Transformation Journey

From revenue cycle strain to faster cash and cleaner work queues

Durable Medical Equipment

Revenue Cycle Management

0 wk

Billing live within one week

~ 0 %

Operating cost reduction

0 %

Accounts receivable reduction

The journey

From revenue strain to results

How this provider moved from revenue cycle pressure to faster cash and cleaner work queues — the challenge they faced, what was at stake, the partnership that turned it around, and the results that followed.

01

The challenge

Revenue cycle pressure was slowing growth.

02

What was at stake

Verification, authorization, billing and denials all strained.

03

The partnership

Knack embedded inside the workflow and executed.

04

The results

~30% cost ↓ · 50% AR ↓ · billing in one week.
01 · The challenge

Revenue cycle pressure

was slowing growth

The provider was managing RCM entirely in-house. When recruiting and retention failed, the backlog didn’t just grow — it started threatening the referral relationships that drove new business.

Recruiting failure

The internal RCM model broke

The provider ran revenue cycle internally while struggling to recruit experienced help and retain staff long enough to train them. The model became unsustainable.

Backlog & denials

The work queue compounded

The backlog grew. Denials demanded more attention. Documentation retrieval got harder. Each week of delay added to the pile rather than resolving it.

Referral risk

Growth itself was under threat

Referral relationships were increasingly at risk — the downstream cost of operational failure that reached well beyond the revenue cycle itself

02 · What was at stake

Where the revenue cycle was straining

The provider’s revenue cycle ran across interconnected functions. Each one had a specific breakdown — and each breakdown compounded the next.

Verification

Orders not verified on arrival.

Authorization

Workflows deprioritized; delivery at risk.

Billing

Claims not filed promptly at delivery.

Compliance docs

Documentation misaligned with payers.

Denials

Backlog accumulating; no clear path.

Each breakdown compounded the next: unverified orders delayed authorizations, delayed authorizations slowed billing, slow billing inflated AR — and growing AR consumed the very staff capacity needed to work denials.

03 · The partnership

Knack took ownership of revenue cycle operations

The intervention was a rapid onboarding of specialist capacity, embedded directly into the provider’s workflow — not a generic, hands-off engagement.

Rapid onboarding

Structure from day one

Knack quickly onboarded the engagement and brought structure to the workstream. KPIs were established — and met — from the start.

Embedded execution

Inside the workflow, not alongside it

Orders were verified as they arrived and claims were billed as soon as delivery was complete. Knack worked inside the provider’s workflow — not beside it.

Compliance support

Aligned to payer requirements

Documentation guidance kept billing aligned with payer requirements — reducing avoidable risk across the supported workstream.

What changed: the provider moved out of survival mode. Internal teams were freed to focus on new business and on servicing the accounts they already had.

04 · The results

The outcomes

With the pressure understood and the intervention in place, the outcomes speak plainly. Every figure below is sourced directly from the engagement.

Billing in one week

Billing started within one week of engagement commencement.

~30% lower operating cost

Operating cost reduction across the supported workstream.

50% AR reduction

Accounts receivable cut by half across the cycle.

Teams refocused on growth

Internal staff redeployed from survival-mode RCM to growth and account servicing.

Your DME journey

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