RCM Consulting

Strategic assessment and expert guidance to optimize your revenue cycle operations, strengthen your security posture, and prepare for 2026 compliance mandates.

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

Strategic Assessment

Revenue • Security • Compliance

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

Protect your organization from the escalating threat of healthcare ransomware and data breaches with our security-focused consulting services.

  • 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

Security Risk Analysis

HIPAA-Required Annual Assessment

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 confidence
  • Reduce financial risk: Proactive security is far cheaper than breach response
  • Enable AI adoption: Secure foundation is prerequisite for trusted AI

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.