Revenue Optimization

The Challenge

Every healthcare organization experiences revenue cycle friction, rising denial rates, decreasing payor reimbursement, credentialing delays, climbing DSO, unexplained revenue variance. But most lack the diagnostic visibility to distinguish symptoms from root causes.

Your team sees the impact: slow collections, piling A/R, denied claims that never get appealed. What they often can’t see is why, whether it’s workflow breakdowns, coding inconsistencies, contract non-compliance, technology gaps, or staffing misalignment. Without a clear baseline, improvement efforts are scattered, reactive, and short-lived.

The cost of guessing is significant. Organizations with denial rates above 10% and DSO over 60 days are typically leaving 5–15% of potential performance on the table.

Our Approach

We don’t deliver generic benchmarking reports. Our RCM Assessment is a hands-on, data-driven diagnostic performed by operators who have built and run revenue cycle operations for healthcare organizations nationwide.

We embed alongside your team to understand not just the numbers, but the people, processes, and technology behind them. The result is a prioritized, actionable improvement roadmap, not a binder of recommendations that collects dust.

Root cause analysis tied to your specific RCM workflows and payor contracts

Led by operators and advisors with 20+ years of building and scaling RCM solutions

90-day prioritized roadmap with optional hands-on execution

Operational + contract compliance + financial analysis combined

Signs You Need This Assessment

Many healthcare organizations face these revenue and cash flow issues:

High Days Sales Outstanding (DSO): 60-70+ days (vs. 40-50 benchmark), tying up $500K-$2M+ in delayed cash flow.

Poor collections performance: Net collection rate 92-95% (vs. 97-98% best-in-class), leaving $300K-$1M+ on the table annually.

High denial rate: 8-12% (vs. 4-6% benchmark), requiring expensive rework and causing write-offs.

Payor contracts below market rate: Rates negotiated 3-5+ years ago, 3-7% below current market, costing $300K-$1.4M+ annually.

Credentialing backlog: 15-30 providers pending enrollment, delaying $2-5M+ in revenue capacity.

Manual processes: Inefficient workflows consume excessive staff time and create errors. No use automation or AI.

No RCM visibility: Limited reporting and KPI tracking; leadership doesn’t know true performance.

Revenue leakage from underpayments: Incorrect contract rates, coding errors, or claim processing mistakes costing 1-3% of revenue.

Who This Is Built For

This assessment is designed for healthcare organizations that know something is wrong with their revenue cycle but need clarity on what, where, and how much it’s costing them.

Medical groups with 10+ providers across one or multiple specialties

Practices with revenue between $5M–$75M annually

PE-backed platforms seeking baseline performance data for portfolio companies

ASCs managing complex payor mixes

Behavioral health organizations dealing with high denial variability

What You’ll Receive

RCM Diagnostic Report

A comprehensive analysis of your entire revenue cycle, from patient access and charge capture through coding, claims submission, payment posting, denial management, and collections. We identify bottlenecks, leakage points, and performance gaps at every stage.

Payor Contract + Credentialing Compliance Analysis

We cross-reference your payor remittance data against contracted rates to identify systematic underpayments, missed rate escalators, and contract terms that aren’t being enforced. We also look for bottlenecks in pre-revenue cycle enrollment, credentialing, and licensing.

KPI Dashboard

A real-time performance dashboard tailored to your organization, tracking denial rates by payor and category, DSO trending, clean claim rates, collections as a percentage of net revenue, and other critical metrics. Built for both operational managers and executive stakeholders.

90-Day Improvement Roadmap

A prioritized action plan sequenced by impact and effort. We categorize every recommendation into quick wins (0–30 days), medium-term improvements (30–60 days), and strategic initiatives (60–90 days), so your team knows exactly what to focus on first.

Phase 1: Discovery and Data Access (Weeks 1)

We conduct stakeholder interviews, map your current workflows, and establish secure access to your billing system, clearinghouse, and payor remittance data. We align on scope, timeline, and key questions you need answered.

Phase 2: Deep-Dive Analysis (Weeks 2–6)

Our team performs systematic analysis across every stage of the revenue cycle. We review claim-level data, denial patterns, payment variances, workflow documentation, staffing models, and technology utilization. Simultaneously, we run contract compliance checks across your top payors.

Phase 3: Findings & Roadmap Delivery (Weeks 7–8)

We present our findings to your leadership team in a working session, not a slide-deck drop-off. Every recommendation is tied to estimated financial impact, implementation effort, and suggested ownership. We walk through the 90-day roadmap together and answer every question.

Phase 4: Implementation Support (Optional, Weeks 9–12+)

For organizations that want hands-on help executing the roadmap, we offer direct implementation support.

Ready to See What’s Really Going On Inside Your Revenue Cycle?

Schedule a complimentary consultation to discuss your challenges, review preliminary indicators, and determine if a full assessment is the right next step.

Schedule a Free Consultation

Your billing company and clearinghouse report on what happened. We diagnose why it happened and how to fix it. We also analyze contract compliance, something billing vendors don’t typically do.

No. We work alongside your team with minimal disruption. Most data collection happens through system access and scheduled interviews, not process interruption.

You likely know the symptoms. Our assessment identifies root causes and quantifies the financial impact, giving you the data to prioritize resources and justify investment in solutions.

Yes. Many clients transition to a done-for-you + done-with-you engagement post assessment for hands-on implementation of the assessment roadmap.

Diagnose Your Revenue Cycle | Build the Roadmap to Peak Performance