Revenue Cycle Management Advisory
What’s Holding
Your Revenue
Cycle Back?
RCM Advisory Partners 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.
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. These are the functions and performance areas we assess and advise on—whether run by your own team or an outside partner.
Free 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.
Get Your Free 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
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 OptimizationIndependent RCM Advisory
We Don't Have to Run Your Revenue Cycle to Help Improve It.
Your revenue cycle may be managed internally, outsourced, or spread across multiple teams, technologies, and vendors. Our job is to independently evaluate how that system is performing—and whether the answer is better execution, greater vendor accountability, new technology, or a different partner.
We start with the performance of the revenue cycle, not a predetermined solution.
Who We Help
Built for Leaders Accountable for Revenue-Cycle Performance
For healthcare executives, CFOs, MSOs, private equity–backed platforms, multi-specialty groups, hospitals, health systems, and ambulatory surgery centers. Each organization is different—so we start by understanding yours.
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.
Specialty RCM
Revenue Cycle Expertise by Medical Specialty
Coding complexity, authorization requirements, reimbursement models and payer behavior all change the economics of RCM by specialty.
Technology & RCM
Your Technology Should Strengthen Your Revenue Cycle—Not Slow It Down
RCM performance increasingly depends on how well technology is selected, configured and used. We help you evaluate it 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. We help you evaluate vendors on capabilities, technology, specialty expertise, economics 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 involve multiple systems, vendors, workflows and teams. We provide independent transition and implementation advisory to reduce disruption and protect revenue during 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 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 calculatorRCM Analytics
Turn Revenue Cycle Data Into Decisions
Dashboards alone don't improve performance. You need to know which metrics matter, what's driving them, 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 VisibilityWe Assess. We Advise. We Optimize. We Connect.
We Evaluate the RCM Market So You Don't Have To
Provider-agnostic evaluation, grounded in your organization's operational and financial objectives.
Vetted Providers
We evaluate RCM providers based on capabilities, specialty expertise, technology, service model, track record, and organizational fit.
Matched to Your Needs
Organization size, specialty, payer mix, technology environment, operational challenges, and growth plans all influence the right solution.
No One-Size-Fits-All RCM
We evaluate available options rather than forcing every healthcare organization into the same platform or service model.
Support Beyond Selection
Our involvement can continue through vendor selection, implementation, transition, and ongoing performance evaluation.
FAQ
Frequently Asked Questions
RCM Advisory Partners is an independent healthcare revenue-cycle advisory firm. Rather than selling a predetermined software platform or one-size-fits-all outsourcing contract, we evaluate your actual 837 claim and 835 remittance data, benchmark performance against HFMA MAP Keys and MGMA standards, and help leadership execute the highest-ROI path—whether that is internal optimization, hybrid workflow redesign, or vetted partner selection.
We work primarily with complex physician groups, multi-specialty medical groups, Management Services Organizations (MSOs), Ambulatory Surgery Centers (ASCs), hospitals/health systems, and private-equity-backed healthcare platforms generating between $5M and $100M+ in annual net patient service revenue.
We review your current revenue-cycle KPIs, aging distribution, denial CARC/RARC patterns, payer contract fee-schedule variances, EHR/PM workflow configuration, and vendor SLAs to deliver a clear financial-leakage baseline and a prioritized 30/60/90-day action plan.
Because we are an independent advisory firm rather than a software vendor or one-size-fits-all billing company, we start with forensic claim and remittance data to isolate root causes across people, workflow, technology, and external partners before recommending any change.
Our initial RCM diagnostic typically delivers a quantified dollar-leakage baseline and prioritized 30/60/90-day action plan within 2 to 4 weeks, without disrupting daily clinical or billing operations.
We anchor every engagement to HFMA MAP Keys and MGMA specialty benchmarks—tracking True Net Collection Rate against contracted allowables, First-Pass Resolution Rate, Initial Denial Rate by CARC/RARC, Total Days in A/R, Aged A/R >90 Days, and Cost to Collect.
Yes. Our advisors work directly across Epic, athenahealth, NextGen, eClinicalWorks, Oracle Health, Greenway, ModMed, Experity, and specialty PM platforms—optimizing rules and workflows in your current environment or guiding a structured transition when needed.
Start With the Numbers
Before You Change Your Revenue Cycle, Understand It.
Whether you're concerned about collections, denials, A/R, underpayments, technology, or an existing RCM partner, start by understanding where things stand today.