We help health systems protect and recover revenue across the full revenue cycle — from charge capture and clinical documentation to denials prevention and vendor oversight.
Talk to our revenue cycle team →Small breakdowns in charge capture and documentation compound into millions in lost revenue annually
Denials consume staff time, delay cash flow, and erode margin faster than most CFOs realize
Without clear ownership and accountability, revenue leakage becomes normalized — and invisible
Targeted, practical work across the areas where revenue leaks most — and where the right expertise makes the biggest difference.
We identify where services are being delivered but not fully or accurately captured — and help teams fix the process, not just the symptom.
We work with clinical and operational leaders to improve documentation quality so reimbursement reflects the care actually delivered.
Instead of chasing denials after the fact, we help teams reduce avoidable denials upstream through process improvement, data, and accountability.
If a third party is managing part of your revenue cycle, we help ensure you're getting what you're paying for — with clear metrics and governance.
Clear ownership, clear metrics, and clear escalation paths so issues don't fall between departments — or go unnoticed until they've already cost you.
We start by identifying where revenue is leaking — using data, workflow analysis, and stakeholder input across clinical, operational, and finance teams.
We work with your teams to address root causes — not just surface metrics. That means process changes, accountability structures, and documentation improvements that actually hold.
We help put governance and ongoing monitoring in place so improvements don't quietly fade six months after we've left the room.
"We don't replace your revenue cycle team. We work alongside them to strengthen what's already there."
See how we partner →Our revenue cycle work is led by experienced operators and advisors who have spent their careers inside health systems — not just studying them.
TJ brings 20+ years of revenue cycle leadership, helping health systems navigate the full spectrum of transformation — from patient access modernization and CDI to denials prevention, automation, and vendor strategy. He is known for connecting board-level strategy with hands-on execution, and holds an MBA in Health Care Management from Belmont University.
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Doug brings 30+ years of healthcare revenue cycle expertise, specializing in organizational transformation, process redesign, and RCM technology implementation across acute and ambulatory settings. Since joining Optum in 2012, he has led high-profile standardization projects for multi-entity health systems and is a sought-after speaker for revenue cycle industry organizations.
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David has spent 15+ years partnering with 50+ health systems — including Johns Hopkins, Mayo Clinic, Kaiser Permanente, and UPMC — to drive revenue cycle improvement through CDI, denials prevention, and AR optimization. His engagements have delivered results including $12M reimbursement improvements and 10:1 ROI.
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Renee is a Fellow of HFMA with 25+ years of revenue cycle expertise, specializing in Revenue Integrity, Epic implementation, and A/R optimization. Before Optum, she served as VP of Revenue Cycle at Ensemble Health Partners and led Epic EHR implementations for complex multi-hospital health systems.
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Samantha combines deep revenue cycle expertise with a focus on client relationships — helping health systems understand their options and navigate what an engagement actually looks like. She also serves as the primary point of contact for all new inquiries.
🔗 Connect on LinkedInWant to connect with our revenue cycle team?
Get in touchIt depends on where the work starts, but many clients see meaningful improvements within the first few months — particularly in charge capture and denials reduction. Broader governance and process changes take longer but tend to produce the most durable results.
Yes. Most health systems already have vendors managing parts of their revenue cycle. We work within that environment — helping you get more out of existing relationships and identify where performance gaps exist.
Both are possible. Some engagements start with a focused diagnostic or targeted initiative. Others grow into longer-term partnerships as we find additional opportunities. We follow your lead on scope and pace.
Typically claims data, denial reports, charge master information, and current vendor performance metrics. We work with what you have and help you identify any gaps early so nothing slows us down.
Most revenue cycle consulting focuses on assessment and recommendations. We stay through implementation and sustainability — working alongside your team until the results are real and repeatable, not just documented in a slide deck.