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In this case study:
The Challenge
This case highlights the critical role of intelligent revenue cycle management in healthcare. With Quisitive’s MazikCare Payer Matrix, this home infusion provider transformed their operations, unlocking:
- $100M in annual revenue savings
- Enhanced employee experience through automation
- Real-time visibility into financial performance
The Challenge
A major home infusion healthcare organization was grappling with significant operational inefficiencies across its revenue cycle management (RCM) process. With low collections rates, reliance on manual processes, and limited access to real-time data, the team faced monthly revenue losses nearing $1 million due to delayed denial tracking and outdated workflows.
Leaders recognized that these challenges were not only hurting the bottom line but also impacting employee productivity and customer experience. A complete transformation was needed.
The Solution: Improving Revenue Cycle Management in Healthcare
In partnership with Quisitive and Microsoft, the organization implemented MazikCare Payer Matrix, Quisitive’s proprietary revenue cycle management solution built on Microsoft Dynamics 365 Finance & Operations, Power Platform, and Azure.
The project aimed to streamline collections, automate workflows, and deliver real-time insights to all stakeholders—from frontline agents to leadership. The initiative was designed to align with broader organizational goals:
- Improve cash flow and reduce revenue leakage
- Enhance employee experience with automation and intelligent workflows
- Enable faster, data-driven decision-making
The Results
Within weeks of going live, the results exceeded expectations—delivering both measurable operational gains and strategic value.
Productivity Gains
- 370% improvement in productivity within the first 15 days of go-live, as reported by the CFO
- Agent case capacity jumped from 20 claims/day to 94 claims/day
- Managers and supervisors gained new capabilities for real-time prioritization and mass action:
- Assign and re-prioritize work daily, not monthly
- Apply actions, notes, and status updates across multiple claims simultaneously
- Quickly review and compare claims from the same payor
Automation & Insights
- Monthly manual assignments replaced with daily automated prioritization and routing
- Real-time reporting replaced aging 30-day tracking processes
- Visibility into claim-level details dramatically improved, driving faster resolutions and fewer delays
A Model of Seamless Collaboration
This transformation was a joint success story between the healthcare provider, Quisitive, and Microsoft:
- Solution-level security is now directly managed by the organization’s internal secure systems
- The project was delivered on time and within budget
- Strong executive sponsorship and multi-team collaboration ensured alignment across geographies and time zones
“What a body of professionals working and collaborating seamlessly across organizations, geographies, and time zones...with the common goal of a delighted customer and a successful solution.”
Senior Project Manager, Microsoft
