Hospital RCM Integrated Hospital Network (4 Hospitals) New York, NY (120+ Physicians)
Metropolitan Health System: Overhauling Hospital Revenue Cycle for $5.4M Collection Lift
End-to-end hospital RCM overhaul optimizing inpatient DRG coding, outpatient billing, and emergency department claims.
Published January 2026 8 min read
+$5.4M
Collection Lift
Annualized net revenue increase
28 Days
Days in A/R
Reduced from 64 days
+14%
DRG Coding Yield
From clinical documentation integrity
The Challenge
- High hospital Days in A/R (64 days) causing severe cash flow constraints across 4 acute facilities.
- Inpatient Diagnosis-Related Group (DRG) under-coding due to incomplete physician documentation.
- High volume of un-appealed technical emergency department claim denials.
The Solution & Strategy
- Deployed Clinical Documentation Integrity (CDI) specialists to audit inpatient charts concurrently during hospital stays.
- Restructured hospital central billing operations into specialized inpatient vs outpatient claim pods.
- Automated electronic claim status queries and 48-hour denial appeal routing.
Quantifiable Key Results
Collection Increase
+$5.4M
Annual net revenue growthDays in A/R
28 Days
56% reduction in aging A/RClean Claim Rate
98.5%
Up from 79.8%"YAKKAY Healthcare transformed our hospital financial performance. Bringing Days in A/R down to 28 days generated $5.4 million in net revenue."
Edward Harrison, CPAChief Financial Officer at Metropolitan Health System
Actionable Takeaways for Practice Leaders
1
Institute real-time Clinical Documentation Integrity (CDI) audits during inpatient stays to optimize DRG coding accuracy2
Separate hospital central billing operations into specialized inpatient and outpatient workflow teamsReady to Achieve Similar Results?
Schedule a complimentary Revenue Cycle Audit for your practice to pinpoint billing leaks and clean claim opportunities.
Organization Profile
Organization:Metropolitan Health System
Specialty:Integrated Hospital Network (4 Hospitals)
Location & Scale:New York, NY (120+ Physicians)
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