RCM Consulting
Strategic Advisory
Expert Guidance for Complex Challenges
Whether you’re struggling with denial rates, preparing for CMS-0057, or concerned about your security posture in an era of healthcare ransomware, our consultants bring 20+ years of healthcare expertise to help you build a roadmap for success.
We don’t just identify problems — we deliver actionable recommendations with clear implementation paths and measurable outcomes.
- Certified revenue cycle professionals
- Healthcare security specialists
- Deep payer relationship expertise
- Regulatory compliance experience
Consulting Services
How We Help
Revenue Cycle Assessment
Comprehensive analysis of your end-to-end revenue cycle to identify revenue leakage, process inefficiencies, and optimization opportunities
- Charge capture analysis
- Denial root cause deep-dive
- A/R aging analysis
- Payer contract optimization
- Staffing and productivity benchmarks
Healthcare Security Consulting
AI provides speed; humans ensure accuracy. Our governance model means we stand behind every determination with real expert oversight.
- HIPAA Security Risk Analysis (SRA)
- Vulnerability assessment
- Security policy development
- Incident response planning
- Vendor security assessment
2026 Compliance Readiness
Prepare for CMS-0057 interoperability mandates with our comprehensive compliance assessment and implementation roadmap.
- Gap analysis vs. CMS requirements
- FHIR readiness assessment
- Prior auth workflow mapping
- Technology roadmap development
- Budget and timeline planning
Workflow Optimization
Streamline operations and eliminate bottlenecks with process improvement consulting based on Lean and Six Sigma methodologies.
- Process mapping and analysis
- Automation opportunity identification
- EHR workflow optimization
- Staff training and change management
- KPI development and tracking
Healthcare Security
Why Security Consulting Matters Now
Healthcare is the #1 target for ransomware attacks. In 2024, the average cost of a healthcare data breach reached $10.93 million — the highest of any industry for the 13th consecutive year.
Our security consulting helps you:
- Meet HIPAA requirements: The Security Rule mandates annual risk analysis
- Protect patient trust: Breaches devastate reputation and patient confidenc
- Reduce financial risk: Proactive security is far cheaper than breach response
- Enable AI adoption: Secure foundation is prerequisite for trusted AI
Engagement Options
Flexible Consulting Models
Point Assessment
Focused analysis on a specific area of concern with actionable recommendations.
2-4 weeks • Fixed fee
Comprehensive Audit
End-to-end revenue cycle and security assessment with detailed roadmap.
6-8 weeks • Fixed fee
Ongoing Advisory
Fractional RCM leadership with regular strategic guidance and support.
Monthly retainer
Ready for a Strategic Assessment?
Let’s discuss your challenges and how our consulting services can help.