HIM talent, advisory and other specialized resources

Revenue Cycle / Health Information Management (HIM)

The COVID-19 pandemic brought severe financial pressures to healthcare providers already challenged with complex revenue cycle processes, thin margins and compliance scrutiny.

Today, healthcare organizations must have the capabilities, capacities and systems to develop patient and revenue recovery strategies, carefully account for relief funding and ensure day-to-day billing and coding keeps up with rapidly changing requirements.

Our Revenue Cycle and HIM experts work in partnership with client revenue cycle, financial and IT leadership to assess and optimize systems, as well as policies and processes for patient access (registration and scheduling) billing, claims and denials management. 

Our Managed Coding Model offers a 95% quality guarantee and 100% pre-bill audit during onboarding, monthly QA and a dedicated coding manager.

Revenue Cycle / HIM experts with practical, quality-driven solutions.

Our Revenue Cycle and HIM experts work in partnership with client revenue cycle, financial and IT leadership to assess and optimize systems, as well as policies and processes for patient access (registration and scheduling) billing, claims and denials management. 

We assist clients with:

  • Coding compliance
  • Clinical documentation improvement (CDI)
  • Legal health record strategy
  • Information exchange
  • Revenue cycle optimization
  • Staffing performance metrics
  • Specialty coding – telehealth, trauma & cancer registry, etc.
  • Interim management
  • Charge capture strategies
  • Work queue management
  • Denial management

Why Pivot Point?

Pivot Point Consulting brings 25+ years of experience in operational revenue cycle leadership – with deep policy expertise and technical capabilities in planning, implementing and optimizing Epic, Cerner and other EHR/Revenue Cycle platforms. 

Experienced resources. Extraordinary results.

Download to read more about how our industry-leading solutions and team of experts can work for you.