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Scaling a CCM/RPM Telehealth Platform for Post-Acute Care
An early-stage virtual care company offering Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI) needed help adapting its solution for skilled nursing environments. Kaizenleap redesigned its operational workflows, aligned billing practices with CMS requirements, and repositioned its go-to-market strategy around clinical outcomes. We helped the company pilot with physician groups inside nursing homes and convert its technology into an implementation-ready, compliance-aligned service model built for long-term care.
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Operational and Revenue Optimization for a Specialty Hospital
A privately owned detox hospital was facing billing breakdowns, poor reimbursement, and unclear DRG alignment across payers. Kaizenleap was brought in to stabilize the billing operation, redesign clinical-to-financial workflows, and improve Medicare revenue performance through DRG optimization. Our team integrated utilization review, compliance, and billing functions, enabling the hospital to increase collections and make informed decisions about launching a joint venture billing company.
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Strategic Rebuild and Post-COVID Planning for a Diagnostic Laboratory
A healthcare investor acquired a CLIA-certified lab focused on COVID-19 testing, only to discover licensing and compliance issues that threatened its viability. Kaizenleap stabilized the operation, oversaw relicensure, and managed the infrastructure rebuild. We developed a roadmap to transition the lab toward broader diagnostic services, structured foundational billing systems, and engaged early institutional partners. The result was a license-ready, future-facing diagnostic business positioned for sustainable post-COVID growth.
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Billing Stabilization and Recovery for a Skilled Nursing Operator
A six-facility skilled nursing operator preparing for a portfolio sale engaged Kaizenleap to stabilize and overhaul a failing billing department. We took full operational control, retrained staff, redesigned billing workflows, and implemented systems to track Medicaid pending cases, enforce private pay collections, and recover missed revenue. Our efforts accelerated cash flow, recovered substantial backbilling, and preserved financial performance during and after the ownership transition—ensuring the seller met financial goals while maintaining strong hospital referral relationships.
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Medicaid and Private Pay Turnaround Across High-Risk SNFs
A national skilled nursing operator with over 100 facilities engaged Kaizenleap to address escalating Medicaid Pending and Private Pay receivables at four underperforming sites. The existing RCM vendor lacked adequate oversight, leading to millions in aging balances. Kaizenleap took immediate control of workflows, stabilized collections, and trained a new internal team to manage vendor performance. We implemented risk-based admissions screening, rebuilt Medicaid renewal protocols, and introduced direct family engagement strategies. The result was a 10x ROI within six months and a sustainable oversight model that now protects revenue systemwide.