Expert guide

Case Study: Healthcare Billing System in MS Access

Before → After: 15 hours/week recovered and ~$78,000/year in reclaimable payroll capacity

Before: the cost of spreadsheet chaos

A 12-person medical billing office tracked claims, payments, and denials across four Excel workbooks. Staff re-keyed encounters into multiple files. Denials sat without an owner.

  • Labor burn

    Roughly 15 hours/week across the team on duplicate entry and status chasing (~$1,500/week at fully loaded rates).

  • Denial lag

    Average resubmit time exceeded 18 days - cash stuck in AR.

  • No audit trail

    Managers could not prove who changed claim status or adjustments.

After: one operational system

We delivered a split Access application with claim intake, payer rules, payment posting, denial queues, and live AR dashboards. The goal was not “better VBA” - it was reclaiming payroll capacity and accelerating cash.

Measured outcomes

  • 15 hours/week recovered (~$78,000/year at their loaded rates)

  • 40% reduction in claim rework within 90 days

  • Same-day AR visibility replaced weekly manual report packs

  • Full audit log on status and adjustment changes

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