Healthcare Revenue Cycle
Denial rates, AR days, prior auth backlogs — the revenue cycle problems that bleed cash. We audit the process, fix the source, and identify AI tools that keep it fixed.
42%
Denial rate reduction
20-provider specialist group
62%
Faster prior auth
AI-assisted automation
$380K
Annual recovery uplift
4.5-month payback
The problem
Denial management is a symptom. The process is the disease.
Most RCM teams spend their best people on denial appeals — working the back end of a broken process. The real leverage is upstream: the registration workflows, the coding processes, the eligibility checks, the prior auth procedures that generate denials in the first place.
We audit the full revenue cycle with Lean Six Sigma discipline — not a vendor pitch for a new platform. We find where claims leak, where manual workarounds mask systemic issues, and where AI tools can automate the repetitive work your team shouldn't be doing manually.
What we do
From audit to sustained improvement.
01
RCM Process Audit
Map the full revenue cycle — registration through collections. Identify where claims leak, where denials originate, and where the manual workarounds live.
02
Denial Management Strategy
Most denial programs focus on appeals. We focus upstream: the processes that generate the claims. Fix the source, and the denial rate drops permanently.
03
Billing & Coding Optimization
Coding accuracy, charge capture, modifier usage, timely filing. We audit for revenue leakage and build SOPs to close it.
04
Vendor Selection & Implementation
RCM platform evaluation, clearinghouse optimization, AI tool identification for coding automation and denial prediction.
05
AI for Revenue Cycle
Prior authorization automation, coding assist tools, denial prediction models, patient eligibility verification. We identify which tools fit your volume and payer mix.
Published case study
Reducing Denials and Accelerating Cash Flow with AI in a 20-Provider Specialist Group
Engagement: 14 weeks
Specialty: Orthopedic & Sports Medicine
Charges under management: $18M+
Denial rate reduction: 42%
Prior auth acceleration: 62% faster
Annual recovery uplift: $380K
FTE hire avoided: $65K
Losing revenue to process problems?
Tell us about your denial rates, your AR days, your prior auth bottleneck. We'll tell you where the fix is and what the engagement looks like.