How Dr. Roberts Reduced Claim Denials by 40% with Onfinio

Streamlining claims processing, improving accuracy, and boosting cash flow — see how Onfinio transformed financial operations for Dr. Emily Roberts’ clinic.

Struggling with High Denial Rates and Revenue Disruption

Dr. Emily Roberts, a seasoned practitioner and owner of a mid-sized family clinic, was facing a growing problem — an alarming rate of claim denials that were stalling revenue cycles and straining her clinic’s financial health. Despite a competent team, the billing complexities and insurance coding requirements often led to errors that triggered frequent denials.

Over time, the situation became unsustainable. Delays in payments created cash flow gaps, affecting not only operational efficiency but also staff morale and resource planning. Dr. Roberts found herself spending more time addressing billing backlogs than focusing on patient care — the very core of her practice.

The Solution: Onfinio’s Strategic Medical Billing Intervention

Onfinio’s medical billing experts stepped in with a comprehensive, data-driven approach tailored to Dr. Roberts' specific needs. The first step was a detailed audit of her existing billing workflow, revealing common coding errors, documentation gaps, and weak follow-up mechanisms on denied claims.

Our team implemented a refined claim scrubbing process and ensured correct CPT and ICD coding with thorough pre-submission validation. A denial management system was introduced to categorize, track, and appeal denied claims effectively — turning potential revenue losses into recoverable income.

Beyond technical fixes, Onfinio also provided proactive training for in-house staff on documentation best practices and payer-specific compliance protocols. Within the first three months, claim accuracy rose dramatically, and denial rates dropped by 40%, directly boosting her clinic’s cash flow and reducing billing-related stress.

"Onfinio didn’t just fix our billing system — they gave us financial peace of mind. Their team was responsive, knowledgeable, and completely in tune with what our clinic needed. Today, I can focus on my patients without worrying about the bottom line every day."
Dr. Emily Roberts, Practice Owner

Conclusion

Dr. Alan opted for Onfinio's EHR and his workflows are much easier as a result. Dr. Alan was impressed with some of the recent changes we have deployed including PFT, smart phrases, and online payments through the patient portal. Onfinio has been working in tandem with Dr. Alan to make his workflow as fluid and paperless as possible. Dr. Alan has been a successful client of Onfinio for 5 years now and hasn't looked back

Get A Free Assessment
& Quote

Our biggest challenges are: