Revenue Cycle Assessment
Customized Solutions. Proven Results

Identify revenue leaks, optimize your financial performance, and strengthen your bottom line with Legacy Consulting Services.

Legacy Consulting Services | Customized. Strategic. Results-Driven.

Optimize Your Revenue Cycle with a Tailored Approach

At Legacy Consulting Services, we understand that no two healthcare organizations are alike and neither are their revenue cycle needs. That’s why our Revenue Cycle Assessment is customized to uncover inefficiencies, enhance performance, and drive measurable results.

Our expert team delivers a thorough, hands-on evaluation of your entire revenue cycle — from patient access to final payment — to identify hidden opportunities for improved cash flow, faster reimbursements, and increased profitability.

Take Control of Your Revenue Cycle — Unlock Your Full Revenue Potential

Healthcare reimbursement has never been more complex — and small inefficiencies can quietly cost your organization hundreds of thousands of dollars per year.

At Legacy Consulting Services, we believe a strong, healthy revenue cycle is essential to supporting your mission, your patients, and your future growth.

Our customizable yet comprehensive Revenue Cycle Assessment gives you an objective, detailed view into how your revenue systems are performing — and where immediate improvements can drive faster payments, reduced denials, and better financial outcomes.

Whether you’re a small private practice, a large physician group, or a rural hospital, we tailor our findings and strategies specifically to YOU. Our assessments are far more than a one-size-fits-all review.

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Our Revenue Cycle Assessment Process

  • 1 Discovery & Data Collection
    The process begins with a thorough review of your current workflows, key metrics, billing reports, and denial trends.
  • 2 Process Mapping & Workflow Analysis
    Your entire revenue cycle—from patient intake to collections—is mapped to uncover bottlenecks and process inefficiencies.
  • 3 Benchmarking & Gap Analysis
    Performance metrics are compared against industry standards to reveal gaps and highlight areas for improvement.
  • 4 Charge Capture Review
    All services provided are analyzed to confirm accurate and complete billing.
  • 5 Coding Accuracy
    Diagnosis and CPT code selections are evaluated for compliance, revenue integrity, and missed opportunities.
  • 6 Claims Management Analysis
    Denial trends, rejections, and first-pass rates are assessed to pinpoint issues causing delays or revenue loss.
  • 7 Fee Schedule Comparison
    Contracted payor rates are compared to actual reimbursements to identify discrepancies.
  • 8 Accounts Receivable Health Check
    Aging reports and payment timelines are examined to identify areas for improving cash flow.
  • 9 Payor Mix & Contract Analysis
    Underperforming payors and reimbursement gaps are brought to light through an in-depth contract analysis.
  • 10 Workflow & Staffing Review
    Staffing, processes, and technology are reviewed for efficiency, effectiveness, and scalability.
  • 11 Customized Action Plan Development
    A clear, prioritized roadmap is delivered—outlining tactical steps and quick wins to drive performance.
  • 12 Follow-Up & Continuous Improvement
    Ongoing support is available to help implement changes and monitor progress for sustainable improvements.
  • 1 Discovery & Data Collection
    The process begins with a thorough review of your current workflows, key metrics, billing reports, and denial trends.
  • 2 Process Mapping & Workflow Analysis
    Your entire revenue cycle—from patient intake to collections—is mapped to uncover bottlenecks and process inefficiencies.
  • 3 Benchmarking & Gap Analysis
    Performance metrics are compared against industry standards to reveal gaps and highlight areas for improvement.
  • 4 Charge Capture Review
    All services provided are analyzed to confirm accurate and complete billing.
  • 5 Coding Accuracy
    Diagnosis and CPT code selections are evaluated for compliance, revenue integrity, and missed opportunities.
  • 6 Claims Management Analysis
    Denial trends, rejections, and first-pass rates are assessed to pinpoint issues causing delays or revenue loss.
  • 7 Fee Schedule Comparison
    Contracted payor rates are compared to actual reimbursements to identify discrepancies.
  • 8 Accounts Receivable Health Check
    Aging reports and payment timelines are examined to identify areas for improving cash flow.
  • 9 Payor Mix & Contract Analysis
    Underperforming payors and reimbursement gaps are brought to light through an in-depth contract analysis.
  • 10 Workflow & Staffing Review
    Staffing, processes, and technology are reviewed for efficiency, effectiveness, and scalability.
  • 11 Customized Action Plan Development
    A clear, prioritized roadmap is delivered—outlining tactical steps and quick wins to drive performance.
  • 12 Follow-Up & Continuous Improvement
    Ongoing support is available to help implement changes and monitor progress for sustainable improvements.

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Why Choose Legacy for Your Revenue Cycle Assessment?

What Sets Us Apart?

We don’t believe in one-size-fits-all assessments. Every solution is tailored to your specific practice, hospital, or healthcare group needs.

  • No cookie-cutter templates. We deep-dive into your unique operational, clinical, and billing processes to create a personalized roadmap.
  • Actionable insights, not just reports.  You’ll receive a clear, prioritized action plan — not just a list of problems — designed to improve your revenue cycle’s financial health.
    We don’t just hand over reports — we deliver clear, practical strategies you can implement immediately
  • Deep Healthcare Expertise. Our team includes RCM specialists, coding experts, billing analysts, and compliance advisors with decades of healthcare experience
  • ROI-Driven Outcomes. Every recommendation is tied to an expected return, so you can prioritize the highest-impact initiatives for your organization.

Our Proven 5-Step Revenue Cycle Assessment Methodology

Step 1: Discovery & Data Collection

What We Need + What We Review

We start by gathering critical information to form a complete picture of your revenue cycle.

What We Request:

  • Copies of recent aged accounts receivable (A/R) reports (broken down by payer and aging bucket)
  • Current denials report (by category and volume)
  • Charge and payment posting workflows
  • Billing policies and procedures
  • Recent payer contracts and fee schedules
  • Coding audits or documentation samples (if available)
  • Registration and scheduling forms/process outlines

What We Assess:

  • Charge capture completeness and timeliness
  • Payer mix and reimbursement trends
  • Front-end processes (eligibility verification, pre-authorization procedures)
  • Denial patterns and root causes

How We Do It:

  • Secure file sharing system
  • Confidential data handling protocols
  • Preliminary analysis of financial trends

Step 2: Process Mapping & Workflow Analysis

What We Look For + How We Analyze

We create a visual map of your revenue cycle from patient intake to final payment to find breakdowns, redundancies, and inefficiencies.

What We Examine:

  • Patient scheduling and registration accuracy
  • Insurance verification and eligibility processes
  • Pre-certification management
  • Charge entry accuracy and timeliness
  • Coding quality and compliance
  • Claim submission workflows (manual vs. automated)
  • Payment posting, secondary billing, and patient billing procedures
  • Collections (early-out, bad debt placement, patient balance management)

How We Do It:

  • Process interviews with key staff (billing, coding, front desk, clinical)
  • Walkthrough of EHR/PM workflows and system set-ups
  • Audit of workflow documentation and best practices

Legacy’s Goal:

To uncover where revenue is leaking, whether due to human error, technology gaps, or operational inefficiencies.

Step 3: Benchmarking & Gap Analysis

How We Compare + Identify Gaps

Once we understand your current processes and performance, we benchmark your organization against industry standards and best practices.

Key Performance Indicators (KPIs) We Compare:

  • Days in Accounts Receivable (goal: < 40 days)
  • First-pass claim acceptance rate (goal: > 95%)
  • Denial rate (goal: < 5%)
  • Net collection rate (goal: > 96%)
  • Charge lag days (goal: < 3 days from service date)

How We Do It:

  • Statistical analysis of collected data
  • Comparison to MGMA, HFMA, and CMS national benchmarks
  • Payer-specific performance analysis
  • Specialty-specific benchmark tailoring (when needed)

Legacy’s Goal:

To quantify your performance gaps clearly — and show you exactly how much financial opportunity is on the table.

Step 4: Customized Action Plan Development

Deliverables + Approach

We present a customized, prioritized action plan — not just a report.

Deliverables Include:

  • Executive Summary highlighting critical findings
  • Detailed Process Maps (current vs. recommended workflows)
  • Specific Tactical Recommendations (divided into Quick Wins vs. Strategic Initiatives)
  • Financial Impact Estimates (projected revenue gains)
  • Staff Training and Technology Enhancement Recommendations (if applicable)

How We Do It:

  • Presentation meeting with leadership and key stakeholders
  • Written documentation and timeline for improvements
  • Optional implementation consulting services

Legacy’s Goal:

To provide you with a clear, realistic roadmap you can immediately begin to execute — either with your internal team or with Legacy’s ongoing support.

Step 5: Implementation Support & Continuous Improvement

How We Help After the Assessment

Our commitment doesn’t end when we deliver the report. We offer support to implement recommendations and track ongoing improvements. 

Beyond the Report: We Help You Implement

Unlike other firms that hand you a report and walk away, we stay with you for the transformation. Our consultants partner with you to:

  • Implement workflow improvements
  • Optimize claim workflows and appeal processes
  • Train staff on new coding or billing protocols
  • Re-negotiate contracts or address reimbursement issues
  • You’re never left wondering, “Now what?”

How We Support You:

  • Staff training sessions (front desk, billing, collections)
  • Denials management process redesign
  • KPI dashboards for ongoing tracking
  • Monthly or quarterly check-ins to monitor success
  • Additional audits or mini-assessments as needed

Legacy’s Goal:

Sustainable improvements, measurable financial gains, and a culture of operational excellence that outlasts any single project.

What’s the ROI?

Practices that undergo a revenue cycle assessment with Legacy often see:

✅ 10–30% improvement in collections

Reduced denials and days in A/R

✅ Faster reimbursements

✅ Increased clean claim rates

✅ Improved staff productivity and morale

And that’s just the beginning!

Practices that partner with us see up to 30% improvement in collections.

Let’s make sure you’re not leaving money on the table.

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Do You Need a Revenue Cycle Assessment?

Ask yourself:

  • Are collections declining even though volume is steady or increasing?
  • Are denials piling up with no clear resolution plan?
  • Are your billing or coding staff overworked or undertrained?
  • Are payors underpaying you—or are you unsure what you’re even supposed to be paid?
  • Do you lack visibility into your financial performance or key KPIs?

If you answered yes to any of these, it’s time for a deeper look.

Frequently Asked Questions

Helping You Understand the “Why,” “What,” and “How” Behind Better Revenue Results

Boost your bottom line with a comprehensive revenue cycle assessment from Legacy Consulting Services — a national leader in RCM performance optimization.

Our end-to-end revenue cycle evaluation helps hospitals, medical groups, and physician practices identify revenue leakage, reduce denials, and increase collections. We assess every step of your billing, coding, and claims process to uncover hidden inefficiencies and reimbursement gaps. Whether you’re managing in-house billing or working with a third-party vendor, our revenue cycle consulting team delivers actionable insights to improve your financial performance.