Monthly Performance Review
Review key financial and operational RCM metrics and identify meaningful changes, trends, and areas requiring attention.
Managed RCM Advisory
Your Revenue Cycle. Continuously Reviewed. Independently Advised.
Revenue-cycle performance doesn't stop changing after an audit, vendor selection, or implementation.
Denials change. A/R ages. Payer behavior shifts. Vendors miss expectations. Technology evolves. New operational problems emerge.
Managed RCM Advisory gives healthcare organizations ongoing access to independent revenue-cycle expertise focused on one question:
Is your revenue cycle performing the way it should?
RCM Advisory Group works alongside your leadership team, internal revenue-cycle operation, and outside vendors to monitor performance, identify problems, evaluate opportunities, and help determine what should happen next.
Ongoing, independent oversight
Your RCM vendor reports the numbers. We help you understand what the numbers mean.
Monitor / Diagnose / Advise / Follow throughAn independent view
We Don't Have to Run Your Revenue Cycle to Help Improve It.
Many healthcare organizations already have the infrastructure needed to operate their revenue cycle.
They may have an internal billing department. They may outsource RCM to a third-party vendor. They may operate a hybrid model involving internal teams, outside billing companies, technology platforms, and specialized vendors.
The challenge is determining whether all of those pieces are actually producing the financial results they should.
RCM Advisory Group provides an independent layer of oversight between healthcare leadership and the organizations, systems, and teams responsible for revenue-cycle performance.
We help leadership understand what's happening, where performance may be breaking down, and where intervention may be warranted.
Your RCM vendor reports the numbers.
We help you understand what the numbers mean.
Ongoing performance
Keep the Revenue Cycle Under a Microscope.
Managed RCM Advisory can include ongoing review of the financial and operational indicators that determine revenue-cycle performance.
- Net Collection Rate
- Gross Collection Rate
- Days in A/R
- A/R Aging
- A/R Over 90 Days
- Clean Claim Rate
- First-Pass Claim Performance
- Denial Rate
- Denial Categories and Trends
- Underpayments
- Payer Performance
- Claims Processing
- Prior Authorization
- Eligibility and Patient Access
- Coding Performance
- Payment Posting
- Billing Workflows
- Staffing and Productivity
- Technology Performance
- Vendor Performance
Benchmarks are always evaluated in the context of the organization's specialty, payer mix, size, operating model, and other relevant factors—never as universal standards.
More than reporting
From Performance Data to Action.
A dashboard can tell you that a metric changed.
It doesn't necessarily tell you why it changed, whether it matters, who should be responsible for fixing it, or what should happen next.
Managed RCM Advisory turns revenue-cycle information into an ongoing management process.
Denial & A/R Analysis
Monitor denial patterns, aging accounts receivable, payer behavior, and other indicators that may signal revenue leakage or operational breakdowns.
Vendor Performance Oversight
Evaluate whether outsourced RCM, billing, coding, technology, and other vendors are meeting agreed expectations and delivering the required level of performance.
Executive Reporting
Translate complex revenue-cycle information into clear findings and priorities for executives and organizational leadership.
Performance Accountability
Help establish measurable expectations, identify ownership of performance issues, and follow progress toward resolution.
Opportunity Identification
Identify opportunities involving underpayments, workflow improvements, automation, technology, payer performance, staffing, outsourcing, and other areas of the revenue cycle.
Strategic Guidance
Provide independent guidance when leadership is considering major RCM decisions, including outsourcing, insourcing, changing vendors, implementing technology, centralizing operations, or restructuring workflows.
Special Projects
Help evaluate and manage revenue-cycle issues that arise outside the normal operating cycle.
Vendor accountability
Is Your RCM Partner Delivering What You Were Promised?
Outsourcing revenue-cycle functions does not eliminate the need for oversight.
Healthcare organizations still need to understand whether their RCM partner is meeting expectations for collections, denials, A/R, reporting, staffing, technology, responsiveness, and overall financial performance.
RCM Advisory Group can provide an independent layer of vendor oversight. We can review performance reporting, participate in performance discussions, identify areas requiring explanation or corrective action, and help leadership determine whether existing vendors remain the right fit.
If a vendor relationship no longer makes sense, we can also help evaluate the alternatives.
From assessment to ongoing oversight
One Advisory Relationship Across the RCM Lifecycle.
You do not have to engage all five stages. Each service can be engaged independently.
- 01 — Assess
Revenue Cycle Assessment & Audit
Understand current performance, identify revenue leakage, and establish a financial and operational baseline.
Explore - 02 — Evaluate
Vendor & Technology Evaluation
Determine whether the current operating model, vendors, and technology remain appropriate.
Explore - 03 — Select
Vendor Evaluation & Selection
When change is necessary, establish requirements, evaluate alternatives, and help select the appropriate partner.
Explore - 04 — Transition
Migration & Implementation Advisory
Help coordinate the operational transition, implementation, workflows, technology, reporting, data, and legacy A/R considerations.
Explore - 05 — Manage
Managed RCM Advisory
Continue monitoring performance after implementation and provide independent ongoing guidance to leadership.
Who we help
Built for Organizations That Need Better RCM Visibility.
Managed RCM Advisory may be appropriate for:
- Physician Groups
- Multi-Specialty Medical Groups
- MSOs
- Private Equity–Backed Healthcare Organizations
- Multi-Location Practices
- Ambulatory Surgery Centers
- Hospitals and Health Systems
- Healthcare organizations using outsourced RCM vendors
- Organizations operating hybrid internal/outsourced revenue cycles
- Organizations undergoing growth, acquisitions, consolidation, or operational change
Independent advisory
Advice Should Start With the Problem—not the Product.
RCM Advisory Group begins with the performance of the revenue cycle. The objective is not to recommend change for the sake of change.
Sometimes the right answer may be improving the existing operation. Sometimes it may involve holding an existing vendor accountable. Sometimes it may require changing processes, technology, staffing, or partners. And sometimes a larger transformation may be warranted.
Our role is to help leadership understand the options, evaluate the financial and operational implications, and make a more informed decision.
Ongoing advisory
RCM Expertise Without Building Another Internal Department.
Managed RCM Advisory is designed as an ongoing advisory relationship rather than a one-time report.
The scope can be structured around the complexity of the organization, its revenue-cycle environment, and the level of oversight required.
Engagements may include recurring performance reviews, executive reporting, vendor oversight, strategic advisory, and specific improvement initiatives.
Continue exploring
Related revenue cycle areas
Start with the numbers
Find Out What Your Revenue Cycle Is Telling You.
Whether you're evaluating an existing RCM partner, considering a change, or simply want an independent view of performance, the first step is understanding where things stand today.