Trace the revenue cycle
Examine the relevant handoffs across documentation, coding, charge capture, claim submission, denials, and reconciliation. Start with a specific service line, payer, or period so the review can be bounded.
Healthcare finance & revenue cycle leaders
See where revenue slows down.
Know what to examine next.
A balance or dashboard can show a problem without explaining whether it began in documentation, billing, payer processing, or follow-up.
Start with a business question. No records or commitment required.
FROM THE QUESTION TO THE EVIDENCE
What belongs in the review.
Distinguish delay from variance
Separate aging receivables, unbilled work, denied claims, adjustments, and possible underpayments. Each can require different evidence and a different owner for the next action.
Agree on evidence and follow-through
Establish access to records, review rights, correction or appeal responsibilities, and how findings would be validated. Timing, fees, scope, and the work required of your team are confirmed before engagement.
MAKE THE FIRST STEP SPECIFIC
What would make this worth examining?
A high-level summary is enough to begin. The team can help clarify the question before requesting detailed information.
- Which payment or workflow pattern prompted the review?
- What does the current reporting explain—and leave open?
- Who can provide the records and own the follow-through?
YOUR ASSUMPTIONS · TRANSPARENT MATH
Explore a scenario.
See what a percentage would mean for a defined review amount. You supply both inputs; this tool does not predict a finding or determine eligibility.
ILLUSTRATIVE DIFFERENCEAdd your assumptions
No recovery percentage is supplied or endorsed by BC Group.
This is arithmetic, before any fees or collection costs. It is not an audit result, a recovery forecast, or a percentage of total annual revenue.
Inputs stay on this page and are not submitted.BEFORE YOU CONTINUE
A few useful answers.
Does a review require replacing our RCM team or system?
The initial review can examine your current operation. Any later recommendation to change a workflow, provider, or system depends on the findings and your priorities.
How much revenue could we recover?
That cannot be established from annual revenue alone. The eligible records, payment evidence, contract terms, and recovery rights determine whether an opportunity exists. A scenario calculation is not an audit finding.
YOUR SITUATION SETS THE SCOPE
Let’s start with what matters to you.
Tell David what prompted the question, what needs to keep working, and any timing that matters.