Simplify Your Revenue Cycle. Strengthen Your Results.

MIBS helps skilled nursing facilities, healthcare practices, DME companies, and multi-location healthcare organizations recover revenue, reduce A/R, improve billing performance, and build stronger revenue-cycle operations.

You have already earned the revenue. We help you collect it, understand what is getting in the way, and build a stronger path forward.

A/R aging & exposure

Sample engagement
0–30 days
$184,200
31–60 days
$122,800
61–90 days
$74,500
90+ days
$135,900
$135,900 at write-off risk Quantified in the assessment.
27+ yearsRevenue cycle, collections and A/R leadership
Complex payersMedicare, Medicaid and multi-payer environments
Measured engagementsDenial rate, days in A/R, net collection rate
Selective by designCapacity committed to a limited client roster

Where revenue goes missing

Most organizations don't have a billing problem. They have seven.

Revenue leakage is rarely one broken thing. It accumulates quietly across the cycle, and by the time it shows up in the bank balance, the claims that caused it have already aged out.

01 — Most common

Aging A/R

Turn stagnant receivables into collected revenue and create a clearer path to healthier cash flow.

02

Denials

Identify the root causes behind denials and implement processes to reduce preventable revenue loss.

03

Revenue Leakage

Identify where earned revenue is being lost, delayed, or left uncollected.

04

Billing Inefficiencies

Find broken processes that slow reimbursement and create unnecessary administrative burden.

05

Staff Performance

Improve workflows, accountability, and productivity while giving teams the support they need to succeed.

06

Payer & Credentialing

Navigate payer enrollment, credentialing, recredentialing, and payer-related barriers to reimbursement.

07

Revenue-Cycle Strategy

Evaluate the entire revenue cycle and create a measurable, practical plan for improvement.

Who we work with

Built for organizations with real revenue-cycle complexity.

MIBS is not built to serve every provider. The work is most valuable where payer mix is complicated, volume is meaningful, and the cost of getting the revenue cycle wrong is measured in six figures.

Skilled nursing / LTPAC
Durable medical equipment (DME)
Multi-location provider groups
Medical practices with A/R exposure

Capabilities

Engagements defined by outcomes, not tasks.

Every capability below exists to move a number you can see on a report — not to add another line item to an invoice.

Revenue Cycle Management

Billing operations fragmented across staff, systems and vendors, with revenue lost at every handoff between them. The flagship engagement: end-to-end ownership of claim submission, payment posting, denial management, A/R follow-up and performance reporting.

Business impactPredictable collections and a documented cycle that survives turnover.

AR & Collections Optimization

Aging accounts drifting toward timely-filing limits while teams work the easiest balances first.

Business impactLower days in A/R and recovered cash from accounts already written off mentally.

Denial Management

Denials worked once, rarely appealed, and never traced back to the cause that generated them.

Business impactHigher first-pass yield and a falling denial rate you can trend month over month.

Revenue Cycle Assessment

Leadership suspects revenue is leaking but has no way to quantify where or how much.

Business impactA quantified diagnostic with prioritized recovery targets and a written plan.

Payer & Billing Optimization

Payer-level performance invisible, underpayments unreconciled, contract variance unnoticed.

Business impactIdentified underpayments and payer-specific fixes tied to real dollars.

RCM Consulting & Advisory

Leadership needs revenue-cycle expertise at the table without carrying a full-time executive hire.

Business impactOngoing strategic oversight and an accountable owner for revenue performance.

Workflow & Performance Optimization

Process undocumented, productivity unmeasured, and no shared definition of what good looks like.

Business impactDocumented workflows, defined KPIs and accountability that outlasts any one employee.

We don't just work your A/R. We find out why it's there.

MIBS looks beyond individual billing tasks to identify the operational issues contributing to lost or delayed revenue. We help organizations understand the full picture and take practical steps toward improvement.


What we evaluate
People
Processes
Technology
Payers
A/R
Denials
Workflow
Accountability
Reporting

The goal isn't simply to collect more today. It's to build a revenue cycle that performs better tomorrow — and gives your team a clearer path to success.

Built by revenue cycle experts. Built for results.

MIBS brings decades of hands-on healthcare revenue-cycle experience to organizations facing complex billing, reimbursement, A/R, staffing, and operational challenges. We combine practical expertise with a collaborative approach to help organizations understand their revenue cycle, strengthen performance, and move forward with confidence.

27+ Years of healthcare revenue cycle experience
$4.5M+ Monthly collections managed
40% DSO reduction achieved
16 Revenue cycle professionals led
Direct experience across
  • Skilled Nursing
  • Medicare
  • Medicaid
  • DME
  • Medical Billing
  • Accounts Receivable
  • Collections

How engagements work

Assess. Optimize. Manage or advise.

We don't quote a management contract before we've seen the numbers. Every relationship begins with an assessment, and many clients stop there — which is a legitimate outcome.

PHASE 01 — ASSESS

Quantify the leakage

We measure revenue leakage, exposure and recoverable dollars, then deliver a written diagnostic with prioritized targets. You own the findings whether or not you engage us further.

PHASE 02 — OPTIMIZE

Fix what the data proved

A defined project against the assessment findings — denial root causes, A/R recovery, payer reconciliation, workflow redesign. Scoped to what the diagnostic showed was worth fixing.

PHASE 03 — MANAGE OR ADVISE

Hold the gains

Ongoing management of the cycle, or advisory oversight of your internal team. Reported monthly against the metrics we agreed at the start.

Expertise

27+ years inside the revenue cycle.

MIBS was founded by Mia Walker after more than two decades in healthcare billing, collections and A/R leadership — the operator's view of why revenue goes missing, not the vendor's.

She has worked aged and legacy A/R, run denial management against difficult payers, navigated Medicare and Medicaid policy, and led billing teams through system changes and staffing turnover. That experience is the standard the firm works to: engagements scoped against what the numbers support, findings delivered in writing, and performance reported against metrics agreed before the work starts.

27+Years in revenue cycle leadership
A/RAged and legacy recovery specialist
CMSMedicare & Medicaid navigation
Aged & legacy A/R recoveryDenial managementPayer contract performanceOperational process improvementBilling team leadership

Where is your revenue leaking?

Your organization may be losing revenue in places you cannot see from the top-line numbers. MIBS can help identify potential problems in your A/R, denials, billing processes, payer workflows, credentialing, staff productivity, collections, and reporting.

MIBS Revenue Cycle Tools

Revenue Cycle Performance Dashboard (Template Kit)
$149.00

A plug-and-play Excel/Google Sheets dashboard that tracks key RCM metrics—A/R aging, denial trends, cash collections, and staff productivity—all in one place. Designed for managers who want real-time visibility and accountability.
Includes: step-by-step setup guide + sample KPIs.
💰 Price: $149

Billing & Collections Training Bundle
$299.00

A self-paced virtual training package covering the fundamentals of effective billing and A/R follow-up.
Modules include:

  • Understanding payer requirements

  • Timely filing best practices

  • Collections communication scripts

  • Reporting and reconciliation tips
    Includes: downloadable workbook + certificate of completion.
    💰 Price: $299

Denial Management Toolkit
$199.00

A complete resource designed to help billing teams identify, track, and prevent denials before they happen.
Includes:

  • Denial tracking log template

  • Root cause analysis form

  • Appeal letter templates

  • Denial prevention checklist
    Ideal for: Billing teams and managers looking to standardize and strengthen their denial workflow.
    💰 Price: $199

Find out what your revenue cycle is actually costing you.

A Revenue Cycle Assessment quantifies leakage, exposure and recoverable dollars — and gives you a written plan you own regardless of what you do next.

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