Behind the Progress: Inside the Partnership That Cut an ASC’s Aged AR by 33% and Boosted Cash Per Case by 6% in Six Months

Authors:
Sydney Cicero, VP of Client Success at nimble solutions
Amie McGee, Client Success Manager at nimble solutions

Working closely with ASCs every day gives me a unique view into what strong revenue cycle management can unlock—not just in the numbers we track, but in how teams function, how confident they feel, and how stable their financial foundation becomes.

In customer success, you get a front-row seat to these shifts. Revenue cycle work isn’t the most visible part of healthcare, but it touches almost every outcome. And you can feel the difference when it’s working well.

One of the clearest examples of that came from partnering with an Arizona-based ASC specializing in urology and gynecology. They average around 40 cases a month and operate with a lean, dedicated team that puts their patient community first. But like many ASCs, they found revenue cycle issues stacking up faster than their staff could keep up with.

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When AR Starts to Take Over

Before we partnered, the ASC was facing challenges that are all too familiar:

• Aged AR creeping up, especially over 90 days
• Incorrect LCD policies leading to avoidable Medicare denials
• Limited staff bandwidth for consistent follow-ups and appeals
• Visibility gaps that slowed resolution of credits and open balances

None of this reflected a lack of effort. Their team was stretched thin, juggling the complexity of modern RCM and payer inconsistencies. And when AR backs up, it impacts more than cash flow—it affects predictability, workload, and confidence.

This is exactly where nimble aims to make a real difference. Not as a vendor, but as an extension of the ASC’s own team.

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Showing Up, Rolling Up Sleeves, and Working Side by Side

From day one, our focus was on clarity, consistent communication, and a repeatable process the ASC could rely on.

Biweekly AR Reviews That Move the Needle

These weren’t just check-ins—they were working sessions. We dug into denial patterns early, aligned on priorities, and kept every account visible and progressing. Over time, AR shifted from reactive chaos to something predictable and manageable.

A Targeted AR Recovery Effort That Paid Off

One major challenge was a cluster of Medicare denials tied to misapplied LCD policies. Instead of letting them sit, we took a structured appeal approach.

We submitted eight Medicare appeals—and won all eight.

Those wins matter. They build trust, momentum, and show the team they’re not alone in navigating payer errors.

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And Then the Results Followed

Since March 2025, the ASC has seen meaningful improvements:

• 33% reduction in aged AR over 90 days
• 6% increase in cash per case

But the story behind those metrics matters just as much:

• AR became cleaner and more predictable
• Payer issues were spotted and escalated faster
• Reimbursement became more consistent
• The team gained clearer visibility into their accounts
• Stress levels dropped
• Confidence increased

These are the kind of shifts that don’t just solve today’s problems—they set the foundation for long-term stability.

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Meaning Behind the Metrics

When revenue cycle management is working the way it should, ASC teams can plan ahead, stay focused, and actually breathe again. They can shift their energy back to patient care instead of putting out fires in their AR.

What makes this work especially meaningful to me is seeing the practical improvements up close. When claims stop slipping through the cracks, when staff feel less pressure, and when the financial picture becomes clearer—that’s the kind of impact I’m proud to support.

Helping ASCs reach that level of stability is the best part of my role at nimble, and it’s what keeps me motivated to help our partners continue reaching new heights in outpatient care.

Ready to explore partnerships with nimble? Contact us today.