Factum™ Case Studies
Explore how reimbursement law firms, medical billing companies, and healthcare providers use sovereign RCM software infrastructure to maximize net collections and automate revenue cycle operations.
Johnson & Johnson (J&J)
Operational Challenge
Organization's healthcare provider division was losing revenue and facing slow cash flow because its billing systems across different regions could not talk to each other. The outdated legacy software was too rigid to update easily, leading to a low 84% baseline Clean Claim Rate. This caused constant coding mistakes and a high initial denial rate that kept claims trapped in Accounts Receivable (A/R).
Sovereign Solution
The organization used custom Factum modules to build an isolated, sovereign RCM platform hosted entirely on private infrastructure. This system added automated front-end scrubbing logic to catch coding errors early, driving the Clean Claim Rate up to 98.2% and cutting Days in A/R by 27%. The provider gained full software co-ownership for its 50+ specialists and secured 8 private compliance dashboards.
Mentor Corp.
Operational Challenge
Organization was losing revenue and falling behind due to heavy manual processing backlogs. The staff had to verify insurance and route claims by hand, which slowed down daily throughput, caused frequent underpayments, and dragged down their net collection rates.
Sovereign Solution
The organization used custom Factum modules to build a sovereign system on private infrastructure that automates eligibility verification, claim routing, and payment posting. This setup uses private AI to run 350+ weekly automated claim-scrubbing actions, increasing the net collection rate by 14% and cutting the cost to collect by 22% for their 25+ managers.
What These Results Mean for Your Revenue Cycle Operations
Standard software rentals force you to patch together different tools for eligibility, coding, billing, and denials. The organizations featured above broke that cycle by consolidating their entire RCM workflow into a single, sovereign Factum platform.
No two Factum deployments are the same. Instead of renting a generic product, every organization gets a completely unique system built specifically for their workflows. Backed by Factumsoft's dedicated expert pods, your sovereign platform seamlessly manages your entire revenue lifecycle -maximizing clean claims and revenue on your own private software.