Revenue Cycle Consulting
Measurable Change Management
We examine the revenue cycle through an objective and diagnostic lens, to identify opportunities for revenue acceleration, modernize process, and reduce administrative burden.
A Diagnostic Approach to RCM Process and Technology Redesign
As an extension of our EBO services, we offer acute and ambulatory RCM assessments to lay the foundation for modernization, optimization, and change management. Starting with an assessment of current state KPIs, data, staffing, processes, and technologies, we provide best-practice recommendations and transformation roadmaps with change management, modernization and optimization consulting.
Change Management
Implementation fatigue is real. Frequent staff turnover compounds the issue, leaving health systems struggling to maintain – let alone implement – new solutions.
Our RCM Directors and Patient Access SMEs are operators at heart. As consultants who understand operational realities, we ease the burden of new solution implementations. With our RCM change management services, we align key stakeholders to your strategic vision, while leading the operational redesign and optimization of workflows, staffing, and policies. We develop custom scripts and job aids, train staff on the new solution, and even assist HR and leadership in creating new roles, job descriptions and reorganization plans. The result? Maximum outcomes with minimal effort from your team.
What is change management and why is it important?
Modernization
Health systems often lack bandwidth to stay current with the latest RCM technologies and strategies. Outdated or underutilized legacy point solutions drive up costs and hinder overall performance.
Our modernization services start with a deep analysis of your current technology stack and its usage across the enterprise. We then recommend cutting-edge solutions that improve efficiency and impact key performance metrics. Through a cost-benefit analysis, we help you determine when to retire legacy vendors in favor of more powerful, modern technologies that boost cash collections and reduce operational costs.
From end-to-end patient engagement and collections, to AI-driven RPA in the front, middle, and back-office, and physician documentation automation infused with CDI and coding, we ensure smooth implementation and effective change management every step of the way.
Optimization
Our team of RCM and Patient Access Directors has extensive experience in operational leadership and consulting within healthcare systems. This expertise allows our optimization services to quickly enhance revenue cycle efficiencies.
We establish surgical “Action Teams” that define core Objectives and Key Results (OKRs) to lead interdepartmental initiatives. Examples include:
DNFB – Identify and remediate billing issues to improve billing efficiency.
- KPIs: Clean Claim Rate > 98%, DNFB Days < 6
Denial Management – Analyze trend and root cause denials to prevent future occurrences.
- KPIs: Initial Denial Rates < 5%; Final Denials < 2% of NPR
Insurance Follow-Up – Improve final claim resolution and establish interdepartmental scenario-based procedures that maximize efficiency.
- KPI: AR over 90 < 15-20%
Additional Action Teams – Patient Access, Financial Clearance, and Physician Chart Deficiency Management.
Our Approach to the Revenue Cycle
We examine the revenue cycle through an objective and diagnostic lens which allows us to identify opportunities for revenue acceleration, modernization, and reduction of administrative burden.
A 3-hospital system in New York increased patient collections by 25% and reduced average call center speed to answer by 93% using PayJourney™
Optimize your revenue cycle today.