Get a Comprehensive Free RCM Assessment
Uncover operational friction, delayed cash realization, documentation-to-billing bottlenecks, and payer compliance vulnerabilities across your practice lifecycle.
Diagnostic Scope & Architecture
Our evaluation models each operational node from patient registration through zero-balance reconciliation, identifying structural root causes behind operational latency and cash-flow drag.
End-to-End Continuum Audit
Inspection spanning patient intake protocols, real-time eligibility verification workflows, clinical coding specificity (ICD-10/CPT/HCPCS modifiers), EDI 837 batch generation mechanics, and electronic remittance advice (ERA 835) post-and-reconcile cycles.
Denial & Rejection Forensic Review
Systematic analysis of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC), clearinghouse pre-submission scrub failure points, timely filing vulnerability thresholds, and payer-specific policy shift patterns.
Accounts Receivable & Payer Aging Stratification
Granular stratification of active claims across 30, 60, 90, and 120+ day buckets, contract fee schedule variance discovery, systematic underpayment patterns, and payer appeal recovery ratios.
Operational Visibility & EHR Workflow Analysis
Assessment of clinician encounter closure intervals, super-bill manual re-keying lag, EHR-to-PMS interoperability drops, and staff handoff overhead contributing to billing cycle deferrals.
Comparative Benchmark Evaluation
Data points evaluated directly against specialty-specific MGMA baselines, evaluating gross collection rates, net days in AR, and clean claim pass-through standards without compromising proprietary internal logic.
Non-Invasive Diagnostic Process
The entire assessment operates out-of-band using read-only reporting exports and workflow mapping interviews. Daily encounter processing remains completely unaffected.
Request Practice Assessment
Enter your practice parameters below. Our revenue cycle engineers will review your workflows under strict mutual NDA and HIPAA standards.
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The 4-Stage Assessment Methodology
A systematic, four-tier investigative framework architected to establish objective transparency across the practice financial lifecycle.
Practice Intake & Objective Scoping
Initial structural consultation defining current specialty composition, provider headcount, clearinghouse integrations, and specific administrative points of friction.
Diagnostic Evaluation Matrix
Workflow & Historical Data Review
Examination of blind 835/837 transaction histories, denial reports, and sample claims to reconstruct your standard encounter-to-remittance life cycle.
Transaction Pipeline Map
Forensic Financial & Operational Analysis
Algorithmic verification across CARC trends, aged receivable recovery viability, coding optimization anomalies, and payer contract variance calculations.
Forensic Finding Deck
Executive Findings & Remediation Roadmap
Delivery of an executive briefing identifying specific clinical, clerical, and technical bottlenecks along with tactical operational remediation procedures.
Remediation Action Plan
Rigorous Evaluation Against Established Industry Baselines
Every stage evaluates your key revenue markers against empirical datasets from similar specialty organizations. We highlight the delta between your existing cash acceleration timelines and standard operational efficiency.
Pre-assessment bilateral NDAs ensure full data confidentiality for provider panels and fee structures.
Frequently Asked Questions
Clarifications regarding the diagnostic scope, operational requirements, and organizational impact of the RCM Assessment.
How does the RCM Assessment differ from the Free Billing Audit?
While our standard Billing Audit evaluates sample claims to verify line-item coding accuracy, payer reimbursement parity, and recent claim balance correctness, the Free RCM Assessment is an exhaustive evaluation of your entire operational lifecycle. It scrutinizes the upstream infrastructure (patient registration, eligibility workflows, clinical encounter latency) through mid-revenue clearinghouse performance and downstream AR resolution strategies.
Will our current billing staff or clearinghouse operations be disrupted?
No. The RCM Assessment operates in parallel without interfering with day-to-day operations or credential authorizations. We work with exported summary datasets, standard reporting schedules, and targeted administrative interviews. Your existing clearinghouse conduits, internal billers, and outsourced contractors continue billing without pauses or system reconfigurations.
What data is required to conduct the assessment?
We typically request non-identifiable, redacted historical reporting datasets: a 90-to-180-day Accounts Receivable aging summary by payer class, recent clearinghouse rejection logs, sample Explanation of Benefits (EOB) / Remittance Advice (ERA) vouchers, and high-level workflow diagrams of your patient registration through charge capture procedures. All data transmission is handled under a mutual Business Associate Agreement (BAA) and mutual NDA.
Ready to stabilize your revenue cycle?
Schedule your free operational assessment or connect directly with our healthcare revenue cycle engineers to examine your clinical workflows.