Solution 04 · Strategic Consulting
Operators who have run the cycle, advising the people who run it now.
Diagnostics, benchmarks, system selection, and transformation roadmaps from people who have sat in the revenue cycle director’s chair. We tell you what to fix first, and we can stay to fix it.
- 30-day diagnostic
- KPI benchmarking
- EHR / PM selection
- Vendor consolidation
- Interim leadership
- Transformation roadmap
What is broken
- 01
Consultants who leave a deck
The roadmap is right. Nobody stays to execute it, and the deck is on a shelf by the next fiscal year.
- 02
Benchmarks without a baseline
You cannot fix a denial rate that four departments measure four different ways.
- 03
Tools bought before processes are fixed
Automating a broken workflow makes it break faster. Sequence matters more than software.
What we do
Capabilities, in the order we usually deploy them.
- 30-day diagnostic
- Data pull, workflow observation, staff interviews, and a prioritized findings report with dollar impact per finding.
- KPI baseline and benchmarking
- One definition per metric, measured from your own data, compared against peers of your size and payer mix.
- Technology selection
- EHR, PM, clearinghouse, and RCM tooling evaluations run with your operators, not for them.
- Interim leadership
- Revenue cycle director and manager coverage during transitions, with a handoff plan from day one.
- Transformation roadmap
- Sequenced, costed, with named owners and a portal dashboard that tracks whether it is moving the KPIs.
- Payer strategy
- Contract analysis, underpayment recovery, and escalation playbooks for the payers that cost you the most.
What moves
Time to a prioritized plan
6 months30 days
Underpayments identified, first 90 days
UnknownQuantified
KPI definitions in use
41
Roadmap items with an owner
SomeAll
Representative targets for a mid-sized physician group with a mixed payer base. Your baseline sets the actual numbers; we agree on them in the diagnostic.
In the portal
The roadmap lives in the portal with milestones, owners, and the KPIs each one is supposed to move.
Cash collected, MTD
$21.3M
First-pass denial rate
5.9%
Days in A/R
33.8
Clean claim rate
96.1%
Cash collected
12 months · vs target
Needs attention
56 claims within 7 days of timely filing
$339.2K at stake
CO-197 denials awaiting retro-authorization
$338.4K at stake
Underpayment pattern: BCBS paying 82% of contract on 27447
$128K at stake
Speak to an expert
Let’s find the revenue you’re leaving on the table.
What happens next
- 01
A 30-minute call with an operator
Not a sales rep. Someone who has run a revenue cycle and will ask about yours.
- 02
A scoped diagnostic proposal
Fixed fee, 30 days, with the data we need listed up front.
- 03
Findings with dollars attached
You keep the report whether or not we continue together.