First-Pass Acceptance
Clean claims, payer-specific edits, and eligibility prechecks ensure submissions clear the first time.
98.6%
average first‑pass acceptance
Results That Matter
NELSON LAZARO delivers measurable revenue-cycle improvements: cleaner claims, faster payment, and predictable cash flow. Our clinical precision approach turns billing from a cost center into a strategic asset.
Proven Performance Metrics
Aggregate outcomes from multi-specialty practices after 90–180 days of engagement. These aren't projections—they're results from real revenue-cycle transformations.
Denial Rate Reduction
Root-cause analysis, daily follow-ups, and corrective workflows reduce preventable denials and accelerate resubmissions.
−37%
average denial rate reduction
Days in A/R
Faster payment posting, underpayment discovery, and timely appeals accelerate cash realization.
21
average days in A/R
Behind the Numbers
- Clearinghouse scrub rules tuned weekly to payer bulletins and policy updates
- Top 5 denial reasons tracked by location, provider, and payer for targeted remediation
- Zero‑balance reviews flag underpayments exceeding $5 variance for immediate appeal
- Monthly performance dashboards delivered with handwritten insights and action steps
Before & After: Real Practice Transformations
Short vignettes showing how disciplined claim submission, payment posting, denial management, and insurance follow-ups compound into reliable, predictable cash flow.
Pediatrics Clinic
Three‑provider pediatrics group navigating seasonal volume spikes and vaccine program complexity.
First‑pass acceptance: 92% → 99%
Denial rate: 12% → 6%
Days in A/R: 38 → 24
Cash per visit: +11%
Orthopedic Group
Five‑location orthopedic practice with heavy imaging volumes and complex prior authorization requirements.
First‑pass acceptance: 90% → 98%
Underpayment recoveries: $84K in 2 quarters
Denial overturn success: +29%
Custom edits added: 41 payer‑specific rules
Telehealth Behavioral Health
Behavioral health group scaling virtual care across payers with shifting parity and place-of-service rules.
First‑pass acceptance: 88% → 98.7%
Denial rate: 15% → 8%
Days in A/R: 46 → 21
Eligibility exceptions resolved pre‑visit: 93%
Voices From the Ledger
Finance leaders and practice managers describe what changed first—and what stayed better after partnering with NELSON LAZARO.
"Within the first month, our denials report looked like a different practice. NELSON LAZARO rebuilt our scrubs, retrained front desk on eligibility, and started posting payments next‑day. The 30‑day A/R bucket shrank by half."
Maribel R., Practice Administrator
Pediatric Care Associates
"They caught systematic underpayments on bundled imaging that we missed for years. Their denial notes read like a playbook—date, contact, outcome, next step. Cash predictability is the real win."
Daniel K., CFO
Metropolitan Orthopedics
"Our previous biller just submitted and hoped. NELSON LAZARO tracks every claim like it's their own money. Denials get appealed same-week. Underpayments get flagged automatically. We've recovered over $60K in the last six months alone."
Adrienne T., Office Manager
Lakeside Family Medicine
"The ROI spreadsheet they built during onboarding became our board presentation. Clean data, realistic projections, and footnoted methodology. We hit every milestone they outlined—and our physicians finally trust the billing side."
Marcus L., Director of Finance
Regional Wellness Network
ROI, At a Glance
Our one‑sheet distills the revenue impact of professional medical billing across the full cycle—claim submission, payment posting, denial management, and payer follow‑ups.
It includes baseline vs. post‑engagement KPIs, projected annual cash lift at current volume, denial root‑cause breakdown with fixes, and a phased implementation timeline with milestones. All assumptions and methodology are footnoted for audit readiness.
What's Included
- Baseline KPIs vs. post‑engagement performance across all revenue-cycle stages
- Projected annual cash lift calculated at your current encounter volume
- Denial root‑cause breakdown with corrective actions and timeline
- Implementation roadmap with 30-, 60-, and 90-day milestones
- Payer mix analysis and scrub-rule customization summary
- Monthly dashboard preview with handwritten insights
Designed for partners, physicians, and board presentations—clean data you can trust.
Download the ROI One‑Sheet
Printable PDF with graphs, callouts, and calculation notes. Typical net collection lift:
3–7%
average improvement in net collections
Download PDF Request Custom ModelLet's Bring Your A/R Down
We'll review your denial trends, payer mix, and current workflow, then return a brief action plan with timelines and expected impact—no obligation, no fluff.
Or reach us directly:
contact@nelsonlazaro.com · (555) 123-4567
14 MOTT PL INWOOD, NY 11096-1234