Pagosa Springs Medical Center (PSMC) is a rural critical access hospital in Pagosa Springs, Colorado. PSMC’s mission is to provide excellent, personalized care to all residents and visitors, regardless of their ability to pay. This Level IV Trauma Center offers a wide range of primary care and acute health services. PSMC currently employs 44 full-time physicians with another 103 affiliated physicians caring for patients throughout 1,800 square miles of southwestern Colorado. Major denial problems PSMC’s biggest pain point in the revenue cycle? Denied claims. Their incumbent clearinghouse was unable to deploy custom rules, which resulted in labor-intensive, inefficient processes and a first-pass clean claim rate of just 70-75%. For all denied claims, the PSMC team had to extract

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