation has its place, it can speed up routine tasks and eliminate simple errors. But revenue cycle management is more than just claims and codes. It’s about judgment calls, payer relationships, patient trust, and accountability. That’s why we choose to invest in people. Our specialists can interpret complex denials, adapt quickly to regulatory changes, and advocate for patients in ways no algorithm ever could. I’d love to hear your thoughts: - Do you think automation can ever fully replace human expertise in RCM? - Where do you think the balance between people and automation should be? See document attached and let’s discuss.