Revenue cycle consulting
Fixed-fee projects. Hourly advice.
Choose a paid billing review, a defined project or hourly advice. Any implementation is separately scoped and approved.
- Health Revenue Intelligence, LLC
- A business associate agreement before any patient record
- Printed fees
- Status, next action and owner
Summary
What does revenue cycle consulting cost?
The billing review is $7,500 for a practice with one to three providers and $12,500 for four to ten. Hourly consulting is $250 an hour.
Published fees for standard consulting services.
The billing review is a standalone paid project. Its findings include recommended actions and a separate fee for work you ask us to carry out.
| Project | What it covers | Fee |
|---|---|---|
| Billing review, one to three providers | Enrollment, claim totals and billing workflow, ending in written findings, supporting evidence and recommended actions. | $7,500 |
| Billing review, four to ten providers | The same review for a larger practice. | $12,500 |
| Payer Enrollment Sprint | Applications prepared and followed to the payer's written decision, with an effective date confirmed when approved. | $450per organization application$350 per practitioner application before volume discounts. CAQH priced separately. |
| Service Line Made Billable | A written coverage and billing assessment for one proposed service. | $2,500fixed, one service |
| Old unpaid claims recovery | Claims more than 90 days old, worked until each payer pays or gives a final answer. | $250an hour, written estimate first |
| New-practice billing setup | The clearinghouse set up, electronic remittance (ERA) and direct deposit (EFT) enrolled with each payer, and the billing workflow written down. | $1,900per practice |
Advice and hands-on work, by the hour.
- Hourly consulting
- $250 an hour. Advice and hands-on work outside a fixed project.
Enrollment, claim totals and billing workflows, reviewed together.
- Each provider's enrollmentWith every payer: active, pending, missing, or due for revalidation.
- Your claims, from report totalsUnpaid claims by payer and age, denials by reason code and payer, payments against contracted rates where we have the contract, and three months of deposits matched to posted payments.
- Eligibility, authorizations and charge entryA walk-through with your staff.
- A written reportIt explains the evidence for each finding, its effect on billing and the recommended action. Where the records support an estimate, it identifies the amount affected.
- One meetingWe walk you through the report.
The review starts from report totals. The on-screen walk-through and any system access come after a business associate agreement is signed.
A finding you can act on.
Your report connects each finding to the records reviewed, explains its effect on billing and recommends the next action. It separates confirmed findings from questions that need more evidence.
The report stands on its own. You can act on its recommendations internally or ask us to scope the work. Implementation is separately priced and approved.
Enrollment status needs confirmation
- Finding
- The practice's provider list and one payer's enrollment record do not agree.
- Evidence reviewed
- The practice roster, the payer's enrollment record and dated correspondence. The payer's confirmation is still outstanding.
- Why it matters
- The difference may affect how that provider's claims are processed. It does not, by itself, establish a recoverable amount.
- Recommended action
- Confirm the provider's affiliation and effective date with the payer. Correct the record where needed, then check affected claims against the payer's rules and filing limits.
- Responsibility
- Identify the practice contact and the person responsible for payer follow-up, with a due date in the action list.
- Implementation
- List the proposed work and its fee separately, for your approval.
Example report format. No client data.
Before the review begins
Your proposal identifies the reports and workflow access required, what the review covers, its delivery schedule and the fee. Access and any patient information wait until the appropriate agreement is signed.
Billing support is a separate engagement.
You can engage us for billing directly or after a review. We agree the responsibilities, status updates and fee from your practice's own numbers.
Common questions before you book a review.
What does the billing review include?
Each provider's enrollment with every payer, your claims from report totals, and a walk-through of eligibility, authorizations and charge entry with your staff. You receive written findings, supporting evidence and recommended actions, with a meeting to walk through them. You can act on the recommendations internally; implementation by HRI is optional and separately priced.
Can we hire you for billing without the review first?
Yes. Billing is priced by agreement, from your own numbers.
How is hourly work priced?
$250 an hour. We agree the assignment before work begins.
Do you need patient records?
Only under a business associate agreement.
Bring us the reports you already have.
Your report totals are enough to begin.
Tell us how many providers the practice has; the review fee follows that count.