A large multispecialty medical foundation was struggling with fragmented revenue cycle practices, uneven performance, and little visibility into cash flow. Shore Healthcare Consulting (SHC) stepped in to restore clarity, align systems and incentives, and stabilize RCM operations, laying the groundwork for stronger financial performance and long-term growth.
The Challenge
The foundation’s revenue cycle was underperforming because people, processes, and systems had been neglected. Disconnected systems limited visibility into what was really happening, and cash that appeared steady quickly turned unstable. The RCM team worked in silos with unclear expectations, and there was no incentive at the team level to improve performance. Without alignment or accountability, progress stalled. To grow sustainably, the foundation needed to restore visibility, reset its revenue cycle practices, and rebuild a culture of accountability.
The Solution
SHC embedded with the organization to assess operations and rebuild RCM infrastructure. They established clear KPIs and dashboard reporting, introduced real-time flash reporting, and developed a performance-based incentive compensation model tied to quality, productivity, and teamwork. SHC also led the enterprise-wide design and go-live of Epic PB Resolute, reduced legacy A/R, onboarded newly acquired practices, and created a sustainable culture of accountability and collaboration that elevated both financial and operational performance.
Key Objectives
- Establish measurable RCM performance standards
- Build incentive compensation program to drive results
- Implement Epic PB Resolute Billing Platform
- Improve collections and reduce aging A/R
- Onboard newly acquired practices into the RCM framework
Approach
Surface Gaps and Align Data
SHC dug into the data to identify why cash performance was volatile. They traced issues back to inaccurate claims and fragmented reporting, then implemented flash reporting and clear KPIs tied to best-practice standards. With reliable metrics in place, leaders could pinpoint root causes, correct errors, and stabilize revenue flow.
01
Incentivize and Build Accountability
To align people with organizational goals, the team designed a new incentive compensation plan with individual and team measures tied to quality, productivity, and collaboration. Flash reporting allowed performance to be tracked in real time, driving consistent improvement across the enterprise.
02
Modernize Systems and Ensure Sustainability
SHC guided the design and go-live of Epic PB Resolute, developed a legacy A/R rundown strategy, and led the onboarding of newly acquired practices. These changes strengthened payer relationships and created a sustainable operating rhythm that positioned the foundation for long-term success.
03
Results
Revenue Growth and Stronger Alignment
- Gross revenue +9% and net revenue +18%
- +$16M in incremental collections
- AR ↓3%, gross days ↓14%, net days ↓18%