Center utilizing national billing company: Moderate collections, but communication was lacking. Converted to RBS and yearly cash flow increased from $2.7M to $3.1M, $3.5M, and $5M in the fourth year with the same patient and payer mix. RBS negotiated with the local hospital for additional $7M joint venture.

Solutions: RBS purchased software to integrate with clinical system, recommended specific clinical improvements, and re-negotiated old payer contracts.

$2.5B healthcare system with Radonc revenue at less than .01%: Clinical code capture was adequate, but the billing staff (both pro and tech) was under-educated in radiation specifics. RBS recommended process improvements to increase health system's net income by 40%! System then outsourced pro billing to RBS.

Solutions: RBS empirical data and expertise identified potential. Technology eliminated code capture to billing discrepancies.

A relocating physician contemplated JV options, but chose ownership. The urgency of the practice start-up was of paramount importance. Revenue was $1M. Within four months of doctor signing with the hospital, all enrollments and negotiations were completed, and RBS collections were running at $1.5M.

Solutions: RBS was on site numerous times, negotiated physician rates as high as 600%, provided HL7 interface.