Home Healthcare Revenue Cycle
Management (RCM) Case Study:
How RNDOptimizar Helped A&C
Home Healthcare Reduce
Operational Stress, Cut Costs &
Regain Control Of Its Revenue
Cycle Management

Group Photo

Client Profile

A&C Home Healthcare, One Of The Most Respected Home Medical Equipment (HME)
Providers In The United States, Operates More Than 250 Branches With Over $500
Million in Annual Revenue.

The Challenge

The Client's In-House Team Was Quietly Battling Operational Exhaustion.

The Reality Behind Their Operational Challenges

1. Claims Overload

Claims Piled Up Faster Than Staff Could
Manage

2. Rising Denials

Denials increased without clear visibility
on root causes

3. Documentation Errors

Errors led to unnecessary rework and
constant anxiety

4. Workforce Shortages

Owners forced to fill operational gaps
themselves

5. Rising Costs

Overhead And Infrastructure Costs Choked
Their Margins

Every Day, The Teams Felt They Were Putting Out Fires Rather Than Growing The
Business. They Were Constantly Worried About:

  • Missing reimbursement deadlines
  • Cash flow unpredictability
  • Staff burnout and sudden attrition
  • Losing control of operations across 250+ locations
  • The emotional stress of "always being on alert."

The operational strain became personal, affecting their staff's confidence, their ability
to make decisions & even the time they could spend with their families. A&C Home
Healthcare desperately needed a stable, scalable, knowledgeable partner who could
restore order, accuracy & peace of mind.

The Solution

Phase 1: Pilot engagement (2017)

2 FTEs | Focus: Denial management

A&C Home Healthcare began with a small trial team to see if RND OptimizAR could bring
clarity to their growing denial backlog.

Within months, the owners saw a visible shift less stress, fewer escalations and more
predictability

Key Outcomes

  • 25– 30% improvement in denial resolution accuracy
  • Faster reporting cycles that finally gave owners visibility
  • 20% reduction in turnaround time

For the first time in years, the leadership felt relief from staffing challenges and saw a
partner who understood their pressure.

Phase 2: Expansion (2018–2021)

As the emotional burden reduced and confidence increased, A&C expanded
responsibilities to RND OptimizAR

New RCM functions managed

  • Denial Management
  • Billing & Documentation
  • Audit Preparation
  • Claims Follow up & Payer Coordination

Impact delivered

  • 40% increase in claim recovery
  • 98–99% documentation accuracy, restoring trust in the process
  • Reduced rework and improved audit readiness

The owners of A&C felt like they finally had breathing space and a partner they no
longer needed to micromanage

Phase 3: Enterprise-grade partnership (2021 Present)

Today, RND OptimizAR supports A&C Home Healthcare with a dedicated team of 500+
FTEs, managing end to end RCM operations.

Integrated operations include

  • Denial lifecycle
  • Billing & documentation validation
  • Compliance tracking
  • Accounts Receivable Management
  • Appeals & payer follow ups

Results for A&C Home Healthcare

  • 30–35% better cash flow predictability
  • 48– 72 hours of turnaround across major processes
  • Backlogs and aging AR have drastically reduced
  • Seamless continuity through cross trained teams

The emotional pressure on the team lifted. Operational fires were replaced with clarity
and calm.

Results

Financial impact for A&C Home Healthcare

(Per employee & for a 500 employee engagement)

A&C Home Healthcare recovered millions in annual profit due to RND OptimizAR's
seamless workflows, staffing scalability & infrastructure savings

Financial Impact

Per employee & for a 500-employee engagement

Annual profit contribution

Category Profit per Employee (Yearly) Profit for 500 Employees (Yearly)
Manpower $28,500 $14,250,000
Benefits $1,425 $712,500
Overhead $28,500 $14,250,000
Infrastructure $2,850 $712,500
Hiring & Training $34,200 $17.1M

This financial stability directly addressed the emotional stress caused by unpredictable
cash flow and shrinking margins

2 FTEs | Focus: Denial management

A&C Home Healthcare began with a small trial team to see if RND OptimizAR could bring
clarity to their growing denial backlog.

Why A&C Home Healthcare chose RND OptimizAR

1. Deep Healthcare Back-Office Staffing Expertise

RND OptimizAR understood the real emotional and operational pain of dealing with
denials, audits, documentation gaps, and rising claim volumes

2. A Partnership that felt In house

A&C’s owners finally felt like they had a team that cared as much as they did and
seamlessly integrated with their existing teams

3. Strong focus on compliance

HIPAA, ISMS & SOC 2 training ensured safety and eligibility for
expansion

4. Support during Staff Shortages

Buffer resources eliminated the fear of sudden absenteeism or
volume spikes

Business outcomes for A&C Home Healthcare

  • 28% reduction in cost per claim
  • 22% increase in denial recovery
  • 40% improvement in documentation accuracy
  • 100% scalable staffing model
  • 35% fewer back-office errors
  • 55% reduction in overhead & infrastructure expenses

These results not only strengthened the revenue cycle but also removed staffing
bottlenecks from A&C s daily operations.

    Conclusion

    A&C Home Healthcare moved from operational chaos and emotional exhaustion to
    clarity, confidence, and scalable growth with RND OptimizAR

    Today, A&C runs a more predictable, cost effective & future ready revenue cycle across
    all locations without the daily stress that once overwhelmed its leadership.

    Ready to cut costs & scale your revenue cycle just like this HME provider?
    Request a demo of our RCM model.