Revenue Cycle Management Advisory
What’s Holding
Your Revenue
Cycle Back?
Reduce denials. Recover Revenue. Accelerate A/R.
RCM Advisory Group helps healthcare organizations identify where financial performance is breaking down, determine what needs to change, and make better decisions about the people, processes, technology, and partners behind the revenue cycle.
Six measures. One clearer view of financial health.
Independent RCM Advisory
We Don't Have to Run Your Revenue Cycle to Help Improve It.
Your revenue cycle may be managed internally, outsourced to an RCM provider, or spread across multiple teams, technologies, and vendors.
Our job is to independently evaluate how that system is performing.
We help healthcare leaders understand where revenue is being delayed, denied, underpaid, or lost—and whether the answer is better execution, greater vendor accountability, new technology, a different partner, or a larger operational change.
We start with the performance of the revenue cycle, not a predetermined solution.
How We Help
From Assessment to Ongoing RCM Oversight.
Four advisory pathways. Engage one, or several—whatever stage your revenue cycle is in.
Revenue Cycle Assessment & Audit
Understand current performance, identify revenue leakage, uncover operational breakdowns, and establish where the greatest opportunities may exist.
Assess Your Revenue CycleRCM Vendor & Technology Advisory
Evaluate existing partners, define requirements, compare alternatives, and help select the right RCM vendors and technology when change is warranted.
Explore Vendor AdvisoryTransition & Implementation Advisory
Guide RCM vendor changes, technology migrations, implementations, workflow transitions, reporting, and operational handoffs.
Explore Transition AdvisoryManaged RCM Advisory
Provide ongoing independent oversight of revenue-cycle performance, vendors, KPIs, emerging problems, and improvement opportunities.
Explore Managed AdvisoryAcross the Revenue Cycle
Follow the Revenue From Patient Access to Payment.
Revenue-cycle problems rarely exist in isolation. We evaluate the people, processes, technology, vendors, and financial performance across the entire revenue cycle. These are the functions and performance areas we assess and advise on—whether they are run by your own team or an outside partner.
What Is Your Biggest RCM Problem?
Start With the Problem. Build the Solution Around It.
Start with the financial pressure. Then trace it to an operational response.
Denials Are Increasing
Find root causes before rework becomes routine.
Denial Management & Prevention 02A/R Is Too High
Understand what is driving balances and where cash is stuck.
Accounts Receivable Optimization 03Collections Are Slowing
Examine the handoffs slowing cash conversion.
Collections Optimization 04We Are Losing Revenue
Trace leakage across charge capture, coding, contracts and process gaps.
Revenue Leakage & Revenue Integrity 05Our RCM Vendor Is Underperforming
Evaluate results, accountability, transition risk and alternatives.
RCM Vendor Assessment 06We Need a New RCM Partner
Structure the search around capabilities, economics and measurable performance.
Vendor Selection & Outsourcing Advisory 07We Are Changing EHR/EMR Systems
Protect revenue through system change with structured planning.
EHR/EMR Migration & Implementation 08Our Billing Operation Is Inefficient
Revisit workflows, staffing, technology and throughput.
Medical Billing Optimization 09We Don't Trust Our RCM Data
Rebuild confidence in the numbers behind the decisions.
RCM Analytics & Reporting 10We Need Better Financial Visibility
Define the metrics that matter and make them reliable.
Revenue Cycle KPI & Performance Strategy 11We Are Growing Quickly
Design capacity around growth without losing control.
Scalable RCM Infrastructure 12We Need to Reduce Cost to Collect
Evaluate operating cost alongside performance and quality.
Revenue Cycle Efficiency OptimizationWho We Help
Built for Leaders Accountable for Revenue-Cycle Performance
For healthcare executives, CFOs and finance leaders, revenue-cycle leadership, MSOs, private equity–backed platforms, multi-location and multi-specialty groups, hospitals and health systems, and ambulatory surgery centers. Each organization has its own reimbursement model, payer mix, technology and operating structure—so we start by understanding the organization.
Hospitals
Enterprise revenue cycle performance across departments, facilities and employed physician networks.
02 / ENTERPRISEHealth Systems
System-level visibility, standardization and financial performance across complex care networks.
03 / ENTERPRISEPhysician Groups
Strengthen collections and see performance clearly across a complex physician enterprise.
04 / ENTERPRISEMSOs
Centralize revenue-cycle performance across locations, specialties, providers and TINs.
05 / ENTERPRISEPrivate Equity-Backed Healthcare Organizations
Standardize RCM across acquired practices, accelerate onboarding and improve portfolio visibility.
06 / ORGANIZATIONMedical Practices
Practical revenue cycle improvement without building enterprise infrastructure.
07 / ORGANIZATIONAmbulatory Surgery Centers
Address complex coding, authorizations, reimbursement and surgical collections.
08 / ORGANIZATIONSpecialty Practices
Revenue cycle strategies built around specialty-specific reimbursement and documentation.
09 / ORGANIZATIONBehavioral Health Organizations
Navigate visit limits, authorization rules and behavioral health payer complexity.
010 / ORGANIZATIONCommunity Health Centers
Revenue cycle support aligned to FQHC reimbursement, grant reporting and payer mix.
011 / ORGANIZATIONUrgent Care Organizations
Navigate high-volume claims, payer complexity, coding and multi-site denials.
012 / ORGANIZATIONImaging Centers
Manage modality coding, medical necessity edits and authorization-driven denials.
013 / ORGANIZATIONLaboratories
Address high-volume claims, coverage rules and laboratory reimbursement pressure.
014 / ORGANIZATIONDental Organizations
Revenue cycle support for dental groups and DSO operating models.
015 / ORGANIZATIONDigital Health Companies
Build revenue cycle infrastructure that scales with new care delivery models.
016 / ORGANIZATIONHealthcare Startups
Establish sound billing, credentialing and collections foundations early.
RCM Assessment
Find Out Where Your Revenue Cycle Is Losing Money
A revenue cycle assessment provides a structured view of the financial, operational and technology issues affecting reimbursement and cash flow. Understand the problem before investing in the solution.
Request an RCM AssessmentFinancial Performance
- Net collection rate
- Gross collection rate
- Days in A/R
- A/R aging
- Cost to collect
- Patient collections
Claims & Reimbursement
- Clean claim rate
- First-pass resolution
- Denial rate
- Denial categories
- Underpayments
- Claim submission
Operations
- Authorization performance
- Charge lag
- Coding performance
- Payment posting
- Staff productivity
Technology & Oversight
- Vendor performance
- Technology utilization
- Reporting accuracy
- Revenue leakage
Specialty RCM
Revenue Cycle Expertise by Medical Specialty
Revenue cycle performance varies significantly by specialty. Coding complexity, authorization requirements, reimbursement models, payer behavior and documentation requirements can all change the economics of RCM.
Technology & RCM
Your Technology Should Strengthen Your Revenue Cycle—Not Slow It Down
RCM performance increasingly depends on how effectively organizations select, configure, integrate and use their technology. RCM Advisory Group helps healthcare organizations evaluate technology through the lens of operational and financial performance.
Explore Technology AdvisoryPlatform & Systems
- RCM Software Selection
- EHR / EMR Migration
- System Implementation
- Vendor Selection
- EHR/EMR Strategy
- Practice Management Systems
Automation & Workflow
- Workflow Automation
- Revenue Cycle Automation
- AI in Revenue Cycle Management
Data & Integration
- RCM Integrations
- Data & Analytics
- RCM Technology Assessment
RCM Vendor Selection
Choosing an RCM Partner Is a Financial Decision
Selecting a revenue cycle partner should involve more than comparing percentages and sales presentations. RCM Advisory Group helps healthcare organizations evaluate RCM vendors based on operational capabilities, technology, specialty expertise, reporting, economics, implementation requirements and measurable performance.
- 01
Define
- Requirements
- RFP development
- Performance expectations
- 02
Evaluate
- RCM vendor evaluation
- Vendor comparison
- Technology assessment
- Reference evaluation
- 03
Analyze
- Pricing analysis
- Contract analysis
- Performance benchmarking
- 04
Select & Transition
- Implementation planning
- Vendor transition planning
RCM Implementation & Migration
Strategy Is Only Valuable If It Can Be Implemented
Major revenue cycle transformations often involve multiple systems, vendors, workflows, teams and financial dependencies. RCM Advisory Group provides independent transition and implementation advisory—coordinating the people, partners and systems involved—to reduce disruption and protect revenue during periods of change.
Platform & Vendor
- RCM vendor implementation
- EHR/EMR migration
- Practice management migration
- Billing system transition
Data & Integration
- Data migration planning
- Integration coordination
- KPI baseline development
Operations
- Workflow redesign
- Operational readiness
- Go-live planning
- Post-launch optimization
RCM Analytics
Turn Revenue Cycle Data Into Decisions
Dashboards alone do not improve revenue cycle performance. Organizations need to know which metrics matter, what is driving those metrics and what actions should follow.
Cash & Collections
- Days in A/R
- A/R by aging bucket
- Net collection rate
- Gross collection rate
- Patient collections
- Payment velocity
Performance
- Underpayments
- Cost to collect
- Payer performance
- Provider performance
- Location performance
Charts are decorative illustrations, not client data.
Improve RCM VisibilityWhy RCM Advisory Group
Advice Should Start With the Problem—not the Product.
Not every revenue-cycle problem requires a new billing company. Not every organization should outsource more. Not every technology problem requires a new platform. And not every underperforming vendor needs to be replaced.
RCM Advisory Group helps healthcare organizations understand the problem first, quantify its impact, evaluate the available options, and determine the appropriate path forward.
If the existing operation can be improved, we help identify how. If greater accountability is needed, we help establish it. If a new vendor or technology is warranted, we help evaluate and select it.
And when organizations need continued oversight, Managed RCM Advisory provides an independent view of performance over time.
How We Work
A Better Way to Make Revenue-Cycle Decisions.
- 01
Assess
Understand the current revenue-cycle environment and establish the performance baseline.
- 02
Diagnose
Identify where revenue, workflow, technology, vendor, or operational performance is breaking down.
- 03
Quantify
Determine which issues matter financially and where improvement may create the greatest value.
- 04
Act
Improve the existing operation or evaluate, select, and implement new solutions when necessary.
- 05
Monitor
Continue measuring performance and holding internal teams and external partners accountable.
No predetermined answer. No transformation for transformation's sake. Start with the numbers and follow the revenue.
RCM Intelligence & Resources
Better information. Better decisions.
Executive-focused frameworks for evaluating RCM performance and options.
RCM Vendor Evaluation Guide
A structured framework for comparing RCM partners on capability, reporting, economics and accountability.
Read the guideRCM RFP Template
Organize requirements, service levels and evaluation criteria before you go to market.
Read the templateRevenue Cycle Due Diligence Checklist
The revenue-cycle questions to answer before an acquisition, integration or platform change.
Read the checklistRCM Calculators
Put your assumptions to work.
Scenario-based calculators help frame questions—not promise recovered revenue. Estimates are for educational and planning purposes only.
Revenue Leakage Calculator
Estimate where revenue may be delayed, denied or left uncollected.
Open calculator 02Denial Cost Calculator
Model rework cost, write-off exposure and denial-rate scenarios.
Open calculator 03A/R Aging Analyzer
See how receivables are distributed across aging buckets.
Open calculator 04Cost-to-Collect Calculator
Calculate operating cost per dollar collected from your own inputs.
Open calculator 05In-House vs. Outsourced RCM Calculator
Compare internal RCM costs against outsourcing fee scenarios.
Open calculator 06RCM KPI Health Check
Check core RCM indicators against your own targets.
Open calculatorStart With the Numbers
Before You Change Your Revenue Cycle, Understand It.
Whether you're concerned about collections, denials, A/R, underpayments, technology, or the performance of an existing RCM partner, start by understanding where things stand today. RCM Advisory Group can help identify what's working, what's not, and what may need to happen next.