Services
Eight capabilities. One question behind all of them.
Where is revenue being lost, and what is it worth to fix? Each engagement below is defined by the problem it solves and the number it moves.
Eight capabilities. One question behind all of them.
Where is revenue being lost, and what is it worth to fix? Each engagement below is defined by the problem it solves and the number it moves.
Revenue Cycle Assessment
The entry point for every engagement.
Leadership knows revenue is being lost but has no defensible number for where, how much, or what it would take to recover it.
A structured diagnostic across eligibility, coding, denials, A/R, payer performance and workflow — with findings quantified in dollars and prioritized by recoverability.
A written assessment with recovery targets and a sequenced plan. Yours to act on with or without us.
Revenue Cycle Management
Full operational ownership of the cycle.
Billing operations are fragmented across staff, systems and vendors, and revenue is lost at every handoff between them.
End-to-end management: claim submission and scrubbing, payment posting, denial management, A/R follow-up across every aging bucket, and monthly performance reporting.
Predictable collections, a falling denial rate, and a documented cycle that does not depend on any single employee staying.
A/R & Collections Optimization
For organizations with aging exposure.
Aging accounts drift toward timely-filing limits while teams work the easiest balances first, because nothing tells them which accounts are actually worth the hour.
Root-cause analysis on stalled claims, high-yield account prioritization, timely-filing rescue where still possible, and compliant patient-balance handling.
Reduced days in A/R and recovered cash from accounts the organization had effectively given up on.
Denial Management
For organizations losing yield on first pass.
Denials are worked once, rarely appealed, and almost never traced back to the upstream cause that generated them — so the same denial returns next month.
Denial tracking and categorization, root-cause analysis by payer and reason code, appeal workflows, and prevention controls at the point of failure.
Higher first-pass yield and a denial rate you can trend downward month over month.
Credentialing & Payer Enrollment
For organizations adding providers or payers.
Providers sit unbilled for months while enrollment paperwork stalls, and no one can say which application is where or what is blocking it.
Initial credentialing and recredentialing, payer and provider enrollment, CAQH maintenance, payer documentation, and status tracking through to approval.
Providers billing sooner, fewer enrollment-related denials, and a visible pipeline of every application in flight.
Payer & Billing Optimization
For organizations with complex payer mix.
Payer-level performance is invisible. Underpayments go unreconciled and contract variance goes unnoticed because no one is watching yield by payer.
Payer performance analysis, underpayment identification, contract variance review, and payer-specific billing corrections.
Recovered underpayments and a clear view of which payers are actually worth the administrative cost.
RCM Consulting & Advisory
Expertise without a full-time executive hire.
Leadership needs revenue-cycle expertise at the table for decisions on systems, staffing, vendors and payer strategy — but not a permanent salary line.
Ongoing advisory engagement: performance review, strategic guidance, vendor and system evaluation, and oversight of the internal team.
An accountable owner for revenue performance and better decisions on the choices that compound.
Workflow & Performance Optimization
For teams that lose knowledge to turnover.
Process is undocumented, productivity is unmeasured, and there is no shared definition of what good performance looks like.
Workflow documentation and redesign, KPI definition, staff training and development, and accountability structures that survive staffing changes.
Documented operations, measurable productivity, and institutional knowledge that stays with the organization.
One published price. Everything else is scoped.
| Engagement | Best suited to | Investment |
|---|---|---|
| Revenue Cycle Assessment | Organizations that need leakage quantified before committing to anything further | Starting at $1,500Scoped by facility count and A/R volume |
| RCM Optimization Project | Defined remediation against assessment findings | CustomScoped to findings |
| Monthly RCM Advisory | Internal teams needing ongoing expert oversight | CustomScoped to engagement level |
| Managed A/R & Denials | Organizations outsourcing A/R and denial workflows | CustomScoped to A/R volume |
| Full RCM Management | End-to-end ownership of the revenue cycle | CustomScoped to claim volume & payer mix |
| Enterprise / Multi-Facility | Multi-site and multi-entity organizations | CustomScoped per organization |
Scope and investment reflect claim and patient volume, number of facilities, payer mix, A/R volume and aging, current billing performance, staffing requirements, systems in use, and the complexity of the engagement.
Start with the assessment.
If we are not the right firm for your organization, we will tell you on the first call.