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SVC·05 · RCM Consulting

You don’t want to outsource. You just want it fixed.

Senior-led 30-, 60-, and 90-day diagnostic engagements that ship a written remediation plan. Interim CRO/VP-RCM coverage when you have a gap. Revenue-cycle due diligence for M&A. No 60-page deck. a plan you can hand to your team Monday.

What you get
Written plan.
Not a deck.
Findings, owners, dates, dollars.
Every engagement ends with a one-document remediation plan signed by the senior partner who ran it.
Six engagement types

Diagnostic, remediation, or interim leadership.

Every engagement is led by a senior ASP-RCM partner who has run a revenue cycle inside an operating organization. not a career consultant. Scope and timeline are agreed in writing before Day 1.

01

Revenue integrity assessment

Charge-capture leak analysis. We walk the schedule, compare to billed charges, and write up where revenue is leaving the building. Findings are tied to dollars, not anecdotes.

30-day sprintSchedule reconciliationProvider-level findings
  • Output: 4-page leakage report. provider-level, service-line-level, and modality-level.
  • Quantified: every finding tied to estimated annualized $ exposure, not a generic risk rating.
  • Hand-offable: remediation plan handed to your operating team, with named owners and dates.
02

Denial root-cause diagnostic

90-day historical deep-dive. Every denial taxonomized to root cause. eligibility, auth, coding, registration, clinical, payer-policy. Top causes ranked by dollar impact and prevention difficulty.

90-day historicalRoot-cause taxonomyTop-5 prevention plan
  • Method: 90 days of remit data taxonomized by senior denial coder, not a clearinghouse algorithm.
  • Pareto: top 5 root causes typically explain 70-80% of dollar denials. We tell you which 5.
  • Plan: prevention work routed to the upstream owners (registration, scheduling, providers, coders).
03

Payer contract review & modeling

Underpayment recovery and contract-renegotiation modeling. We pull your actual claims, model them against contract language, and show you the variance. Then we help you re-negotiate.

Underpayment auditContract modelingRenegotiation support
  • Underpayment recovery: actual paid vs. contractual allowable, by code and payer. Recoveries pursued.
  • Renegotiation: model proposed terms against your real volume mix. what each clause is worth.
  • Independent: we don’t take payer money. The model is yours, not theirs.
04

EHR / PM workflow optimization

Workflow audit, build remediation, and operator coaching for Epic, Cerner, Athena, eCW, NextGen, and similar. We sit with the people doing the work, not with the IT lead, and we write up what’s broken.

Workflow auditBuild remediationOperator coaching
  • Method: shadow registration, scheduling, charge entry, and posting. Photograph the gaps.
  • Remediation: prioritized list of build changes, training fixes, and process redesigns. with effort estimates.
  • Coaching: 30-day operator-side coaching included. Senior partner attends the office, not just the call.
05

Interim revenue cycle leadership

CRO, VP-RCM, or director-level gap coverage. We step in for 90, 180, or 360 days while you find the right permanent leader. and we leave the seat warmer than we found it.

CRO / VP-RCM90 / 180 / 360-dayKnowledge transfer included
  • Operating, not advising: interim partner runs your monthly cadence, hires/fires, and owns the scorecard.
  • Knowledge transfer: 30-day overlap with your permanent hire, with a written hand-off package.
  • Background: every interim is a former operating CRO/VP-RCM, not a consultant in a fancy title.
06

M&A revenue cycle due diligence

Buy-side and sell-side. Structured 2- to 4-week sprints with a written report your IC and lender will accept. Quality of revenue, AR risk, payer-contract risk, compliance posture. all dollar-quantified.

Buy / sell side2-4 week sprintIC-grade report
  • Scope: quality of revenue, AR aging risk, payer contracts, denial trends, compliance/audit exposure.
  • Speed: 2-week sprint for tuck-ins; 4-week for platform deals. Daily check-ins with the deal team.
  • Format: report is dollar-quantified, IC-grade, and stands up to lender QoR review.
How a diagnostic runs

Five phases. Same partner, start to finish.

The senior partner who scopes the engagement is the senior partner who attends every interview, writes the report, and presents it to your board. No Junior-Senior-Director ladder.

WEEK 1
Data pull & framing

Remits, AR, contracts, denials, schedules. Hypotheses framed before interviews. No fishing.

WEEK 2-4
Interviews & observation

Senior partner sits with the operators. registration, coding, posting, AR. Not just leadership.

WEEK 5-8
Quantification

Every finding sized in dollars. Top causes ranked by impact × prevention difficulty. No vague risk ratings.

WEEK 9-10
Plan & review

Written remediation plan with named owners, dates, and dollars. CFO/CRO review before final.

WEEK 12+
30-day check-in

Same senior partner returns 30 days post-handoff to verify execution and adjust the plan if needed.

Engagement formats

Three durations. Six scopes. All with named partners.

Most consulting engagements get scoped vague and run long. We commit to a duration, scope, and named partner before Day 1. If we run over, that’s on us.

SPRINT
30-day diagnostic

Single function deep-dive (denials, AR, charge capture, or coding). 4-page report, dollar-quantified, with a remediation plan.

SPRINT
60-day diagnostic

Multi-function review across the cycle. Phased remediation plan, prioritized by dollar impact and time-to-recover.

SPRINT
90-day full audit

Full revenue-cycle audit including payer contracts, EHR build, compliance, and PFS. Board-ready report.

RUN
Interim leadership

CRO / VP-RCM / Director gap coverage for 90, 180, or 360 days. Operating, not advising. Hand-off included.

DEAL
Buy-side QoR

2- to 4-week revenue-cycle quality-of-revenue diligence. IC-grade and lender-acceptable.

DEAL
Sell-side prep

4- to 8-week revenue-cycle clean-up before going to market. AR cleanup, contract organization, KPI normalization.

How we work

Four contractual commitments.

These go into every consulting SOW we sign.

COMMITMENT WHAT IT MEANS HOW IT’S ENFORCED
Named senior partner Same person The partner who scopes the engagement attends every interview, writes the report, and presents it. Named in the SOW.
Fixed scope & duration Pre-agreed Scope and timeline locked in writing before Day 1. Overage is on us, not on the client.
Dollar-quantified findings Every finding No vague risk ratings. Every finding tied to estimated annualized dollar exposure or recovery.
30-day execution check Included Senior partner returns 30 days after handoff to verify execution. No additional fee, written into the SOW.
THE STRUCTURAL CHOICE

Operators, not career consultants.

Every senior partner on our consulting bench has run a revenue cycle inside an operating organization. as a CRO, VP-RCM, or director. Not a career McKinsey or KPMG path. They’ve done the work the report tells you to do, which is why the report is shorter and the plan actually executes.

WHAT THAT MEANS IN PRACTICE

The plan looks like a plan, not a deck.

  • 4-8 page reports, not 60-slide decks. Findings, owners, dates, dollars.
  • Named owners from your team, not a generic “client to action.”
  • Realistic effort estimates. the partner has built the same fix in their own operation before.
  • Sequencing matters. quick wins first to fund the harder work, not alphabetical order.
  • 30-day verify visit included. the partner comes back to make sure it’s actually moving.
What clients usually move on

Four typical post-engagement outcomes.

Underpayment recovery
Pursued and collected
From contract-vs-actual variance audit
Denial-rate cut
Top 5 root causes addressed
Upstream prevention, not just appeals
AR >90 reduction
From workdown plus prevention
Dollar-weighted aging
Charge-capture lift
From schedule reconciliation
Found revenue that was leaving

Start with a 30-min scoping call.

30 minutes with a senior partner to frame the problem, agree the right engagement length, and decide whether we’re the right fit. No deck, no pitch.