Revenue cycle assessment

A revenue cycle assessment is an independent, end-to-end review of how your organization gets paid. We measure your denial rate, days in A/R, A/R aging, clean-claim rate, charge capture and payer underpayments, then deliver a prioritized list of fixes ranked by the revenue at stake.

Signs it's time for an assessment

Collections are down but no one can say exactly why
Your EMR or practice management system has little or no useful reporting
Payers seem to be paying less than your contracted rates
Days in A/R are creeping up month over month
Leadership wants an objective baseline before a system change, a new billing vendor or a growth plan

What we review

Denials by payer, reason code, procedure and provider
A/R aging buckets and days in A/R by payer
Clean-claim and first-pass resolution rates
Charge lag and missed charges (visits with no claim)
Paid amounts against your fee schedule and payer contracts
Front-desk eligibility, intake and point-of-service collection workflows

What you get

A written findings report with an estimate of the revenue at stake
A walkthrough meeting with your leadership team
A prioritized roadmap your team can act on
A simple KPI dashboard to track progress month to month

Common questions

How long does a revenue cycle assessment take?

Most assessments take two to four weeks once we have your data, depending on the size of the organization and how easily reports can be exported.

What data do you need?

Typically a claims or charge export, remittance (835/ERA) files from your clearinghouse, an A/R aging report, a schedule export and your fee schedule. De-identified data is usually enough.

What does it cost?

A fixed fee, quoted up front after a free first conversation and scaled to the size of your organization. No percentage-of-collections fees.

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(617) 213-0610