RCM Services

Find the leaks, fix the process, and then decide what to automate.

Before you invest in more staff or more technology, know exactly where revenue is slipping and why. We identify bottlenecks, quantify the impact, recommend mitigation, and show where automation and AI will deliver the fastest return.

Request an RCM audit

What we deliver

Bottleneck analysis

End-to-end workflow review, from scheduling to zero balance.

Performance insights

KPI benchmarking by payer, provider, and location.

Mitigation roadmap

Prioritized fixes ranked by revenue impact and effort.

Automation and AI opportunity map

Specific use cases with estimated ROI, feeding directly into AI for RCM and AI Talent.

Ten audits, one question: where is the money going?

Choose one audit or combine several. Each is reviewed by our US-based Functional Expert Panel before findings are presented.

  • Denial audit

    Root causes by reason, payer, and department, with a preventable versus unavoidable split.

  • Coding and documentation audit

    CPT, ICD-10, and modifier accuracy, E/M leveling, and documentation support for billed services.

  • Charge capture audit

    Missed and late charges, and charge master accuracy.

  • Underpayment and contract compliance audit

    Paid amounts compared with contracted rates, to identify recoverable variances.

  • AR health audit

    Aging analysis, collectability, and write-off review.

  • Front-end and patient access audit

    Registration accuracy, eligibility, and authorization compliance.

  • Credentialing and enrollment audit

    Enrollment gaps causing avoidable denials.

  • Compliance audit

    Billing practices reviewed against payer and regulatory requirements, including OIG risk areas.

  • FQHC-specific audit

    Encounter criteria, PPS billing, and wrap-around reconciliation.

  • Technology and automation readiness audit

    Current systems, data quality, and integration options.

How it works

Two to six weeks, depending on scope.

  1. 1

    Data request

    We send a short, specific list of reports and extracts.

  2. 2

    Analysis

    Our team and expert panel work the data, 2–6 weeks depending on scope.

  3. 3

    Findings workshop

    We walk your leaders through what we found and what it is worth.

  4. 4

    Roadmap

    A prioritized plan and clear next steps, owned by your team.

Request an RCM audit

Tell us which audit you have in mind, or ask us which one would pay off first.

Request an audit