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Calming the Chaos of Expansion:
How RadNet Scaled with MediStreams

A Growing Network, A Growing Challenge

RadNet, the largest provider of outpatient diagnostic imaging services in the United States, has built its success on growth, both organic and acquisition-driven. With hundreds of imaging centers across nine states and dozens of new locations coming online each year, scalability is critical to the organization’s continued success. However, behind the scenes, this rapid growth and integration led to mounting complexity in the organization’s revenue cycle operations.

At the center of that complexity is remittance processing. With more than 25 bank accounts, dozens of tax IDs, and multiple revenue cycle platforms to manage, RadNet was relying heavily on manual work just to post payments and reconcile deposits. According to Sara Barefoot, Senior Director, Revenue Cycle Operations – Payment Performance at RadNet, much of the team’s time was spent printing, scanning, and re-keying paper EOBs into different systems.

“We had a large number of users just focused on manually posting paper EOBs. That meant printing, scanning, re-keying—all day, every day,” Barefoot recalled. “Once we automated with MediStreams, we were able to cut our posting team in half.”

But the transition to MediStreams wasn’t just about headcount savings. It was about freeing up internal capacity, improving accuracy, and making sure RadNet could continue expanding without being held back by inefficient processes.

“It’s not just automation for its own sake,” she said. “MediStreams helps us turn what was a chaotic, manual process into a streamlined, trackable workflow. Our teams now have time to focus on revenue recovery instead of just paper pushing.”

According to Michael LeBlanc, VP of Revenue Cycle, “We used to spend 80% of our time pulling data manually. Now, we spend that time recovering lost dollars and fine-tuning the operation.”

Seamless Integration into a Complex Ecosystem

MediStreams integrates directly into RadNet’s operational ecosystem, including eRAD medical imaging software, ImagineSoftware™, Availity, and JPMorgan Chase. That seamless fit is key to scaling without disruption.

“MediStreams sits right in the middle of our ecosystem and connects everything: our billing system, our bank, and our people,” explained LeBlanc. “That’s the key. You can have great software, but if it doesn’t integrate smoothly into your existing process, it’s just another tool. MediStreams is the glue.”

LeBlanc also emphasized how the ease of use helps drive team productivity. “One of the things I really appreciate is how intuitive MediStreams’ interface is,” he said. “You don’t need 10 training sessions to figure it out. Our teams can jump in and find what they need fast. That usability drives productivity.”

A True Partnership for Innovation

But what truly sets MediStreams apart, according to both Barefoot and LeBlanc, is the level of partnership and collaboration that underpins the relationship. From implementation to innovation, RadNet and MediStreams work together to refine, adapt, and enhance the platform based on real-world needs.

“They’re not just selling us a tool. They’re listening, adapting, and solving problems with us,” said Barefoot. “We’ve worked together to streamline how we handle correspondence, improve reconciliation logic, and prioritize updates that matter most to our workflows.”

This close collaboration ensures the platform evolves to meet the complexities of healthcare payments—a space where no two workflows, payer formats, or reconciliation scenarios are exactly alike.

“Healthcare payments are messy by nature. What we appreciate about MediStreams is that their system isn’t rigid. It’s flexible and purpose-built for the healthcare environment,” LeBlanc said. “They understand our business, and they’re willing to iterate with us to make sure we keep moving forward. MediStreams isn’t just a vendor. They are a strategic partner.”

With MediStreams, RadNet is doing more than just handling its existing volume more efficiently. It is positioning the company for strategic growth. When the company enters a new state or acquires new practices, the revenue cycle team can onboard and operationalize sites quickly, without rebuilding workflows from scratch.

“When we expand into a new state or acquire a new practice, we need to stand up 10 or 12 sites quickly,” LeBlanc said. “MediStreams gives us the confidence to scale without having to add headcount.”

Automation: The Secret to Scaling Efficiently

While high-growth goals are common among many specialty provider organizations, such as RadNet, the need to scale efficiently is equally essential to protecting margins. By automating manual tasks and enabling higher productivity among staff, MediStreams supports profitable growth.

LeBlanc added, “With the additional automation that MediStreams solutions enable, we’ve been able to handle rising volumes without increasing headcount, which is essential when you’re trying to scale a business this complex efficiently and profitably.”

Financial Outcomes

With MediStreams as the foundation, RadNet has turned the chaos of healthcare payments into a structured, scalable advantage. From reducing labor-intensive workflows to giving teams the tools to grow with confidence, the platform has become an integral part of RadNet’s revenue cycle strategy.

Since partnering with MediStreams, RadNet has:

About MediStreams

MediStreams provides healthcare payment and remittance automation solutions that streamline complex payment processes. With industry-leading accuracy, realtime visibility, and rapid configurability, the MediStreams Cascade™ product suite turns manual processes into automated workflows that empower organizations to post and reconcile payments faster, more efficiently, and in a scalable, cost-effective way. Follow us on LinkedIn or learn more at www.MediStreams.com.

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