Healthcare Revenue Cycle Management (RCM)

Scalable and Customizable Revenue Cycle Management Services for Physician Groups and Health Systems.

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Revenue Cycle Health Check

360° RCM Health Check & Roadmap

Our 360 Revenue Cycle Health Check delivers a complete, end-to-end evaluation of your organization’s financial and operational performance. We examine every phase of the revenue cycle—from patient registration to final payment—to uncover inefficiencies, revenue leakage, and missed opportunities that affect cash flow and profitability. 

We don’t stop at identifying issues—we build a strategic roadmap for improvement. Using data-driven insights and best-practice benchmarks, we translate complex findings into clear, actionable steps that strengthen processes, reduce denials, and accelerate collections. 

Complete Evaluation of Front-, Mid-, and Back-End Workflows

We trace each claim’s lifecycle—from scheduling and eligibility to coding, submission, and collections.
Using proprietary diagnostic templates, we evaluate:

  • Patient access and registration accuracy
  • Coding and charge capture compliance
  • Claim edits, scrubbing, and billing accuracy
  • Payment posting and denial management workflows
  • A/R follow-up cadence and aged-bucket distribution

KPI Benchmarking Against Industry Standards

Our analysts benchmark your performance against national RCM standards and peers of similar specialty and size.
We measure and report on:

  • Days in Accounts Receivable (DSO)
  • Clean-Claim Rate
  • Denial Rate
  • Net Collection Rate
  • First-Pass Yield

Each metric is visualized in a dashboard that highlights both strengths and vulnerabilities.

RCM KPI dashboard comparing DSO, denial rate, and clean-claim rate benchmarks

Identify Revenue Leakage & Process Gaps

Data reveals where the dollars are hiding. Our audit identifies process bottlenecks, unbilled encounters, underpayments, and late filings that quietly drain cash flow. We flag every root cause and tie it to actionable operational or system fixes.

Build a Custom Roadmap for Sustainable Improvement

We don’t stop at findings—we turn them into a prioritized action plan that fits your staffing, systems, and payer mix.
Your roadmap includes:

  • 30-, 60-, and 90-day milestones
  • Estimated financial impact for each initiative
  • Recommended technology or automation enhancements
  • KPIs to track success and sustain gains
RCM improvement roadmap with 30-60-90 day milestones

Executive Reporting & Next Steps

Every Health Check concludes with an executive-level briefing and visual summary you can share with leadership. We provide clear next steps to move from diagnostic to transformation—often serving as the kickoff point for a full RCM optimization initiative.

Why the PR360 Health Check Delivers More

Unlike basic audits, we combine financial analytics, operational workflows, and payer data to provide a 360° picture of your performance.
You’ll walk away with:

  • Data-driven insights (not opinions)
  • A clear roadmap that leadership can execute
  • Measurable improvements in cash velocity and clean-claim rate within one quarter
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FAQs

Q1. What does an RCM Health Check include?
A1. A full workflow audit, KPI benchmarking, denial and leakage analysis, and a data-driven improvement roadmap.

Q2. How long does the assessment take?
A2. Typically 2–4 weeks depending on data availability and scope.

Q3. Who should request a Health Check?
A3. Any practice or group seeing rising denials, cash-flow delays, or staffing inefficiencies.

Q4. How are recommendations implemented?
A4. You can execute internally or partner with PR360 for ongoing transformation and tracking.

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