REVENUE CYCLE PERFORMANCE
You Got Paid. But Did You Get Paid Correctly?
A paid claim is not necessarily a correctly paid claim. Contract variance, payer configuration, adjustments, and inconsistent follow-up can leave earned revenue hidden inside posted payments.
01
Why Underpayment Recovery Matters
A paid claim is not necessarily a correctly paid claim. Contract variance, payer configuration, adjustments, and inconsistent follow-up can leave earned revenue hidden inside posted payments.
02
What We Evaluate
RCM Advisory Group evaluates the workflows, data, technology, vendors, and accountability surrounding underpayment recovery. The objective is to understand what is happening today before recommending a change.
- Expected versus actual reimbursement
- Contracted rates
- Payer patterns
- Adjustment codes
- Variance thresholds
- Recovery workflows
- Recurring underpayment trends
03
From Findings to Action
We help identify where underpayments may be occurring, determine whether the issue is isolated or systemic, and establish a more reliable approach to detection and recovery. We may recommend improving the current operation, changing workflow or technology, strengthening vendor accountability, or evaluating a different partner. The recommendation should follow the evidence—not a predetermined solution.
Next step
Start With the Numbers
Understand where performance is breaking down, what it may be costing your organization, and what should happen next.