Denial Management Hospital System & Emergency Care Chicago, IL (3 Hospitals)
Horizon Health System: Recovering $3.2M in Aging A/R & Denials via Automated RCM
Automating pre-bill scrubbing, clinical denial appeals, and high-value aging AR recovery for a 3-hospital health system.
Published August 2026 7 min read
88%
Appeal Overturn Rate
Clinical denial reversals
$3.2M
Revenue Recovered
Recovered from aging AR > 90 days
24 Hours
Turnaround Time
Average appeal package submission
The Challenge
- High volume of complex emergency care claim denials causing significant cash flow delays.
- Unaddressed aging accounts receivable accumulating past 90 and 120 days.
- Excessive manual administrative burden on in-house billing staff drafting appeals.
The Solution & Strategy
- Deployed YAKKAY Healthcare’s automated claim scrubbing engine with 5M+ payer rules.
- Implemented automated CARC/RARC denial classification and AI appeal letter generation.
- Restructured AR follow-up queues prioritizing high-dollar recoverable commercial encounters.
Quantifiable Key Results
Denial Overturn Rate
88%
+42% above prior baselineDays in A/R
27 Days
Reduced from 54 daysBilling Staff Efficiency
85%
Administrative time saved"Managing complex emergency denials was overwhelming before YAKKAY Healthcare. Their automated RCM platform allowed us to recover over $3.2 million in underpaid and aged claims."
Karen Whitmore, MHAChief Financial Officer at Horizon Health System
Actionable Takeaways for Practice Leaders
1
Standardize clinical appeal templates with attached medical necessity notes within 48 hours of remit2
Prioritize aging accounts receivable workflows by dollar value and payer timely-filing limitsReady to Achieve Similar Results?
Schedule a complimentary Revenue Cycle Audit for your practice to pinpoint billing leaks and clean claim opportunities.
Organization Profile
Organization:Horizon Health System
Specialty:Hospital System & Emergency Care
Location & Scale:Chicago, IL (3 Hospitals)
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