A healthcare revenue cycle management company serving small-to-medium sized hospitals — the segment where operating margins are thinnest. They had the domain expertise — former hospital CFOs, revenue cycle directors, charge capture specialists — but their technology was a patchwork of Excel models, manual data pulls from client EMRs, and quarterly reports that told hospitals what they already knew: they were losing money.
Their assessment methodology was sound — they consistently identified $3-5M in annual revenue improvement opportunities per client. But execution depended entirely on consultants being on-site to implement changes. They couldn't scale beyond 8 clients simultaneously because they didn't have enough consultants. And every time a consultant left, their methodology knowledge walked out the door.
They needed to turn their consulting methodology into a technology platform — codify what their experts did manually into software that could execute at scale.
Cloud-based RCM intelligence and execution platform. Automated assessment engine connecting to client EMR and billing systems — identifying revenue leakage patterns automatically using rule engines built from the company's proprietary methodology. Real-time monitoring dashboards for client hospital leadership. Charge capture optimization — alerts for missed charges before the billing window closes. Denial management workflow with automated categorization, pattern identification, and appeal template generation. EMR conversion support tooling for hospitals transitioning systems.
The company went from serving 8 clients to 25 without adding consulting staff — the platform did what consultants used to do manually. Operating margin improvement for clients consistently exceeded 5% of net revenues. Assessment time reduced from 8 weeks (manual) to 2 weeks (automated). Every assessment client converted to a multi-year engagement because the platform delivered results that manual consulting couldn't match at scale.
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