Strengthening Revenue Cycle Performance to Unlock Cash Opportunity

A growing, multi-state home medical equipment provider engaged CWH Advisors to assess rising accounts receivable and days sales outstanding during a period of rapid expansion. CWH conducted an end-to-end revenue cycle diagnostic to identify the operational and system factors affecting cash collection and translate the findings into prioritized actions for improvement.

Client Pain Points

  • Trailed industry benchmarks across core revenue cycle measures as the organization continued to grow.
  • Required stronger system controls to identify billing issues before claims were submitted and reduce preventable rework.
  • Faced fragmented payer requirements and ownership, creating challenges in connecting payer policies, system configuration, and denial trends.
  • Managed denials reactively, limiting visibility into recurring issues and slowing corrective action.

CWH Solutions

  • Reconciled financial and billing data to establish a trusted foundation for evaluating accounts receivable, collections, and denial trends.
  • Interviewed stakeholders and mapped workflows across the order-to-cash cycle to identify operational, payer, system, and capacity drivers of performance.
  • Benchmarked key revenue cycle measures against industry standards and analyzed performance across payers, products, branches, and denial categories.
  • Translated findings into prioritized recommendations, a sequenced implementation roadmap, and reusable analytics to support ongoing performance management.

CWH Delivering Value

  • Identified a forecast $7.0 million annual cash recovery opportunity and clarified the underlying drivers of rising accounts receivable and days sales outstanding.
  • Established consistent performance measures through an executive scorecard and interactive dashboard for ongoing revenue cycle monitoring.
  • Created a clear path to action with 12 prioritized recommendations sequenced across a 15-week implementation roadmap with defined ownership and timing.
  • Built an evidence-based foundation for stronger cash conversion and scalable revenue cycle operations, supporting continued growth and future transaction readiness.

CWH gave us a level of visibility into the business we hadn’t had before. It’s the kind of work that makes us want to bring them into other parts of our portfolio.”
CEO Provider Organization