Case Studies
Forward Revenue Management specializes in medical billing for therapists and chiropractic practices. The case studies below show how structured billing, consistent follow-up, and hands-on support lead to stronger cash flow and more efficient operations.
Guresky Mental Health &
Family Counseling Specialists, Inc.
The Problem:
Guresky Mental Health was facing two critical revenue challenges: a growing backlog of uncollected claims—some more than two years old—and a bottleneck in new client enrollment. Missed or delayed intake calls meant lost opportunities to bring new clients into care. Both issues were directly affecting the practice’s bottom line.
FRM’s Solution:
FRM took a full-service approach: we assumed responsibility for all patient enrollment—including answering every new client call, seven days a week—and implemented a targeted collections strategy to recover aging receivables. For hundreds of severely outdated claims, we provided clear resolution and definitive closure, helping the practice stop chasing dead ends and focus on actionable revenue.
The Result:
Client enrollment became faster, more efficient, and more consistent bringing in more new clients week over week. Simultaneously, we reduced the accounts receivable balance by nearly 50%, recovered significant cash, and delivered clear insight into previously unresolved claims. These improvements had immediate financial impact, helping GMH strengthen its revenue position and operate with greater clarity.
A True Extension of Our Practice—FRM Is Family
Partnering with Forward Revenue Management was not just outsourcing billing. We gained a full-service team that truly feels part of Guresky Mental Health. From patient enrollment to collections, they are deeply embedded in our practice. Doreen has been a godsend, answering every new patient call seven days a week since August 2024. Clients constantly praise her professionalism, empathy, and knowledge.
— Brandon Guresky, Founder & Clinical Director
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Dr. Jack Joseph, Psychologist
The Problem:
After the dissolution of his office-sharing arrangement in mid-2024, Dr. Joseph needed a billing partner fast. His previous setup relied on a shared receptionist who was unprofessional, ineffective, and slow to submit claims. Billing was a constant source of frustration, with frequent denials, long payment delays, and little visibility into what was being collected or lost.
FRM’s Solution:
FRM took over all billing and collections in May 2024, ensuring clean, timely claim submissions and relentless follow-up on every payment and denial. We got Dr. Joseph set up to accept credit card payments, handled patient collections professionally, and adapted our communication style to fit his workflow preferences—providing responsive support without ever overwhelming him.
The Result:
Claims now go out quickly and accurately, payments arrive faster, and denials are addressed immediately. Dr. Joseph no longer wonders where his money is or what’s happening behind the scenes—he has full confidence that his billing is under control. He describes the difference as night and day compared to his previous setup.
They Rescued My Practice from Billing Chaos
Before Forward Revenue Management, billing was a major source of stress. I relied on a shared receptionist for our small group of solo psychologists, but the process was slow and unreliable. When the group dissolved, I needed help fast, and FRM delivered. They made the transition seamless and immediately impressed me with fast claim submission, payment follow-up, and denial resolution.
— Dr. Jack Joseph, Psychologist
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Chiaradonna Consulting
The Problem:
Dr. Janice Chiaradonna had been managing her billing manually handwriting claim forms, mailing them, and tracking payments on her own. This outdated process slowed down reimbursements, consumed valuable time, and limited her practice’s financial efficiency. She was also not yet enrolled in Medicare, restricting her ability to serve a broader patient base.
FRM’s Solution:
FRM took over all billing and collections in January 2024, transitioning her practice to fully electronic claims and payment posting. We enrolled her with Medicare and ensured that every claim was submitted, tracked, and followed through to resolution. Throughout the process, we worked at her pace, communicating with respect and clarity while maintaining smooth, consistent operations behind the scenes.
The Result:
Dr. Chiaradonna now receives payments faster, has fewer denials, and no longer spends time managing her billing. The transition to electronic systems improved her cash flow and provided peace of mind. Confident in the results, she referred her niece to FRM—something we consider the highest compliment.
From Paper Claims to Paid Fast—
FRM Modernized My Practice
I was doing everything manually, handwriting claim forms, mailing them, and waiting weeks for answers. It was exhausting. Forward Revenue Management changed that completely. Claims are now submitted electronically, payments arrive faster, and I finally have time to focus on my patients without being buried in paperwork.
— Dr. Janice Chiaradonna, Founder