Revenue cycle assessment
Every step measured, from registration to reconciliation, with the leaks sized in money.
Capabilities · Revenue cycle
Care you provide should be care you are paid for.
Health organizations rarely fail for lack of patients. They fail because revenue leaks between the front desk and the bank: missed charges, rejected claims, unbilled services and slow collections.
Revenue cycle management
Revenue cycle management
We trace every step between a patient’s arrival and the money arriving, find where it leaks and fix it. In the United States that means coding, claims and denials with commercial and government payers. In sub-Saharan Africa it means national health insurance schemes, private insurers, employer contracts and patient payments, each with its own rules.
We can redesign your revenue cycle and hand it back, or run it for you through our management services organization.
What we deliver
Front-end accuracy
Registration, eligibility checks and authorizations that stop errors at the source.
Charge capture and coding
Documentation and coding practices that record all of the care delivered, correctly.
Claims and denials
Clean claims, root-cause work on denials and a disciplined appeals process.
Payer contracting
Contract reviews, tariff analysis and negotiation support with insurers and schemes.
Managed revenue cycle
Billing and collections run by our team, with transparent monthly reporting.
How an engagement runs
Measure
Days in accounts receivable, denial rates, collection rates and cost to collect, established as a baseline.
Find the leaks
Claims and accounts sampled to trace where money is lost, and why.
Fix the process
Workflows, training, system settings and payer follow-up corrected in order of value.
Report
A monthly dashboard so leaders see cash, not just activity.
Who we work with
- Private hospitals and clinic groups
- Behavioral health and outpatient programmes
- Diagnostic and imaging centres
- Facilities joining a national health insurance scheme
- Practices preparing for sale or investment
What we design for
- Fewer rejected and denied claims
- Faster cash and fewer days in receivables
- Complete, compliant coding
- Fair, well-understood payer contracts
- Reporting leaders can act on
NAICS codes
From our capability statement. US agencies use NAICS codes to assess capabilities.
- 541611Administrative Management and General Management Consulting Services
- 561110Office Administrative Services
Frequently asked questions
Do you work with national health insurance schemes in Africa?
Yes. We help facilities meet scheme requirements for registration, documentation and claims, and we help schemes and ministries think through payment models.
Can you take over our billing?
Yes, through our management services organization, with monthly reporting, agreed service levels and full transparency on every account.
Will you replace our accountant?
No. Revenue cycle work sits upstream of accounting. We work alongside your finance team and external accountants.
Not sure where to start?
Most clients begin with a short conversation and a focused assessment. Tell us about your organization and we will suggest the right first step.
