Our approach to Revenue Cycle Management (RCM) optimization enables organizations to streamline workflows, improve RCM efficiency and accuracy, eliminate duplicative work efforts and, most importantly, increase cash flow and net revenue by tightening the numerous points of potential revenue leakage within the workstream.
We focus on the six profitability drivers that can be impacted by RCM operations and enable the measurement and visibility tools essential to achieving and sustaining best practice performance levels.
- Reduce Denials
- Reduce Bad Debt
- Increase Collection of Underpayments
- Strategic Pricing
- Charge Capture & Clinical Documentation Improvement
- Reduce Cost to Collect
Our teams work to strike the optimal balance between “Best Practice” and “Best for Facility.” We are strategic and don’t fix what isn’t broken. Our professionals have diverse and experience RCM experience, bringing unique perspectives and knowledge to each client that we work with.
We serve hospitals, health systems, physician groups, ancillary service providers, behavioral health providers, and dental service organizations. We have worked with numerous private equity-backed portfolio companies, publicly traded and for-profit health systems, and also non-profit health systems.
RELY ON US FOR HELP WITH:
- Performance Improvement/RCM Transformation
- Interim Management
- Merger Integration
- Buy Side Due Diligence
- Scheduling Redesign & Patient Engagement
- EMR Conversion Readiness
- Call Center Performance Improvement
- No Surprises Act Operationalization / Strategy
Contract Research Organisations M&A Market
March 28, 2025
Rising cost pressures, stricter regulatory demands and advancements in emerging therapeutics are intensifying competition within the industry. These dynamics are fuelling the demand for greater efficiency in development lifecycles, creating significant opportunities for outsourced providers like Contract Research Organisations (CROs).
Healthcare Workforce Predictions for 2025
March 19, 2025
The healthcare landscape in 2025 is marked by a complex interplay of financial pressures, persistent workforce shortages, and rapid technological advancements. While healthcare providers have stabilized post-pandemic, they face shrinking revenues coupled with escalating workforce expense, which now comprise a significant portion of total expenses.
Mass General Brigham is Redefining ROI Through the Lens of its Mission to Improve Human Health
March 18, 2025
How do you fundamentally redefine “ROI”? Niyum Gandhi, CFO of Mass General Brigham, the largest employer in New England and the largest medical research organization in the world, shares about his Moonshot to do just that.
The Clock is Ticking: Why Health Plans Must Act Now to Maximize Star Ratings Before the 2026 HEI Update
March 12, 2025
The October 2026 Star Ratings release presents both an opportunity and a challenge for health plans as they navigate uncertain Health Equity Index (HEI) changes. With evolving CMS equity-focused metrics, shifting data collection requirements, and potential weighting adjustments, health plans must take immediate action to optimize their Star Ratings before potential regulatory shifts in 2027.