Case Study: Marshall Medical Center

About the Client

Marshall Medical Center, a nonprofit, healthcare provider located in the heart of the Sierra foothills is a fully accredited acute facility with 125 beds. With several outpatient facilities and primary and specialty care clinics, Marshall Medical Center provides quality healthcare services to the 180,000 + residents of El Dorado County.

From day one, Healthfuse streamlined the vendor integration process while simultaneously driving A/R efficiencies and improving our collections performance without sacrificing the patient financial experience. The Healthfuse team does the hands-on and detailed work to manage all our vendors and proactively connects us with new ones as our needs grow.

Karen Dostart, Director Hospital
Home Health Billing, OP Scheduling, & Revenue Contracting


Marshall Medical Center previously used separate systems to house inpatient and outpatient records, combined the two into an EPICTM program, entering into a partnership with UC Davis. The new EMR system integration came with big expectations, and while the initial process went smoothly, several challenges occurred with existing vendor relationships. As a Level III Trauma Center, Marshall needed to continue business as usual without disrupting standard billing processes and cash flow. An initial assessment revealed increased accounts’ days in A/R, rising inventory, and issues with self-pay and early out vendors.


Marshall partnered with Healthfuse to coordinate and manage all of the vendor extractions and implementation as part of their EPIC® conversion.


Healthfuse identified $1.9M in initial collections improvement and cost savings.

initial collections improvement

To date, Healthfuse has delivered:

Collections Improvements

Collections Improvements of $1.9M

  • Facilitated in-house early-out-self-pay program partnership with Flywire Health to reduce unnecessary placements
  • Implemented online bill payment gateway to improve collections performance

Cost Savings

Invoice Recoveries of $25K

  • Coordinated with all vendors to get current inventories out in a timely manner
  • Applied a multi-step review process to determine vendor over-invoicing

Contract Savings of $93K

  • Negotiated improved contract rates for all revenue cycle vendors
  • Reduced number of days in A/R