How The Cardiovascular Center of Florida Cut Patient AR Days by 75% with Rivia Health

The Cardiovascular Center of Florida has been a trusted leader in cardiovascular care across Central Florida for over 20 years. The practice provides the full spectrum of cardiovascular services — from diagnostic imaging and chronic condition management to advanced, minimally invasive procedures.

With a team of 30 board-certified physicians and 11 locations spanning Orlando, Kissimmee, Clermont, Lake Mary, Lake Nona, and surrounding communities, the practice serves one of the largest cardiovascular patient populations in the region.

The Cardiovascular Center of Florida partnered with Rivia Health to automate patient payment outreach across the full lifecycle of a balance. The results below reflect the practice’s first quarter on the platform.

Performance at a glance: first quarter

The challenge

Like many large cardiovascular practices, The Cardiovascular Center of Florida faced a persistent challenge with patient balances that aged well past 90 days with no resolution. Their existing billing workflows relied on a limited number of statement cycles, and once a balance aged beyond the standard communication window, the practice had few options beyond writing off the balance or sending it to collections — damaging patient relationships and sacrificing revenue.

With 30 physicians across 11 locations, the practice’s billing staff was spending significant time on manual follow-up for outstanding balances — time that could be better spent on higher-value tasks. The practice needed a solution that could automate patient outreach across the full lifecycle of a balance — not just the first 90 days — while making it as easy as possible for patients to pay.

The Rivia Health solution

The Cardiovascular Center of Florida implemented Rivia Health to automate patient payment outreach with behavioral, engagement-driven text and email messaging. Rivia Health’s platform integrated directly with the practice’s EHR, enabling bi-directional, real-time data sync with zero IT lift or workflow changes for staff.

Key capabilities deployed:

• Unlimited behavioral messaging — continuous outreach until each balance is resolved, not limited to a fixed statement cadence
• Frictionless, no-login payments — tokenized payment links via SMS let patients pay with Apple Pay or Google Pay in two taps
• Self-service bundled payment plans — patients can set up their own payment plans without staff involvement
• Post-90-day automated workflows — continued communication on aged balances that competitors would stop pursuing
• Small balance collection — outreach on balances under $10 that are typically written off

The results

In their first quarter with Rivia Health, The Cardiovascular Center of Florida saw immediate, measurable impact across every dimension of patient revenue capture.

Patient engagement

One of the biggest concerns practices have with automated outreach is patient fatigue — will patients opt out? The data from the practice’s first quarter tells a compelling story.

With only 112 unsubscribes out of 81,123 automated messages — a 99.86% retention rate — patients overwhelmingly welcomed Rivia Health’s communication approach. The behavioral, personalized messaging resonated with patients rather than driving them away.

Staff time saved

Every patient balance resolved through Rivia Health’s automated platform is a balance billing staff no longer need to follow up on manually. Industry estimates put manual follow-up at 5–10 minutes per balance — pulling up the account, reviewing the balance, placing a call or generating a statement, and logging the activity.

At an estimated 5–10 minutes saved per balance, that’s roughly 164–328 staff hours returned to the practice in the first quarter alone — time redirected to patient care, insurance follow-up, and other high-value work. And all 263 payment plans were created by patients themselves through Rivia Health’s self-service platform, requiring zero staff involvement.

Return on investment

Rivia Health’s performance on capturing balances past day 90 alone covered 120% of the total annual cost of the platform in the first quarter — a 5X monthly ROI on aged balances alone. Factoring in the full volume of 1,969 transactions, the 75% reduction in AR days, the 164–328 hours of staff time saved, and ongoing collections from 263 automated payment plans, the return is substantial and immediate.

The bottom line

569 of the 1,969 transactions Rivia Health collected for The Cardiovascular Center of Florida came from balances that had already aged past 90 days — the point at which most billing solutions stop communicating and many practices send accounts to collections. At the same time, Rivia Health reduced the practice’s average patient AR from 60 days to just 15 — a 75% improvement — while delivering a 99.86% patient engagement retention rate across more than 81,000 automated communications. Without Rivia Health, these aged balances would have been lost revenue or subject to 30–50% collection agency fees.

Why it matters

Traditional billing solutions and collection agencies leave significant revenue on the table. Most stop outreach at 90 days, ignore small balances under $10, and require patients to log into portals or call the office to set up payment plans. Rivia Health eliminates all of these gaps:

Rivia Health is the AI-driven patient payments platform for specialty practices, built to deliver better financial outcomes for providers and their patients. By automating revenue workflows across the entire patient payment journey, Rivia Health enables providers to lower cost to collect, reduce aging A/R, offset administrative burden, and remove friction from the billing experience. A KLAS Top 20 Emerging Solution, Rivia Health helps providers capture more of the revenue they’ve already earned, while keeping care at the center of every patient experience.