About
Services
Revenue Cycle Management Out-of-Network Billing Virtual Front Office Ambulatory Surgery Center Practice Launch Growth & Exit All Services →
Specialties
Emergency Medicine Anesthesia Radiology All Specialties →
AI Marketing Platform
Platform Overview AI Features Pricing Plans Case Studies
Locations
Texas Lewisville, TX (HQ) Oklahoma New Mexico New York
Blog
Start Free A/R Trial📞 +1 469 312 1407
Real Results

Case Studies From the Field

These are real outcomes from real practices. Names and locations anonymized for confidentiality.

ASC Valuation & Litigation

Surgeon Saves Millions in Divorce Settlement

Challenge
A surgeon's ASC was being undervalued in a divorce proceeding. The opposing counsel's valuation would have cost the physician millions in an unfair settlement.
Solution
REL1EF performed a comprehensive fair market valuation of the ASC using EBITDA analysis, revenue projections, and comparable transaction data. We provided expert financial documentation for court.
Result
The court accepted our valuation. The surgeon saved millions compared to the opposing party's estimate — preserving ownership of the ASC and protecting decades of work.
Practice Rescue

Cardiology Group Saved From Foreclosure

Challenge
A multi-provider cardiology group was facing foreclosure after years of declining collections, rising denials, and poor financial management by their previous billing company.
Solution
REL1EF took over full RCM, restructured their debt with lenders and landlords, and launched aggressive A/R recovery on claims dating back 18 months. We renegotiated payer contracts and implemented denial prevention protocols.
Result
The practice avoided foreclosure, stabilized cash flow within 90 days, and returned to profitability within the first year.
OON Revenue Recovery

Emergency Medicine Group Discovers $1.2M in Missed OON Revenue

Challenge
A 12-provider emergency medicine group was accepting initial payer offers on all out-of-network claims without negotiation — leaving significant revenue on the table.
Solution
REL1EF's dedicated OON team audited 24 months of claims, identified every underpaid OON encounter, and initiated negotiations with all major payers using UCR benchmarking and Fair Health data.
Result
The group recovered over $1.2 million in the first year from claims they had previously written off or accepted at face value.
Practice Launch

Pain Management Practice Goes From Zero to Revenue in 90 Days

Challenge
A pain management physician leaving a hospital-employed position wanted to open an independent practice but had no entity, no credentials, no EMR, and no billing infrastructure.
Solution
REL1EF handled everything: LLC formation, NPI registration, simultaneous credentialing with 8 payers, EMR selection and implementation, clearinghouse setup, and first-day billing readiness.
Result
The practice saw its first patient on day 91 and submitted clean claims the same day. Revenue was flowing before the end of the first month of operations.
Debt Restructuring

Orthopedic Surgeon Avoids Bankruptcy Through Restructuring

Challenge
An orthopedic surgeon was carrying over $800K in practice debt with multiple creditors threatening legal action. The practice was weeks away from filing bankruptcy.
Solution
REL1EF negotiated directly with lenders, landlords, and equipment vendors to restructure payment plans. We simultaneously increased collections through OON recovery and denial rework to improve cash flow.
Result
Bankruptcy was avoided entirely. The practice restructured all debt into manageable payments and returned to positive cash flow within six months.

See What REL1EF Can Do
For Your Practice

Every practice is different. Start with a free analysis and we'll show you exactly where the revenue opportunities are.

Start Free A/R Trial
See PricingCall Us