Emmett Bernsohn
Women Specialists of Katy TX is a comprehensive women’s health practice serving the greater Katy, Texas area. Led by four board-certified physicians and a nurse practitioner, the practice provides a full range of obstetric and gynecological services — including pregnancy care, delivery, postpartum care, gynecological surgery, infertility evaluation and treatment, and menopausal management — across 10 departments spanning multiple clinic and hospital locations.
As a multi-location women’s health practice managing a high volume of obstetric and surgical claims, Women Specialists of Katy TX faced a challenge common to growing specialty groups: fragmented patient billing communication across sites, aging balances with no consistent follow-up strategy, and small balances that were economically difficult to pursue through manual outreach.
Women Specialists of Katy TX partnered with Rivia Health in September 2023. The results below reflect September 2023 – July 2026 — nearly three years into the partnership.
Performance at a glance
The challenge
Women’s health practices carry a distinctive billing profile. Obstetric and surgical episodes produce a wide spread of patient balances — from under ten dollars to significant surgical deposits — spread across clinic offices and hospital-based departments. Many smaller balances are uneconomical to chase through manual outreach, yet they accumulate into meaningful lost revenue over time.
Before Rivia Health, the billing team managed patient payment follow-up manually across every department and location. Balances aging past 90 days grew increasingly unlikely to be paid, small balances were routinely written off, and limited visibility into patient consent status made targeted outreach difficult to scale.
The practice needed a solution that could reach patients where they already are — by text and email — without adding work for staff, and that could capture revenue across the full spectrum of balances, including those that would otherwise be written off.
The Rivia Health solution
Rivia Health works alongside the existing practice management system to automate patient payment follow-up from the moment a balance enters billed status. Patients receive personalized, HIPAA-compliant communications by text and email, with outreach coordinated across every department and location the practice operates.
There is no portal to log into, no app to download, and no account to create. Patients tap a secure link, verify their identity, and see their outstanding balance. They can pay in full or set up a payment plan in a couple of minutes.
For Women Specialists of Katy TX, Rivia Health unified billing communication across all 10 departments and locations, giving the billing team real-time visibility into consent status and freeing staff from manual balance follow-up to focus on complex cases and patient relationships.
Patient engagement at scale
Effective patient payment follow-up starts with reaching patients in a way they will actually respond to. Over the engagement period, Rivia Health sent 53,465 automated communications to 4,130 patients on behalf of Women Specialists of Katy TX — by text and email, coordinated across every department.
Rivia Health consolidates all outstanding balances into a single communication per patient rather than sending separate messages for every bill, reducing message fatigue and driving higher engagement. Patient consent rates enabled that outreach to scale compliantly:
Strong, active consent across the patient population meant outreach could scale with confidence. With the large majority of patients reachable by text or email, the practice could engage its full population without relying on staff phone calls.
Billing staff time recovered
Every patient balance resolved through Rivia Health is a balance that did not require a phone call, a paper statement, or manual follow-up from the billing team.
With 1,583 payments captured through Rivia Health, and an estimated 5 to 10 minutes saved per payment, Women Specialists of Katy TX recovered an estimated 132 to 264 hours of billing staff time — time redirected to patient care and higher-value work across the practice’s 10 departments.
“Rivia Health has been a valuable partner for our practice. They have helped us capture more patient revenue, streamline billing workflows, and reduce manual work for our team. By automating much of the process, we’ve been able to improve efficiency without compromising the compassionate care we strive to provide every day.”
Kristalin Pardalis — Office Manager, Women Specialists of Katy TX
Aged balances: ROI that pays for itself
One of the most compelling outcomes for any practice evaluating Rivia Health is what happens to balances that have already aged past the point where most billing workflows stop trying. Most workflows stop meaningful outreach at day 90. Rivia Health does not — communication continues, with adjusted frequency and tone, because those balances still represent real revenue.
For Women Specialists of Katy TX, the combined recovery on balances aged past 90 days and small balances under ten dollars delivered a 3.0X return relative to the cost of the platform over the same period — revenue that, under most workflows, would have been written off entirely.
Across the full engagement, total revenue captured through Rivia Health represented 13.7X the cost of the platform. Even before counting payment plan adoption and staff time savings, Rivia Health delivered a return several times over on aged and small-balance recovery alone — with every other dollar captured as incremental value on top.
Small balances recovered
In most practices, patient balances under ten dollars are treated as a cost of doing business — too small to justify a phone call or a paper statement, so they get written off. But they add up. Across a multi-location women’s health practice handling thousands of patient encounters, those small balances represent a pool of revenue that otherwise disappears from the books.
Because Rivia Health’s automated outreach costs the same whether a balance is five dollars or five thousand dollars, every balance gets follow-up — including the ones no staff member would have time to chase manually. These recovered balances factor directly into the 3.0X return on aged and small-balance recovery above.
Reduced patient AR days
The speed at which patients pay directly affects a practice’s cash flow and its ability to meet operating expenses without drawing on credit. The industry average for patient accounts receivable sits at approximately 60 days.
With Rivia Health, patients at Women Specialists of Katy TX paid in an average of 41 days — roughly 32% faster than the industry average. Faster resolution shows up early: 58% of balances cleared within 15 days of engagement, and 68% within 30 days — reducing the need to carry receivables and improving the practice’s cash position month over month.
Payment flexibility drives resolution
Not every patient can pay a balance in full. For a women’s health practice with surgical and hospital-based balances, offering flexible payment options is essential to capturing revenue that would otherwise stall.
Rivia Health makes it easy for patients to set up a payment plan directly from a text or email link, without calling the office — capturing revenue from patients who are willing to pay but need a manageable schedule.
Summary
Since partnering with Rivia Health in September 2023, Women Specialists of Katy TX has seen measurable, data-backed improvement across every dimension of patient revenue capture. Over September 2023 – July 2026:
- 1,583 patient payments captured across 10 departments and multiple locations, without added manual staff outreach
- 53,465 automated communications sent to 4,130 patients, with 92% text and 92% email consent on file
- 132 to 264 hours of billing staff time recovered and redirected to higher-value work
- 3.0X return on aged (90+ day) and small-balance recovery alone — revenue that would otherwise have been written off
- 13.7X overall return on investment across the full engagement
- Patient AR days averaging 41 days, roughly 32% faster than the 60-day industry average
- 14% of paying patients used flexible payment plans, keeping larger balances on track instead of aging into collections
Rivia Health helps specialty practices capture more patient revenue, reduce staff burden, and get paid faster — with a flat monthly subscription and no disruption to your workflow.
See what it can do for your practice: request a 20-minute consultation or explore more customer stories.
