Revenue Cycle Consulting

Your partner in revenue cycle optimization

BerryDunn’s revenue cycle consultants engage with your healthcare organization to objectively review existing processes and develop actionable strategies for short- and long-term performance improvement.

With experts along the entire continuum of care, our approach focuses on cash acceleration, revenue integrity, and helping to ensure that every dollar owed is collected. Based on best practices, we help bolster performance and improve the efficiency and effectiveness of your revenue cycle.

Services

Working collaboratively with designated client stakeholders, our consultants conduct thorough analyses of revenue cycle processes, policies, systems, and staff to develop and implement practical solutions that support an optimized healthcare revenue cycle.

Patient access

Coding and documentation

Patient accounts

EHR consulting

Patient access

We take a holistic view of your front-end revenue cycle operations, helping you to develop optimized and proactive patient access workflows. Our team begins by gathering and documenting all current state front-end workflows, including scheduling, pre-registration, check-in, and authorization.

Patient access optimization

We help you improve the patient experience, increase access to care, and enhance revenue cycle performance through patient access optimization, centralization, and transformation.

Operational transformation

Our patient access leaders work closely with your team to streamline and develop proactive foundational front-end workflows.

Patient access interim leadership

Our seasoned experts partner with your leadership team, focusing on optimizing and strengthening workflows, leadership presence, individual and team dynamics, and patient culture.

Coding and documentation

Our coding and documentation team will review your medical records to help ensure that the documentation and diagnoses reported are accurate and appropriate, capturing the whole patient story.

Revenue integrity design and improvement

We help you connect your clinical, coding, and compliance efforts to decrease the risk of revenue leakage and help ensure all documented services are billed.

Clinical Documentation Improvement (CDI)

Our CDI specialists help you design, implement, and oversee a customized CDI program to meet your facility’s specific needs, with individual training and mentorship available.

Regulatory compliance

Our certified compliance professionals will help you navigate the various regulatory agencies and requirements surrounding patient privacy, quality, and fraud and abuse.

Chargemaster optimization

Our chargemaster specialists will review your existing chargemaster and charge capture to identify compliance or charge code opportunities.

Pricing transparency and rationalization

We help you develop defensible pricing models based on payor contracts, regulatory requirements, competitive pricing, and organization strategy.

Charge capture

Our charge capture consultants will help you identify any potential deficiencies or missed opportunities in billable revenue for your organization.

Patient accounts

Our patient account specialists will thoroughly review your middle and back-end revenue cycle operations to help you optimize your workflows and assist in documentation review, denials management, work queue analysis, claim filing, and clearinghouse rejections.

Revenue cycle optimization

Our patient account leaders will assist in reducing workflow gaps, decreasing denials, and increasing your revenue.

Clearinghouse optimization

Our team can help you select a clearinghouse vendor, or help you optimize your existing system, identifying and fixing gaps between your Electronic Health Record (EHR) and clearinghouse.

Denials prevention and management

Our patient account consultants will partner with you to optimize your systems to help you collect every dollar owed through proactive denials prevention.

Interim management

Our seasoned experts support all patient account positions, partnering with your leadership and staff to transform and improve.

EHR consulting

Our certified and experienced Electronic Health Record (EHR) professionals provide implementation support and optimization. We guide you through the process with deliberate intention, focused execution, and a system for managing risk and change organization-wide.

EHR implementation

Our experienced project managers are certified by the Project Management Institute® and have the tools and expertise to keep your project running smoothly.

EHR optimization

We help you gain the most value from your EHR system by identifying opportunities for improvement, optimizing workflow, streamlining processes, and improving departmental performance.

Bolt-on technology implementation and optimization

We support implementing or optimizing all of your revenue cycle technology, including clearinghouse/claim scrubber, price estimators, eligibility and benefits, contract management, and other tools.

A full-service healthcare consulting team

From labor shortages to regulatory changes, today’s healthcare organizations face greater challenges than ever. Our healthcare team includes audit, tax, clinical, and consulting professionals focused on specific healthcare industry areas. We are committed to helping you meet and exceed regulatory requirements, maximize your revenue, minimize your risk, improve your operations—and most importantly—facilitate positive outcomes.

About us