Unlocking $5M in New Revenue for a Regional Hospital System

The Challenge: Revenue Left on the Table

A regional hospital system with 100,000 active patients was struggling with fragmented patient records across multiple locations and systems. Their clinical teams were making treatment decisions with incomplete patient histories, leading to missed billing opportunities and suboptimal care coordination. Without a complete view of each patient's medical history, they were unable to properly bill for Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and gap-in-care closure services—leaving millions in legitimate revenue unclaimed.

Key Pain Points:

• Incomplete patient records scattered across 7+ EMR systems
• Missed opportunities for CCM and RPM billing
• Care gaps unidentified due to data fragmentation
• Staff spending 15+ hours weekly chasing records manually

The Solution: Complete Record Consolidation + NP-Verified Summaries

Stream Health, powered by MedSync technology, implemented a comprehensive solution that consolidated patient records from 1,300+ data sources. Every consolidated record was reviewed by a licensed Nurse Practitioner to create an objective, H&P-style clinical summary. The system automatically identified critical gaps in care and routed patients to appropriate vendor solutions for RPM, RTM, and CCM services.

Implementation Timeline:

• Week 1: Simple EHR connection (username/password only)
• Week 2-3: Record consolidation from all sources (medical, dental, pharmacy, lab)
• Ongoing: Automated gap-in-care analysis and NP-verified summaries

The Results: $5M+ in New Annual Revenue

Within 90 days of implementation, the hospital system unlocked substantial new revenue streams while simultaneously improving patient outcomes. With complete, NP-verified patient records, their clinical teams could confidently bill for services that were previously impossible to document.

Financial Impact:

• $3.3M from Medical Record Consolidation services (3x per patient annually)
• $1.75M from Gap-in-Care Analysis (average $350 per analysis)
• Zero upfront cost to the hospital system
• ROI: Immediate—first billing within 60 days

Operational Wins:

• 87% reduction in staff time spent chasing records
• 3x faster care coordination between specialists
• 100% HIPAA-compliant process with full audit trail

Clinical Excellence:

• Complete patient histories enabled proactive chronic disease management
• Critical gaps in care identified and closed for high-risk patients
• Improved diagnostic accuracy with full medical context

This case study represents aggregated, anonymized results typical of a 100K-patient health system. Actual results may vary based on patient population and payer mix.