When the unexpected happens, even the most advanced medical centers can find their billing operations suddenly at risk. That’s exactly what occurred for a leading Neurospine Specialty Center in Wisconsin when their Practice Management Software (PMS) vendor went bankrupt, leaving their entire billing infrastructure in limbo. Overnight, their billing operations were paralyzed, and millions of dollars were stuck in pending claims.
The team faced a critical question: How can we keep claims flowing while transitioning to a new vendor, without losing months of revenue?
While most vendors refused to take on their old AR, We Shoreline Healthcare Technologies stepped in and helped the facility recover $2.8 million in claims that everyone else walked away from.
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A Neurospine facility that offers comprehensive neurological, spinal, and pain management services at Wisconsin with advanced surgical and diagnostic technologies, supported by a multi-specialty provider team.
Location:
Southern Wisconsin
Annual patients volume:
approx. 20,000–25,000
Providers:
approx. 15–20
Annual Revenue:
approx. 18–22 million dollar
The facility’s long-time PMS vendor suddenly went bankrupt, leaving them stranded with over $6 million AR pending in the old system. While the practice arranged a contract with a new vendor using an upgraded version of the same PMS with a notice of 3 months transition period. The real problem came when the new vendor refused to take responsibility for the existing AR, citing compatibility issues and liability concerns. The entire backlogs, years of claims and unpaid balances was left behind in an unsupported, outdated system. they refused to take responsibility for the old AR, calling it “unworkable” and advising them to write it off.
For a high-volume specialty practice generating thousands of claims each month, the consequences were serious, delayed reimbursements, interrupted cash flow, and a growing administrative burden. The practice was facing the risk of significant revenue loss unless someone could find a way to retrieve and process the old data quickly.
Our team immediately took ownership of the entire legacy AR that others rejected. We developed a hybrid workflow to keep both old and new claims active, ensuring complete billing continuity and consistent revenue recovery. Our technical team developed an in-house software tool customized to interface directly with the old PMS. Within a week, we built a secure, cloud-based system capable of reading, mapping, and processing data from the discontinued platform.
Once the tool was ready, our team migrated all the existing AR from the legacy system into our new software, creating a fully functional workspace for claim tracking, payer communication, and reporting. This innovation not only saved the facility from the time and cost of a complete system overhaul but also allowed billing operations to resume without a single day of downtime.
Our team acted swiftly to ensure zero downtime during the migration, and implemented a dual-track billing strategy designed to keep the operations run smoothly at the same time recover the old AR.
Our engineers extracted all financial data from the old PMS and integrated it into Shoreline’s newly built platform. Every pending claim was indexed, validated, and assigned a recovery workflow.
After migration, Shoreline’s certified RCM specialists began manually reviewing and submitting each claim using our new interface. Claims were cross verified against payer rules to ensure compliance and minimize denials.
As the client’s IT and vendor teams worked on the new PMS installation, Shoreline established a parallel workflow. All new encounters and claims were entered directly into the new software while legacy claims continued through the old one ensuring there was never a gap in cash flow.
Within a year, all legacy AR was resolved, and both systems were synchronized for audit readiness. Our team reconciled all payments, closed aged claims, and generated detailed financial reports for the client.
0 billing interruptions during the three-month transition.
All pending claims processed manually through the legacy PMS.
Claims processed manually during the transition
of First Pass Claim Acceptance
of old AR collected successfully.
AR Recovered
All new claims migrated seamlessly to the new system.
Complete AR resolution achieved within 12 months.
“When our PMS vendor went bankrupt, we feared months of chaos. Shoreline’s team didn’t just stabilize our billing, they kept everything running as if nothing had changed. Their hands-on approach saved us from potential financial loss.”
— Practice Administrator, Neurospine Center in Wisconsin
My first time in solo practice I was very concerned about my
ability to manage "the business side" of medicine. The
personalized care and guidance this group provided to me and
my staff were really a life saver. They always had quick
turnaround on any questions I sent in, and were very
knowledgeable for problem solving on the fly! I never feel
like just a number, as I might have with a large
corporation.
“We use Shoreline Healthcare technologies for all our
billing needs, the support is second to none! They are
always up to date with coding updates which helps to ensure
timely billings and prompt payments. I highly recommend
Shoreline Healthcare technologies for your billing needs.”
I have been using Shoreline Healthcare technologies for
almost 2 years, and I could not be more pleased with their
service. They really care about my business. With all the
complexities of medical billing, we needed a professional
partner to help us. Shoreline delivered.
We switched to Shoreline Healthcare technologies. Our claims
are getting paid, and we are getting friendly, knowledgeable
service. We highly recommend Shoreline.
I’m a small pediatric OT practice and have been with
Shoreline for several years now. They have made it so easy
for me to keep my focus on patient care by being so
knowledgeable and so efficient with all aspects of my
billing. When I do have questions, they are always available
and able to help quickly. Couldn’t be happier!
Thanks so much for working so hard to help my company:) It
sound cheesy, but having a biller I could trust changed my
life by giving me the headspace/time to focus on clinical
work, scale my business and sleep better at night. I've had
quite a few people ask about you on Facebook Messenger from
my posts. Overall, the feedback I've heard back from
everyone is that you guys are very responsive and helpful.
Hi, following up on our conversation about Shoreline. I did
let them know that I had some concerns and they were very
understanding. They have been very responsive and proactive
in their billing process, reports and communication. It has
been very good. Thank for recommending them.
Before Shoreline, billing was a constant headache. Now, our
reimbursements are faster, and I’m no longer chasing unpaid
claims. Their team handles everything so efficiently, it’s
one less thing I need to worry about.
We at Shoreline Healthcare Technologies go beyond claim submissions to build lasting partnerships that drives revenue, compliance, and confidence.
Secure & Encrypted Platform. Every process we follow meets 100% HIPAA privacy and security standards.
Expert billing staffs with hands-on experience across multiple specialties.
Round the clock assistance whether it is a claim update or a reporting query, our support team is just a call or message away.
We deliver enterprise-level billing expertise without the heavy overhead.
Secure, easily accessible and interoperable cloud-powered systems.
From solo practices in Texas to large hospitals in New York we cover diverse geographical areas.
From Billing companies in California to Nurse practitioners in Washington we serve multiple specialities.
Whether your practice is upgrading systems, facing claim backlogs, or preparing for a vendor change, Shoreline Healthcare Technologies helps Providers to have a smooth transition.
Contact us today for a free financial audit or start a 15-day free trial of our complete RCM cycle.
