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M&A Revenue Cycle Management and Operational Due Diligence and Post-Acquisition Integration and Optimization

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Revenue Cycle Management Performance Optimization and Cash Acceleration

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Technology and Innovation Due Diligence

Professional Services

Shore Healthcare Consulting delivers impact through focused, hands-on RCM service offerings.

Expert Support to Strengthen the Revenue Cycle

Revenue cycle challenges result from front and back-end operational issues. The RCM process begins when scheduling the first patient encounter and doesn’t end until primary and secondary insurance and patient responsibility are fully collected. SHC doesn’t just point out the problems. The team works side by side with clients, rolls up their sleeves, and gets things working properly, which ultimately leads to enhanced cash flow. Together, they uncover what’s holding organizations back, put solutions in place, and build processes that keep healthcare organizations financially strong and focused on patient care.

The Engagement Journey

Most clients start with a 3- or 6-month engagement. During that time, the firm takes a deep look at the client’s data and conducts an assessment of the people, process, and systems that support both the front and back ends of the revenue cycle continuum. Findings are shared in clear, straightforward terms, and the firm then works with the client’s team to begin implementing improvements immediately. The firm’s end goal is to pair smart analytics with hands-on experience so you see improvements in cash flow quickly, and put sustainable systems into place that continue driving success long after the engagement ends.

PROFESSIONAL SERVICE

M&A Revenue Cycle Management and Operational Due Diligence and Post-Acquisition Integration and Optimization

When buyers consider an acquisition, the quality of revenue is not always clear. Revenue cycle performance can be difficult to see, with details often hidden. SHC takes a close, comprehensive look at the RCM leadership and daily operations and dives into historical data to reveal risks and opportunities. Their role is to provide boards and investors with peace of mind so leaders can make confident decisions and drive stronger post-deal performance.

Opportunities:

01 Transparent assessment of cash collection performance vs. industry standards

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Actionable insights to strengthen pre- and/or post-acquisition performance

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Identification of both risk and upside potential

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Support for smoother integration and accelerated returns

PROFESSIONAL SERVICE

Revenue Cycle Management Performance Optimization and Cash Acceleration

Even well-run organizations can face underperformance from denied claims, aging receivables, and processes that slow down cash flow. SHC works across the revenue cycle, from patient scheduling and insurance eligibility checks to claim scrubbing and denial prevention. By helping teams build systems that work correctly from the first patient appointment, SHC makes it easier to send out clean claims, get paid quickly, and keep cash flowing smoothly.

Opportunities:

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Lower overall denial rates (targeting best practice of less than 5 percent)

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Optimized claim submission process and scrubber rules to ensure clean claims

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Timely payment from payers and reduced accounts receivable backlogs

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Strategic denial management to continuously prevent avoidable payer issues

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Improved staff training and accountability to support long-term, sustainable processes

PROFESSIONAL SERVICE

Technology and Innovation Due Diligence

Many healthcare organizations know that new and emerging technologies like AI could make their revenue cycle stronger, but they do not know which tools are worth the investment. SHC removes the guesswork by reviewing every part of the organization that touches the revenue cycle, including people, processes, and systems. They identify where automation or innovation can optimize the entire process, reduce the time staff spend on manual tasks, minimize wasted resources, and maximize revenue while keeping organizations at the forefront of innovation with AI and other advanced tools.

Opportunities:

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Objective evaluation of existing systems

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Identification of automation opportunities to improve efficiency

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Clear recommendations on investments that drive measurable ROI

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A balanced approach that aligns innovation with operational goals

UNDERSTAND EVERY STEP

Our Proven Process

SHC’s pre- and post-acquisition analytics and operating model protect cash and performance.

Stabilize

0 to 3 Months

01 Optimize

3 to 6 Months

02 Establish

Sustain Change

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LONG-TERM SUSTAINABILITY

Why Partner With SHC

With decades of hands-on leadership and national experience, SHC offers more than advice. The team has actually led healthcare organizations from the inside, so they understand the realities of revenue cycle management in ways other consultants can’t. Guided by integrity and transparency, SHC works side by side with clients to accelerate cash collections and strengthen day-to-day operations. By the end of an engagement, clients walk away with sustainable systems, stronger processes, and the confidence that their revenue cycle will no longer stand in the way of delivering excellent patient care.

Request a Revenue Cycle Consultation

If you would like to discuss a particular revenue cycle performance challenge, please give us a call to discuss how SHC can inform your next steps.

Request a Meeting