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Service Overview

RCM Consulting

RCM CONSULTING & OPTIMIZATION

Identify and eliminate billing operation inefficiencies through comprehensive analysis combining operational expertise with data-driven insights and proven optimization strategies. Our consulting approach delivers measurable improvements in financial performance.

CONSULTING SERVICES

We provide comprehensive workflow analysis identifying gaps and process inefficiencies, staff efficiency audits with productivity analysis and improvement recommendations, EHR and billing system evaluation with selection and migration support, fee schedule analysis with insurance negotiation optimization and contract review, denial trending analysis with prevention strategy development, metrics and dashboard creation for KPI establishment and tracking, specialized staff training improving coding and billing competency, and internal control compliance review ensuring proper segregation of duties.

PROVEN IMPROVEMENTS

Typical consulting engagements deliver 20-30% revenue cycle cost reduction, 15-25% improvement in days in A/R, 10-20% increase in clean claim rates, and ongoing advisory support through implementation. Each engagement includes detailed recommendations prioritized by impact and implementation ease.

IMPLEMENTATION SUPPORT

We guide implementation of recommended improvements with staff training, provide ongoing advisory support during transition periods, offer performance tracking and monitoring, identify additional opportunities during implementation phases, and maintain focus on sustainable process improvements. Our goal is lasting operational improvement and financial performance enhancement.

Key Benefits

Workflow Gap Analysis
Staff Efficiency Audits
Software Migration Support
Fee Schedule Negotiation
Denial Trend Analysis
Metrics & Dashboard Creation
Staff Training Programs
Internal Control Review