How is consulting different from full RCM service?

Consulting is advisory — we audit, analyze, and recommend. Your team executes. Full RCM service means we execute everything. Many practices start with consulting and later move to full service.

RCM Consulting

RCM Process Optimization & Consulting

Find the leaks. Fix the revenue.

For practices with in-house billing teams that want expert guidance, our consulting service audits your current workflows, benchmarks your KPIs, and delivers a concrete action plan to improve collections.

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Problems We Solve

Collections declining without an obvious cause

Billing team stretched thin without results

No benchmarks against industry standards

Leadership lacks visibility into billing KPIs

Payer mix changes affecting cash flow unpredictably

What's Included

Current billing workflow audit

KPI benchmarking (denial rate, clean claim rate, DSO)

Payer mix and contract analysis

Staff process efficiency review

Revenue recovery opportunity report

30-60-90 day optimization roadmap

Optional ongoing advisory retainer

Expected Outcomes

Revenue leakage identified and quantified

Clear action plan with prioritized fixes

KPI benchmarks vs. specialty-specific standards

Management dashboard configured for ongoing oversight

Training recommendations for billing staff

Diagnostic consulting before the engagement, not during the engagement

RCM consulting is most valuable before a billing relationship starts — when you can see exactly what's broken and decide whether to fix it in-house, switch billers, or restructure the operation entirely. Our consulting engagements start with a 48-hour free diagnostic: AR aging by payer, denial rate by payer and reason code, clean claim rate against Florida benchmarks, days-in-AR trend, and submission timeliness against payer windows. The output is a written report — not a sales pitch.

Florida-specific benchmarks make the diagnostic actionable. A 9% denial rate is high in Iowa and average in Miami-Dade Medicaid. A 30-day DSO is bad for commercial and average for Medicaid MMC. Our benchmarks come from the actual Florida payer mix we work with daily, not national averages that don't account for Florida Medicaid's slower cycle.

Engagements we take and engagements we don't

We don't accept consulting engagements where the answer is predetermined. If a clinic has decided to outsource and just wants confirmation, that's not consulting — it's vendor selection. If a clinic wants to fix in-house operations and is willing to invest in process changes, that's where we can move the needle. Typical engagements run 4–12 weeks with a specific KPI target (reduce denial rate by 5 points, drop AR over 90 by 30%, lift clean claim rate above 95%) and structured weekly checkpoints.

The work itself is usually a combination of process redesign (handoff between front desk, coding, and billing), payer rule re-mapping (specialty-specific modifier and prior-auth rules that the team didn't have), and team training (delivered in English and Spanish for South Florida operations). We don't take retainer engagements that drag without measurable outcomes.