Reviving Revenue Cycle Operations with a Modern SaaS RCM Platform
Company Background
A leading revenue cycle management (RCM provider in the behavioral health space) supports healthcare organizations by optimizing billing, claims processing, and reimbursement workflows. Its comprehensive service portfolio spans benefits verification, utilization review, electronic claims submission, claim scrubbing, UB04 & HCFA-1500 billing, follow-ups, payment posting, reporting, and document management, that allowed providers to focus on patient care while maximizing revenue outcomes.
Industry
The Challenges
Despite its strong domain expertise, the organization’s legacy billing and claims platform had become a growth bottleneck. As regulatory complexity increased and client volumes grew, the existing system struggled to scale, adapt, and integrate with modern healthcare workflows.
The need was clear: a future-ready, scalable SaaS platform purpose-built for modern healthcare revenue cycle management.
Key challenges included:
- Complex, poorly documented legacy code that was difficult to modify or extend
- Outdated technology stack prone to errors and performance limitations
- Limited internal technical bandwidth to modernize and maintain the platform
- Integration risks when connecting new components with existing systems
- Scalability constraints in handling growing data volumes and client demands
The Solutions
Sigma Solve partnered with the organization to architect and deliver a next-generation, cloud-based SaaS billing and claims management platform designed for performance, scalability, and compliance. This approach ensured a smooth transition from legacy constraints to a modern, extensible RCM platform.
The solution included:
- Comprehensive legacy system analysis to understand architecture, dependencies, and migration paths
- Task prioritization and phased modernization, minimizing disruption to ongoing operations
- Modern technology stack using C#, Angular, SQL Server, and scalable cloud components
- SaaS-first architecture, enabling flexibility, accessibility, and cost efficiency
- Robust integration testing using standardized APIs to ensure seamless interoperability
- Collaborative development model, aligning closely with business stakeholders
- Agile delivery approach with regular sprints, demos, and feedback loops to ensure continuous improvement
The Outcomes
By modernizing its revenue cycle platform with Sigma Solve, the organization gained a scalable, future-proof SaaS solution that delivers measurable financial impact, operational resilience, and a competitive edge in the healthcare RCM market.
The new SaaS platform transformed revenue cycle operations, positioning the organization for long-term growth and operational excellence.
Key outcomes included:
Sigma Solve’s cloud-based SaaS billing and claims management platform enabled IBHS to modernize its revenue cycle operations and unlock measurable business value. By partnering with Sigma Solve, IBHS gained a future-ready, scalable, and secure RCM platform that delivers sustained operational efficiency and revenue growth.
40–50% improvement in operational efficiency through automated workflows, faster claim handling, and reduced manual intervention.
~35% reduction in claim processing time, accelerating submissions, follow-ups, and reimbursements.
3× scalability achieved, allowing IBHS to support growing client volumes without system performance bottlenecks.
~20% reduction in operational costs by eliminating legacy infrastructure and minimizing maintenance overhead.
Significant reduction in staff training time enabled by an intuitive UI and simplified workflows.
Client Testimonial
