Vendor switch · Independent practice
Vendor switch · Independent practiceFirst month with Medonix collected 14% more than last month with prior vendor.
A 4-provider family medicine practice in Columbus moved off a regional billing vendor to Medonix using the parallel-run migration. The first full month under Medonix posted 14% more cash than the last month with the prior vendor, with the aged A/R workdown still in progress.
- Independent practice · Family Medicine
- Client: 4-provider family practice
- State: OH
- Vendor switch
Outcome at a glance
Before and after, on the metrics that mattered.
Days in A/R
Clean-claim rate
Month-over-month cash
The situation
Where the practice was when Medonix engaged.
A 4-provider family medicine practice in Columbus had been with a regional billing vendor for six years. The relationship had drifted: clean-claim rate sat in the low 90s, denial follow-up was inconsistent, and the practice owner had no visibility into A/R aging beyond a monthly PDF report.
The vendor was pricing at 5.8% of net collections with no SLA. The practice owner suspected they were leaving money on the table but did not know how much. A peer in the same MGMA chapter referred them to Medonix.
The owner's primary concern was the switch itself. The practice had heard horror stories about botched migrations gapping cash flow for a quarter, and they could not afford that with a small operating cushion.
The work
What Medonix actually did.
Medonix ran the parallel-run migration with the practice owner's explicit risk-mitigation plan in writing. The prior vendor continued submitting claims for 30 days while Medonix integrated to the eClinicalWorks instance, built payer-specific scrub rules for the practice's commercial and Medicare mix, and migrated open A/R with claim-by-claim disposition.
Day 31 cutover happened in a single 36-hour window with backout plans documented. From cutover forward, Medonix submitted every claim with the new scrub-rule engine. Aged A/R from the prior vendor (roughly $94,000 in claims past 60 days) transferred with disposition codes so Medonix knew what was recoverable, what was at risk, and what was already past timely-filing.
A dedicated account lead onboarded with the practice owner in week one, with weekly KPI walk-through during the first 90 days and monthly walk-through thereafter.
The outcome
Where the practice landed.
The first full month under Medonix collected 14% more cash than the last month with the prior vendor, partly from clearing some of the aged A/R that the prior vendor had stopped working, and partly from improved first-pass clean-claim rate (94.1% to 98.4%) on new claims.
Days in A/R drifted from 12.8 to 11.3 over the first 60 days. By month four, the practice owner had migrated patient-statement and payment-plan workflows to Medonix as well, with self-pay collections improving by approximately 22%.
The CFO of a peer family medicine group has since asked the practice owner for an introduction and has begun their own evaluation.
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