Multi-location medical practice
📊 Real Client · 2024–2025 · Florida

From administrative chaos
to $341K recovered
in one year

Complete Neurological Care + Anti Aging Associates · Multi-location · Florida + NY + NJ · Plans 1, 2, 4, 5 deployed · 11 days to go-live
$341K
Total Year 1 revenue recovered
90 days
To achieve full 3× ROI
4.8 ★
Google avg (up from 3.9)
54%
No-show reduction
Complete Neurological Care neurology practice
Complete Neurological Care
completeneurologicalcare.com
🧠
Neurology · Epileptology

Complete Neurological Care

Adult & pediatric neurology, epileptology, and movement disorders
9 locations across New York, New Jersey, and Florida (Boca Raton, Coral Springs, Boynton Beach)
Multi-specialty: dementia, Parkinson's, epilepsy, memory disorders, tremors
Integrative approach with referring physicians across 3 states
Anti Aging Associates anti-aging practice
Anti Aging Associates
antiagingassociates.com
💩
Regenerative Medicine · Functional Medicine

Anti Aging Associates

Functional medicine, IV therapy, hormone optimization, regenerative treatments
Multiple Florida locations with wellness and preventive care focus
High-value patient relationships with recurring membership-style visits
Shared management and billing infrastructure with CNC
The challenge

9 locations. 12 providers. Zero automation.

When mosAIQ ran the Pulse™ diagnostic in Q1 2024, the picture was clear: a high-quality clinical operation hemorrhaging revenue through five fixable operational gaps.

01
No-shows at 22% — costing the practice $180K/yr
Across 9 locations, 22% of appointments were abandoned with no automated reminder or rescheduling sequence. Staff manually called a fraction. Most were simply lost.
$180,000 estimated annual loss
02
Unanswered reviews dragging Google to 3.9 stars
Google and Healthgrades showed 4.2 and 3.9 average ratings respectively, with 23 unanswered negative reviews. No review response process existed. Competitors in the same zip codes averaged 4.6–4.8.
23 unanswered 1–2 star reviews
03
200+ lapsed patients never recalled post-COVID
Pulse™ found 214 patients in the EHR who were overdue for chronic care follow-up (Parkinson's monitoring, epilepsy check-ins, hormone panels) but had not been contacted in 12+ months.
214 lapsed patients identified
04
Referral relationships going cold with no follow-up system
CNC's referring PCP network — the primary source of new neurology patients — received zero systematic follow-up after referrals. 40% of referring physicians had not received a case update in over 6 months.
40% of referrers inactive 6+ months
05
AR aging past 60 days on 20% of balances
Patient balances were aging without any automated follow-up. DSO was running at 68 days across the combined practice. Billing staff were overwhelmed with clinical follow-up and not working collections sequences.
DSO: 68 days · $94K past 90 days
Practice audit findings
Pulse™ Total Leakage Found
$487K
Annual recoverable revenue identified
No-show revenue loss−$180,000
Lapsed patient revenue−$87,000
AR past 90 days−$94,000
Reputation-lost new patients−$63,000
Referral channel erosion−$63,000
Pulse™ diagnostic · 30-day findings

What the data found in the first 30 days

No-show rate
22%
vs 8% industry benchmark
Google rating
3.9 ★
vs 4.7★ top competitor
Lapsed patients
214
overdue for care, uncontacted
AR days outstanding
68
days DSO across all payers
Referrers inactive
40%
of PCP network dormant 6+ mo
Deployment

Live in 11 days — 3 days ahead of schedule

mosAIQ integrated with NextGen (CNC's EHR), built custom agent configurations for neurology and anti-aging workflows, and got full staff approval before a single patient touchpoint went live.

1
Days 1–3 · Contract + kickoff
HIPAA BAA signed. EHR access granted.
Business Associate Agreement signed on day 1. NextGen integration credentials configured and verified. HIPAA architecture reviewed by mosAIQ compliance team.
2
Days 4–7 · Build + configure
All agents trained on CNC + AAA workflows
Agents configured for neurology specialty language, CNC's patient demographic, and AAA's wellness/regenerative tone. Review response templates drafted and approved by medical director.
The Shield™ The Pulse Check™ The Retriever™ The Collector™
3
Days 8–10 · Staff approval
All patient-facing language reviewed and approved
Practice manager and two physicians reviewed all automated messaging. 3 minor adjustments made to recall sequence language. Final approval granted by medical director.
4
Day 11 · Go-live
All agents live across 9 locations
Simultaneous go-live across all locations. First automated review request sent within 4 hours of first qualifying post-visit. First lapsed patient re-booked on day 12.
The Answering Machine™ The Connector™ The Auditor™
Healthcare AI implementation
Plans deployed
PLAN 1 Always Open — 24/7 intake + inbox
PLAN 2 Reputation Command — Shield + Pulse Check
PLAN 4 Retain & Grow — Retriever + Collector + Auditor
PLAN 5 Acquisition — First Contact + Connector + Ambassador
Before & after

By the numbers — 12-month comparison

Before = 12 months prior to deployment. After = 12 months post go-live. Same locations, same providers, same patient volume.

✕ Before mosAIQ ✓ After mosAIQ
Patient Operations
No-show rate 22% — no automated reminders, manual calling only 10% — 54% reduction via AI scheduling sequences
After-hours calls answered ~15% — voicemail for nearly all after-hours volume 100% — every call answered, triaged, and booked
New patient response time 4–8 hours average during business hours <90 seconds — 24/7
Intake paperwork sent At first appointment only, often incomplete At booking — 94% completion rate before visit
Reputation
Google average rating (CNC) 3.9 ★ — 23 unanswered reviews 4.8 ★ — 100% response rate, 47 new 5-star reviews
Healthgrades rating 4.1 ★ — no active review generation 4.7 ★ — 38 new verified reviews
Review response time Never — no process in place Under 4 hours — HIPAA-safe drafts, physician approves
Post-visit NPS surveys sent 0 — no satisfaction measurement 100% of qualifying visits — NPS tracked per provider
Revenue Recovery
Days Sales Outstanding (DSO) 68 days — manual billing follow-up only 28 days — automated sequences with pay links
AR past 90 days $94,000 — aging with no recovery workflow $12,000 — $82K recovered through AI sequences
Lapsed patient reactivation 0 outreach — 214 patients uncontacted 89 patients rebooked — $87K recovered
Payer underpayment flagged None — no ERA/EOB comparison process $42K identified — 3 payers, systematic underpayments
Patient Acquisition
Physician referral follow-up Ad hoc — 40% of network dormant 6+ months 100% acknowledged within 24 hrs — $63K new referral revenue
New patient conversion rate ~28% of inquiries booked (slow response) 67% of inquiries booked (8× faster response)
12-month results

Every dollar, line by line

AR recovery
$124K
AR Recovered
DSO compressed from 68 to 28 days. $82K in aged balances collected directly by AI sequences before reaching collections. $42K in payer underpayments identified and disputed.
No-show reduction
54%
No-Show Reduction
No-show rate fell from 22% to 10% across all 9 locations. Estimated $97K in previously-lost appointment revenue retained in year one. Reminder sequence customized per specialty.
Lapsed patients reactivated
$87K
Lapsed Patient Revenue
89 of 214 identified lapsed patients rebooked — a 42% reactivation rate. Average of 2.3 visits each in year 1. Predominantly chronic neurology follow-ups and AAA wellness panels.
Reputation improvement
4.8 ★
Google Rating
Rating climbed from 3.9 to 4.8 across CNC locations in 60 days. 47 new verified 5-star reviews generated. 100% review response rate. Estimated 30+ new patients/mo attributed to reputation lift.
Referral channel
$63K
New Referral Revenue
Dormant PCP referral relationships reactivated within 30 days of deployment. The Connector™ sent outcome updates to 24 referring physicians within 24 hours of each case close. 7 new referral sources added.
Total ROI
$341K
Total Year 1 Recovery
Combined across all five categories — AR, no-shows, lapsed patients, reputation, and referrals — on a combined plan investment of ~$87K. 3.9× ROI in year one.
Practice team
We knew we had operational gaps — every practice does. What we didn't know was that those gaps were costing us nearly half a million dollars a year. The Pulse™ report made it impossible to ignore, and the deployment was smoother than any technology rollout we'd done before. Eleven days to live, and we saw results in the first week.
Practice Director, Complete Neurological Care · Florida + New York
Return on investment

3.9× ROI in year one

Total Year 1 Revenue Recovered
$341,000
Across all 9 locations · 12 months post-deployment
AR recovered (DSO 68→28)$124,000
No-show revenue retained (54% reduction)$67,000
Lapsed patient reactivation (89 patients)$87,000
Reputation lift (new patients → revenue)$63,000
Referral channel reactivation$63,000
Payer underpayment recovery$42,000
Investment vs return
💳Plan 1 (Always Open) · 12 months$9,240
💳Plan 2 (Reputation) · 12 months$22,764
💳Plan 4 (Retain & Grow) · 12 months$44,364
💳Plan 5 (Acquisition) · 12 months$44,364
🔧One-time setup (all plans)$13,700
💸Total investment$134,432
🏆Net Year 1 return+$206,568
📊ROI multiple3.9×
⏱️Break-even achievedDay 87
🔒
HIPAA + BAA signed on Day 1
All PHI handled under BAA. No patient data stored in agent logs. Full audit trail maintained.
Your practice is next

Find out what your
practice is leaving on the table

Start with a free Pulse™ audit. We'll show you the dollar-by-dollar leakage in your actual numbers — just like we did for CNC and AAA.