Case Studies | Rural Healthcare Consulting Results | HealthRush Consulting

Case studies

Real engagements.
Documented results.

Every case study below represents a real client engagement with measurable outcomes. Names are withheld by client agreement. Results are documented and verified.

2016
First turnaround. 24 days from closure to profitable in 60.
$6M+
In documented client savings
$8M+
In client revenue generated
100%
Of engagements with measurable ROI
Origin The engagement that started it all

Medical spa turnaround: 24 days from closure to profitable and self-sustaining in 60 days

In 2016, Krys, now CEO of HealthRush Consulting, took over a beauty spa that was 24 days from permanent closure. The business had no functional financial systems, no operational infrastructure, and no clear leadership. It had been drifting toward failure with no intervention in sight. The community it served was losing a healthcare-adjacent resource it had relied on.

  • Assumed full operational leadership of the organization within days of engagement
  • Identified the need for clinical oversight and hired a medical director to legitimize and expand the service offering
  • Rebuilt the entire pricing structure from the ground up to reflect actual service value and market positioning
  • Redesigned the complete patient and client flow, from scheduling and intake through service delivery and checkout
  • Restructured staffing roles and accountability systems to create a sustainable operational model
  • Built financial tracking systems to monitor performance against profitability benchmarks week by week

This engagement was not a consulting project. It was a full operational takeover under extreme time pressure with no margin for error. The skills applied here, clinical hiring, pricing redesign, workflow restructuring, financial systems, and organizational turnaround, are exactly the skills HealthRush brings to every healthcare engagement today. This was the proof of concept. Everything since has been the application of what was learned in those 60 days.

Results

24 days
Until permanent closure when Krys took over
60 days
To complete profitability and operational sustainability
1
Medical director hired and integrated into the practice
Full
Pricing, flow, and operational systems rebuilt from scratch
The foundation
This engagement became the blueprint for every HealthRush turnaround that followed.
01 Inpatient System Revenue Cycle

Multi-facility revenue cycle recovery for a rural inpatient system

A multi-facility rural inpatient system was experiencing significant revenue leakage across three locations. Billing gaps, documentation inconsistencies, and an aging denial management process had created a pattern of underpayments that had gone unaddressed for over two years. Leadership knew revenue was being left on the table but lacked the internal capacity to identify where or how much.

  • Conducted a full revenue cycle audit across all three facilities, reviewing 18 months of claims data
  • Identified five distinct billing gap categories generating consistent underpayment
  • Redesigned the denial management workflow and implemented a weekly denial review cadence
  • Retrained billing staff on documentation requirements for the top five denied service lines
  • Established KPI dashboards for clean claim rate, denial rate, and days in AR across all sites

40 hours per week over a 4-month engagement. Full team of 3 HealthRush consultants embedded with the client's billing and operations leadership.

Results

$2M+
In revenue recovered within the engagement term
3
Facilities brought to consistent billing performance
18 mo
Of billing history reviewed and corrected
40%
Reduction in denial rate within 60 days
02 Health IT Market Entry

Surgical instrument training software market entry and contract risk mitigation

A health technology company had developed a surgical instrument training software platform and was preparing to enter the hospital system market for the first time. The team had strong clinical product knowledge but limited experience navigating healthcare procurement, contracting, and compliance requirements. Several early hospital conversations had stalled at the contracting stage.

  • Assessed the company's existing contract templates and identified three areas of significant legal and financial exposure
  • Developed a hospital-ready contract framework aligned with healthcare procurement standards
  • Built a market entry strategy targeting mid-size regional hospital systems as the initial beachhead
  • Coached the sales team on clinical buyer language and procurement cycle navigation
  • Supported negotiation on two initial enterprise deals through close

20 hours per week over a 3-month engagement. Principal consultant plus business development specialist.

Results

$600K
In contract risk identified and mitigated
2
Enterprise hospital deals closed during engagement
3
Contract risk areas remediated before signing
60 days
From engagement start to first signed hospital contract
03 Outpatient Clinic Workflow Redesign

Outpatient workflow redesign and throughput improvement across four ambulatory departments

A rural outpatient hospital service was experiencing patient wait times well above regional benchmarks, high no-show rates, and staff frustration with scheduling and documentation workflows. The combination was creating capacity constraints that limited revenue and patient access while increasing staff turnover.

  • Mapped end-to-end patient flow across all four ambulatory departments, identifying 11 distinct friction points
  • Redesigned scheduling protocols, rooming workflows, and documentation sequences for each department
  • Implemented a same-day appointment buffer system to reduce no-show revenue impact
  • Developed a staff training program on the new workflows and conducted live implementation support
  • Established weekly throughput KPI review with department leads

20 hours per week over a 3-month engagement with a 1-month implementation support extension.

Results

34%
Reduction in average patient wait times
~50%
Reduction in no-show rate within 60 days
4
Departments fully redesigned and retrained
11
Workflow friction points identified and resolved
04 FQHC Financial Turnaround

Financial turnaround and revenue recovery for a rural Georgia outpatient clinic

A standalone outpatient clinic in rural Georgia was operating at a loss despite consistent patient volume. Billing practices were inconsistent, payer contracts had not been reviewed in several years, and the administrative team lacked the capacity to manage revenue cycle alongside daily operations. The organization was at risk of closure within 18 months without intervention.

  • Conducted a full financial and operational assessment within the first two weeks of engagement
  • Identified payer contract underpayments representing over 18 months of accumulated revenue loss
  • Renegotiated two major payer contracts to market-rate reimbursement
  • Rebuilt the billing workflow and trained the administrative team on documentation standards
  • Implemented a monthly financial dashboard for leadership to monitor performance against targets

This was HealthRush's first formal consulting engagement, launched in 2023. 20 hours per week, 3-month initial term, renewed for two additional months.

Results

Month 2
Engagement paid for itself in month two of the contract
2
Major payer contracts renegotiated to market rate
18 mo
Of underpayments identified and partially recovered
Ongoing
Clinic remains operational and financially stable

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