Revenue Cycle

Superior Solutions to Healthcare’s Complex Challenges

MMY Consulting assures that your organization has the processes, tools and skills to optimize your revenue cycle performance. MMY tracks claims at every stage so the provider can follow the process and address any issues, allowing for a steady stream of revenue.

Our Revenue Cycle Solutions team brings extensive experience in healthcare information systems, project management, health claims administration and software design. We provide our clients subject matter expertise and guidance a variety of areas, including supply chain management, revenue cycle management, clinical systems implementations, customer relationship management, electronic health records implementation and healthcare compliance

Comprehensive Charge Master (CDM) Audit Services

  • Identify invalid HCPCS and revenue codes
  • Review all line items for charge compliance and use of modifiers
  • Identify valid item master code assignment
  • Identify missing charges, compliance problems, and billing issues (claims review)
  • Interview revenue generating department manager
  • Verify facility pricing against fee schedule and pricing data
  • Provide final report outlining CDM implementation updates

Revenue Cycle Operational Assessments

Claims Denial Management

  • Top 25 physicians, specialty, DRG, revenue
  • Top 25 procedures, diagnosis, revenue
  • Charge capture / late charges / missing charges
  • Percentage of first-pass clean claims
  • Claims denial aged report

Revenue Cycle Workflow Process Review

  • Workflow process current state
  • Identify areas for improvement (findings / projects)
  • Recommendations for improvement (Best Practice)
  • Create workflow process for future state
  • Create metrics to measure process flow improvement
  • Risk mitigation strategy for maintaining status quo

Reporting and Benchmarking

  • Establish baseline measurements
  • Create applicable benchmarks for all revenue cycle areas
  • Monitor and measure progress toward benchmarks
  • Monitor key performance indicators

Post ICD-10 Implementation Audit Services

  • Clinical documentation improvement assessment
  • Key performance indicators / performance improvement
  • Revenue cycle operational benchmark analysis
  • Denial analysis / payer / contract / denial type
  • Revenue cycle and EHR optimization assessment


Rural Health Operational Assessment

  • RMC Workflow Process Orientation
  • Health Information Management (HIM)
  • Claims Management
  • RCM Core Measures (KPI Analysis)
  • Charge Capture Initiatives
  • ICD-10 Post Implementation Assessment