Jusme Healthcare Solutions

Revenue leakage in healthcare rarely comes from one big problem. It builds quietly — through denials and delays.

Across practices using platforms like Epic, athenahealth, and eClinicalWorks, the pattern is consistent: denials sit at 8–12% — but the more important number is that 60–70% of them are preventable.

Where Denials Actually Start

18–22%

Eligibility issues

10–15%

Authorization gaps

8–12%

Coding & documentation errors

This isn’t a payer issue. It’s a process issue.

Then Layer In the Delays

Charge entry lag (2–5 days)5–10% revenue impact
AR drifting beyond 40 days15–20% cash flow delay
Weak follow-ups20–30% under-recovery on aged AR

What Most Teams Underestimate

Delays turn into denials. Denials turn into write-offs. Not immediately — but consistently, over time. This is how 10–15% of revenue gets stuck inside the system while everything still appears “under control.”

What Actually Moves the Needle

  • Strong front-end discipline (eligibility + authorization)
  • Charge capture within 24–48 hours
  • Clear denial ownership and tracking
  • Structured, persistent AR follow-ups
That’s where Jusme Healthcare Solutions focuses: fixing the exact points where revenue breaks, bringing discipline into execution, and converting stuck revenue into collected revenue.

If your denial percentage and AR days look “acceptable,” there’s a good chance performance is being benchmarked too low.

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