Post-Acute Revenue Operations

Stabilize revenue operations. Reduce reimbursement friction.

Helping home health, hospice, infusion, respiratory, and DME providers overcome staffing shortages and payer complexity through specialized revenue cycle management. No empty promises — just operational throughput.

Operational Performance View

Q3 · Engagement Ledger

Days in A/R

34

-22%

Clean-Claim

96%

+31%

Denial Rate

3.8%

-72%

Cash Posted

$4.2M

MTD

Intake → Auth92%
Coding / Review88%
Billing Submission96%
A/R Follow-Up74%
Lifecycle throughputReconciled hourly
Who We Support

Deep specialization in post-acute care.

We work exclusively with home-based care organizations. Every workflow, coder, and analyst is calibrated to your segment.

Operational Impact

Moving from operational chaos to revenue visibility.

We don't sell software. We provide the operational foundation required to scale your agency without the friction of billing backlogs and denial surges.

1

Reduce Days in A/R

Standardizing intake and eligibility workflows so claims go out clean the first time.

2

Stabilize Reimbursement

Dedicated denial management teams that identify root causes in documentation and payer behavior.

3

Improve Operational Consistency

Augmenting your staffing to maintain throughput regardless of internal turnover or geographic expansion.

4

Build Revenue Visibility

Throughput, denial, and aging reporting at every step — not just month-end summaries.

Operational Metrics

Average A/R Reduction

-22%Within first 90 days

Clean-Claim Rate Improvement

+31%Operational throughput baseline

Denial Recovery Rate

88%Aggregate portfolio performance

Days in A/R (median)

34Across mature engagements

Aggregate engagement performance. Individual results vary by segment and baseline.

Intake-to-Cashflow Lifecycle

Where revenue leakage actually happens.

  1. 01

    Referral & Intake

    Eligibility within 2 hours

  2. 02

    Prior Authorization

    Payer-specific workflows

  3. 03

    Documentation Review

    Clinical scrubbing

  4. 04

    Coding & Billing

    PDGM / HCPCS / per-diem

  5. 05

    A/R & Denials

    Root-cause follow-up

  6. 06

    Cash Posting

    Reconciled to utilization

Most leakage is invisible on the P&L. We instrument each handoff and report on throughput, denials, and aging at every step.

Services

Operational services, executed by post-acute specialists.

View all services →

01

Intake & Eligibility

Eligibility verification, benefits, and intake coordination within two hours of referral receipt to protect downstream timing.

  • Faster starts of care
  • Reduced front-end denials
  • Cleaner downstream documentation

02

Prior Authorization

Payer- and therapy-specific prior auth workflows with proactive renewal tracking to prevent therapy gaps.

  • Fewer authorization-related denials
  • Reduced therapy interruption
  • Predictable utilization billing

03

Billing & Coding

PDGM, OASIS, HCPCS, J-codes, and per-diem billing executed by post-acute–experienced staff inside your EMR.

  • Higher clean-claim rate
  • Reduced rework
  • Audit-ready documentation

04

Denial Management

Segmented denial workflows by payer and reason, with root-cause feedback into intake, coding, and documentation.

  • Higher overturn rate
  • Lower preventable denials over time
  • Recovered revenue inside the appeal window

05

Accounts Receivable Follow-Up

Worklist-driven A/R follow-up segmented by aging, payer, and balance with measured daily throughput.

  • Lower Days in A/R
  • Smaller >90-day buckets
  • Reduced small-balance write-offs

06

Revenue Cycle Operations

End-to-end RCM operations management for organizations that need a partner, not a vendor.

  • Operational consistency across locations
  • Predictable monthly close
  • Improved revenue visibility
Case Scenario

What stabilization actually looks like.

Multi-state home health agency · PE-backed

Reclaiming $1.4M in stalled aging A/R while restabilizing intake.

Faced with staffing turnover and PDGM transition delays, this regional operator saw 90+ day A/R balloon. We deployed an augmented staffing model to clear the backlog while re-engineering intake workflows. Within six months, throughput, denial rates, and cash conversion had all returned to operating-plan targets.

Anonymized client scenario · Representative of typical engagement

Before / After (6-month engagement)

Days in A/R

72

41

Denial Rate

14%

3.8%

Clean-Claim Rate

78%

96%

>90-day A/R

31%

9%

Ready to stabilize your revenue operations?

Connect with our operational advisory team to evaluate your current intake-to-cash workflow and identify leakage points.

Request an Operational Assessment

Confidential Operational Reviews · Post-Acute Specialists Only