Revenue Cycle Consulting - Provisions Group

High Denial Rates & Aging A/R

Preventable coding errors, outdated payer rules, and poor follow-up lead to costly delays and write-offs.

Manual denial management and limited prioritization of aged claims reduce revenue.

Inefficient Scheduling & Patient Intake

Incomplete eligibility checks and disconnected scheduling tools cause no-shows and billing issues.
Manual intake processes introduce errors before the patient even sees the provider.

Disconnected & Outdated Tech

EMRs, billing, and CRM platforms that don’t “talk” to each other force staff to duplicate efforts.

Legacy systems limit automation, analytics, and flexibility, creating a drag on productivity.

Staffing Shortages & Skill Gaps

Billing teams are overwhelmed or undertrained.

High turnover leads to inconsistencies in coding, claims management, and payer communication.

Limited Operational Visibility

You can’t manage what you can’t measure. Limited dashboards make it hard to track denial trends, A/R aging, and net collection rates.

Difficult to forecast revenue, spot leakage, or measure performance.

Compliance & Value-Based Care Pressures

Struggles meeting MIPS, MACRA, and other regulatory requirements while avoiding penalties.
Challenges aligning clinical and financial workflows and tracking quality metrics tied to reimbursement.

Screenshot of a billing account from a hospital

RCM Strategy & Workflow Optimization

Redesign scheduling, intake, and eligibility workflows
Implement best practices for denial management, A/R recovery
Improve first-pass claim rates and payer communication

Athena Health, Greenway Health, NextGen Healthcare, eClinicalWorks, MEDITECH, ModMed, and Epic

EHR & System Optimization

Configure charge capture, documentation templates, and CPT code mappings
Align clinical and billing workflows inside Epic, Athena, Greenway, and others
Eliminate issues that cause denials at the point-of-care

System Integration & Automation

Connect your EMR, billing, CRM, and patient engagement tools
Automate eligibility checks, claims processing, and financial reporting

Two healthcare workers coordinating patient schedules at the front desk

Staff Augmentation & Specialized Talent

Provide interim or long-term experts in billing, coding, analytics, IT, and RCM leadership

Access niche expertise in payer contracting, denial management, and analytics

Reporting & Analytics

Deploy dashboards for key KPIs: Days in A/R, denial rates, net collections, and more
Turn your data into insights that drive action and improvement

Compliance & Value-Based Care Support

Support MIPS/MACRA strategy, documentation improvement, and reporting

Align clinical workflows with quality metrics and reimbursement models

We Don’t Just Advise.  We Fix What Others Can’t 

Most RCM consultants leave you with a list of recommendations. We roll up our sleeves and make the changes directly inside your systems – eliminating the root causes of delays, denials, and missed revenue. Our team has the technical depth and healthcare experience to make real, lasting changes inside your systems, not just recommend them. 

Improved Cashflow & Stronger Financial Performance

Lower denial rates and faster reimbursements
Improved cash flow and net collection through better charge capture and follow-up
Reduce denials, speed up reimbursements, and improve net collection rates

Data-Driven Decisions

Real-time dashboards and reporting to track key revenue cycle KPIs
Actionable insights to identify revenue leakage and guide strategy, staffing, and investments

Operational Efficiency & EHR Optimization

Streamlined scheduling, intake, and billing workflows
Optimized EHR setup—charge capture, documentation templates, and payer rules – to reduce delays and denials
Fewer manual tasks and smoother collaboration between clinical and financial teams

People & Long-Term Readiness

Training and support that reduce burnout and turnover
Confidence in compliance, value-based care, and audit readiness
Scalable technology and workflows aligned with long-term growth

Why Choose Provisions Group?

Hands-On Revenue Cycle Execution and EHR Expertise

We’re more than RCM consultants — we have deep, hands-on experience with leading EHR platforms and healthcare operations. We understand how clinical documentation, charge capture, billing workflows, and payer rules all interact. That means we don’t just identify revenue cycle issues — we go into your EHR and systems and fix them.

We understand that revenue cycle issues often stem from how your EHR is configured, not just how your teams are using it. That’s why we: 

Fix charge capture workflows, documentation templates, and payer rule setups

Align clinical documentation with billing requirements

Ensure your EHR supports clean claims and efficient scheduling

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FEATURED SUCCESS STORY

How we streamlined lease management tools and cut support tickets by 75%.

Healthcare Realty Trust, a publicly traded REIT specializing in outpatient medical facilities, partnered with Provisions Group to modernize their lease management processes. Using Microsoft Power Platform—including Power Apps, Power Automate, and Dataverse—we streamlined workflows, reduced support tickets by 75%, and improved cross-team collaboration across operations, leasing, and accounting.

Read Full Story

Frequently Asked Questions

What is Revenue Cycle Management (RCM) and why is it important for outpatient practices? Revenue Cycle Management (RCM) refers to all the administrative and clinical processes that manage claims, payment, and revenue generation in healthcare. Effective RCM ensures you get paid fully and quickly by reducing denials, streamlining workflows, and eliminating operational inefficiencies across your EHR, billing, and patient intake systems.

How can Provisions Group help reduce claim denials and A/R aging?

We address denials and A/R at the source:

Fixing coding errors and updating payer rules inside your EHR.

Redesigning denial management workflows.

Automating claim follow-up and prioritization.

Training staff on best practices to prevent future issues.

Can you optimize and integrate our EHR, billing, and CRM systems? Absolutely. We specialize in EHR optimization for platforms like Epic, Athena, Greenway, NextGen, ModMed, and more. We connect your clinical, billing, and patient engagement systems to automate eligibility checks, claims processing, and financial reporting, reducing manual effort and the risk of errors.

How do you help improve operational efficiency in scheduling and patient intake?

We streamline your front-end workflows by:

Automating eligibility verification and scheduling.

Reducing manual data entry errors during intake.

Integrating scheduling tools with your EHR and billing systems to ensure clean claims from the start.

What level of reporting and analytics can you provide? We deploy dashboards that track the most important revenue cycle KPIs – including Days in A/R, denial rates, and net collections – giving you real-time, actionable insights to identify leakage and drive improvement strategies.

Do you assist with compliance for MIPS, MACRA, and value-based care? Yes. Our experts ensure your workflow aligns with regulatory requirements, so you avoid penalties and maximize reimbursements. We also help improve quality metric tracking and documentation for value-based care models.

What sets Provisions Group apart from other revenue cycle consultants? Unlike most firms, we don’t just advise – you get hands-on experts who fix root causes directly inside your EHR and workflows. Our deep technical and clinical knowledge means we resolve the things that hold up your cash flow, not just make recommendations.

Can Provisions Group provide RCM staff or training for our team? Yes! We offer staff augmentation with billing, coding, and analytics experts, as well as on-site or remote training. This helps eliminate skill gaps, reduce burnout, and improve long-term results.

What results can we expect from your revenue cycle consulting services?

Clients typically see:

Lower denial rates and A/R days.

Increased cash flow and net collection rates.

Streamlined workflows and EHR setup.

Better compliance and confidence in audits.

How do we get started or request a revenue cycle assessment? It’s easy! Just Schedule Your Free Revenue Cycle Assessment. We’ll review your workflows, denial trends, and EHR setup, and provide a practical, step-by-step action plan tailored to your practice.

Fix Your Revenue Cycle at the Source.

We fix broken billing workflows, optimize EHRs, automate eligibility verification, and improve clean claim rates — so your practice can get paid faster and stay compliant

Are These Revenue Cycle Pain Points Slowing You Down?

End-to-End RCM Support for Mid-Sized Practices

Let’s Fix What’s Holding You Back

How We Help Practices Like Yours

Let’s Talk About Your Revenue Cycle