RCM Audit & Revenue Leakage Assessment
Find the Leakage. Fix the Process. Accelerate the Revenue. Before you outsource anything — or change anything — understand exactly where your revenue cycle is losing money.
Audit before outsource: We don’t believe every practice should immediately replace its existing billing operation. First, understand the problem. Then determine the right solution. Request your free audit →
An Independent View of Your Revenue Cycle
Our RCM audit gives healthcare practice leaders a structured, independent view of revenue-cycle performance — not a sales pitch dressed up as an assessment. We look at the full path a dollar takes through your practice, from the moment a patient is scheduled to the moment a claim is paid, and identify exactly where that path is leaking revenue.
What the Audit Covers
- Eligibility and verification
- Authorization processes
- Charge capture
- Coding accuracy
- Documentation
- Claim submission and clean-claim performance
- Denials and appeals
- Payment posting and underpayments
- Insurance AR and patient AR
- Aging trends and payer performance
- Revenue-cycle KPIs
Your Deliverable: The Revenue Cycle Health Report
At the end of the engagement, you receive a management-level report — not a stack of raw data. Every finding is structured the same way, so your team can act on it immediately:
Leakage
The specific point where revenue is being lost.
Root Cause
Why it’s happening — the upstream process behind the symptom.
Financial Impact
The dollar amount tied to each finding, not a generic estimate.
Corrective Action & Priority
The specific fix, ranked by what to address first.
From Audit to Action
The audit is the front door, not the destination. Findings feed directly into our Revenue Cycle Optimization work, and — where it makes sense — into ongoing End-to-End RCM management. Where you already have an in-house or outsourced billing operation, the audit tells you plainly whether it’s the process or the people that needs to change.
Want the same audit framed as a practice scorecard with 12-month trends, AR ranking and a SWOT? See our Practice Revenue Cycle Audit. Want the leakage framework itself explained in depth? See our Revenue Leakage Audit guide.
Frequently Asked Questions
Is the RCM audit really free?
Yes. We use it to scope any follow-on engagement accurately, and you keep the Revenue Cycle Health Report regardless of what you decide to do next.
Do you require us to switch billing companies?
No. Audit before outsource is core to how we work — some practices need a process fix, not a new vendor. The report tells you which one you actually need.
How is this different from a generic billing review?
Every finding is tied to a root cause, a dollar figure and a priority — not a list of observations. It’s built to be acted on, not filed away.
Find Your Revenue Leakage
Start with a free Revenue Cycle Health Check — see what's wrong, why it's happening, and what to fix first.
Get Your RCM Health Check →