RCM Transformation for Growth, Efficiency, and Cash Velocity
Our End-to-End Revenue Cycle Transformation service reimagines your entire revenue cycle—uniting people, process, and technology into a single, optimized framework. We go beyond surface-level fixes to architect a future-ready RCM operation that drives performance, transparency, and long-term financial success.
We transform every stage of the revenue cycle—from patient intake and coding to denials management and collections—into a cohesive, high-performing ecosystem. Through process redesign, automation, and analytics-driven insights, we eliminate bottlenecks, strengthen compliance, and ensure revenue integrity at every touchpoint.
A 360° Framework for Modern RCM
Transformation begins with visibility. We assess your people, processes, and technology to pinpoint changes that drive lasting efficiency. Each engagement starts with a Revenue Cycle Health Check baseline and evolves into a modernization roadmap.
Process Redesign Across the Entire Revenue Cycle
We rebuild workflows for reliability and scale—mapping, measuring, and refining each step to eliminate friction and revenue leakage.
Front-End: Eligibility, prior authorization, charge capture
Mid-Cycle: Coding accuracy, audit automation, charge lag reduction
Back-End: Denial prevention, collections workflow, payer reconciliation
Each redesigned process includes new KPIs, dashboards, and accountability metrics.
Automation & Technology Enablement
Modern RCM runs on automation and data.
PR360 integrates AI, RPA, and analytics into billing and collections to cut manual work, boost throughput, and flag anomalies before they affect revenue.
Capabilities:
- Claim status automation & worklist creation
- Eligibility & pre-authorization automation
- Predictive denial prevention
- Robotic payment posting & exception handling
Governance, KPIs, and Continuous Improvement
We establish an executive-level RCM Governance Cadence featuring:
- Monthly KPI and SLA dashboards
- Quarterly optimization reviews
- Defined ownership across Finance, Billing, and Operations
- Continuous-improvement pipeline with ROI scoring
This ensures accountability, alignment, and sustained results.
Change Management & Workforce Alignment
Technology doesn’t transform organizations—people do.
We align teams and leadership through structured communication, training, and performance incentives.
Our SOPs, scorecards, and reward programs keep focus on outcomes that matter.
Results You Can Expect
Clients completing PR360’s End-to-End RCM Transformation typically achieve:
- 25–40% reduction in A/R days (DSO)
- 15–25% higher clean-claim rate
- 20–30% better first-pass yield
- 50% faster reimbursement turnaround
- Real-time KPI visibility through automated reporting
FAQs
Q1. Will this disrupt daily operations?
A1 We use a phased approach—pilot high-impact areas, stagger go-lives, and provide change management and training—to minimize disruption while delivering measurable wins.
Q2. Do you work with our EHR/PM and clearinghouse?
A2. Yes. We are vendor-agnostic and use whatever software/platform our clients already have.
Q3. How do you measure success?
A3. We baseline current performance and set targets for clean-claim rate, denial rate, DSO, net collection rate, and aged A/R%. Dashboards track progress and sustain improvements.
Q4. What’s a typical timeline?
A4. Most engagements deliver a roadmap in 2–4 weeks, with phased rollout over 3–6 months depending on practice size, specialties, and payer mix.