End-to-End RCM Overhaul to Cut Denials & Reduce AR Days

Healthcare practices lose thousands due to high denial rates, slow AR, weak charge entry, and inconsistent posting. I help fix that by delivering a complete, hands-on RCM rebuild, not surface-level “optimizations.” I analyze your claim flow, identify real root causes, and redesign the cycle so your revenue moves without delays. My work includes payer-specific clean-claim edits, DX/CPT validation, structured charge capture, accurate ERA/EOB posting, denial categorization, AR bucket reviews, and tighter follow-ups with appeals.

I also clean historical billing data and create SOPs that simplify daily operations. The result is a stable, predictable revenue cycle with clean claims, fast reimbursements, and real visibility through billing dashboards. This service helps practices reach 95%+ clean claims, cut denials to single digits, reduce AR days sharply, and secure consistent monthly revenue.

Action Plan (Steps):
1. RCM Audit
Review claims, denials, posting flow, AR buckets, and payer trends.
2. Workflow Redesign
Set clean-claim edits, coding checks, posting rules, and SOPs.
3. Denial & AR Fixes
Categorize denials, correct patterns, tighten follow-ups, and prepare appeals.
4. Data Cleanup
Normalize codes, charges, mapping, and historical billing inconsistencies.
5. Final Reporting
Deliver dashboards, insights, and a clear cycle improvement summary.

FAQs
Q1: Can you work inside my billing or EHR system?
Yes, as long as secure access is provided.
Q2: Do you handle denial appeals?
Yes, including categorization, corrections, and full appeal preparation.
Q3: Will you fix existing data issues?
Yes, I clean codes, charges, mappings, and posting inconsistencies.
Q4: Can you work with any specialty?
Yes, experience across multi-specialty practices.
Q5: How soon can improvements be seen?
Most clients see claim and AR improvements within the first 2–4 weeks.