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Revenue Support Case StudyOhio Client • Average Daily Census ~120

The Claims Were Ready. The Portal Was Holding Them Back.

A mid-sized hospice client in Ohio had a growing number of rejected and suspended claims—not because the documentation was incorrect, but because no one was responsible for managing the portal.

Here is how Scribent helped get the claims moving and recover the delayed revenue.

The client’s name is not shared to protect confidentiality. The numbers shown represent results from engagements like this one.

Results at a Glance

$180K

Delayed claims recovered in one quarter

About 1 week

Reduction in days in accounts receivable

0

Missed NOE filing windows since launch

The Challenge

The records were complete. The payments were stuck.

The clinical team was completing its work correctly. However, a mid-sized hospice client in Ohio, with an average daily census of around 120, had a growing backlog of rejected and suspended claims inside the NGS portal.

No one had clear responsibility for reviewing or following up on them. As a result, claims stayed in the portal and continued to age.

The effects went beyond the backlog. NOEs were missing the five-day filing deadline, while eligibility overlaps were quietly creating non-covered days that were not identified in time.

The client had already earned the revenue, but a gap in the workflow was keeping that money from being collected.

Workflow Transformation

Comparing operational clarity before vs. after Scribent joined the workflow.

Before Scribent

Uncontrolled Risk
NGS Portal & Rejected ClaimsStatus: Stalled

Claims were aging with no assigned owner.

NOE Five-Day Filing WindowStatus: Overdue

Important deadlines were being missed.

Eligibility OverlapsStatus: At Risk

Overlaps were creating non-covered days.

With Scribent

Full Compliance & Ownership
Portal ManagementStatus: Managed

Daily reviews were assigned to one accountable team.

NOE and F2F TrackingStatus: On Track

Deadlines were identified and shared ahead of time.

Clean-Claim ReviewStatus: Verified

Claims were reviewed across every level of care before submission.

Action & Execution

What Scribent Did

We took ownership of the portal.

Scribent moved the client to the Revenue Shield plan and assigned one accountable team to manage the portal. Instead of the backlog being everyone’s concern but no one’s responsibility, portal management became a clear daily process.

Daily Rejection and Overlap Reviews

The NGS portal was reviewed every day so rejected claims did not sit unnoticed. Eligibility overlaps were also identified before they became non-covered days.

NOE and F2F Tracking

Important filing deadlines were flagged several days in advance instead of being discovered on the final day, preventing missed five-day NOE filing windows.

Clean-Claim Verification

Every claim was checked across all four levels of care before submission, reducing preventable rejections at the source.

Backlog Recovery

Suspended and aging claims were reviewed, corrected where needed, resubmitted, and cleared instead of being left unresolved or written off.

The Outcome

The Claims Moved. The Revenue Followed.

Within one quarter, the backlog was cleared and the revenue process was running more smoothly.

$180K
Delayed claims cleared during the first quarter
~1 week
Reduction in days in accounts receivable
0
Missed NOE filing windows since Scribent went live

Scribent helped recover $180K in previously delayed revenue during the first quarter. Days in accounts receivable dropped by about one week because claims were no longer sitting untouched in the portal.

With NOE tracking in place, the client has not missed a filing window since launch.

The clinical team did not need to change how it documented patient care. The issue was in the workflow—and that is where Scribent focused the solution.

“It paid for itself within a few months. We are seeing far fewer rejected claims, and the whole team finally has room to breathe.”

Agency Administrator, mid-sized hospice client, Ohio

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