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Revenue Cycle Transformation

Transformation Project Summary

Anchor’s revenue cycle transformation team works in conjunction with your operational leaders to identify opportunity areas and drive positive outcomes across all areas of the revenue cycle 

  • Patient Access: Financial counseling, patient cost estimation, prior authorization workflows, and referral management.

  • Charge Capture and Coding: Charge capture optimization, clinical documentation improvement, and strategic pricing.

  • Billing and Claims: Accounts receivable strategies, denial management, and self-pay management

During these projects, our consultants will work across all areas to drive tangible results that can be quantified and categorized into some of the following buckets.

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Financial Graphs

REVENUE ACCELERATION

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Projects that we anticipate will positively impact cash timelines.

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Opportunities in this area can result in faster claim submission, increased denial response timeliness, or streamlined processing of expected balances across primary, secondary and self-pay responsibilities.

Projects

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Denials Management

Anchor simplifies collections by managing and mitigating denials to maximize revenue.

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Anchor identifies key denial opportunities and works with your team to create an interdisciplinary Enterprise Denials Workgroup. This group will bring together clinical operations, patient financial services, and IT to drive sustainable solutions that address root causes of denials. We assist IT in creating, testing, implementing, and training end-users on high-impact solutions that improve net revenue and cash flow.

 


Through data analysis, we validate or challenge stakeholder assumptions about denial root causes and financial impact, ensuring targeted, data-driven resolutions. Our approach fosters accountability, tailored education, and structured processes to prevent future denials and sustain long-term results.

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Self-Pay Optimization

Enhanced cash collection from patients comes in many shapes and sizes. Anchor can help your team identify build optimization opportunities related to statements, self-pay payment processing, patient estimates, billing notifications, and MyChart usage to improve self-pay payment percentage and revenue capture from patients.

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Cash Acceleration

Anchor’s hospital billing experts understand the importance of prompt payment for billed claims. Working with operational stakeholders, our team will work to identify opportunities to accelerate cash through identifying cases that require early advancement of cash to next responsible parties. 

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Automation

The goal of every organization is to optimize the efficiency of their teams. Epic provides a suite of opportunities for automation throughout the revenue cycle and the Anchor team knows how to tap into those opportunities to further improve performance.

 

Unlocking these savings is one of the fastest ways to improve your organizational efficiency.

Patiet Access Ancho

Patient Access

Patient access is the critical first step in the healthcare journey, shaping both the patient experience and the financial health of your organization. Anchor Healthcare Consultants partners with you to optimize every aspect of patient access, ensuring seamless scheduling, efficient registration, accurate insurance verification, and transparent financial communication. Our approach blends operational best practices, digital innovation, and deep Epic expertise to drive measurable improvements in patient satisfaction and revenue cycle performance.

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​Ready to transform your patient access experience and drive better financial outcomes?
Contact Anchor Healthcare Consultants today to schedule a consultation and discover how our tailored solutions can help you deliver seamless, patient-centered access at every step.

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Why Patient Access Matters

Efficient patient access is foundational to both patient satisfaction and revenue cycle success. Industry research shows that organizations with optimized patient access processes experience:

  • Reduced claim denials and AR days

  • Increased patient retention and market share

  • Improved provider utilization and capacity management

  • Enhanced patient trust and financial clarity

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Industry Insights

  • Digital engagement and automation are rapidly transforming patient access, making transparency and convenience top patient expectations.

  • Accurate data collection and eligibility verification at the front end are proven to reduce downstream billing errors and denials.

  • Centralized and technology-enabled patient access models are emerging as industry best practices for scalable, high-quality service delivery.

Authorizations Anchor

Authorizations

Securing timely and accurate authorizations is essential for both patient care and the financial health of your organization. Anchor Healthcare Consultants partners with you to optimize your authorization processes, leveraging Epic’s capabilities and industry best practices to reduce delays, prevent denials, and ensure a seamless experience for both patients and staff.

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Is your organization struggling with authorization delays or denials?
Contact Anchor Healthcare Consultants today to discover how our tailored authorization solutions can streamline your processes, accelerate care, and safeguard your revenue.

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Why Effective Authorization Management Matters

A streamlined authorization process is vital to avoid care delays, reduce claim denials, and protect your organization’s revenue. Industry studies show that authorization-related denials are among the most common—and preventable—sources of lost revenue and patient dissatisfaction.

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Industry Insights

  • Automation and electronic prior authorization (ePA) tools are rapidly gaining adoption, with leading organizations reporting significant reductions in manual work and denial rates.

  • Real-time integration with payers and accurate documentation at the point of order are proven to accelerate approvals and minimize delays in patient care.

  • Ongoing payer policy changes require agile, well-maintained workflows to ensure compliance and avoid costly rework.

Charge Capture and Coding

Accurate, efficient coding is the cornerstone of compliant billing and optimal reimbursement in healthcare. Anchor Healthcare Consultants partners with your organization to enhance coding accuracy, streamline workflows, and leverage Epic’s advanced coding tools—ensuring you capture every dollar earned while reducing compliance risk.

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Ready to elevate your coding accuracy and compliance?
Contact Anchor Healthcare Consultants today to schedule a coding assessment and discover how our Epic-focused solutions can maximize your revenue and reduce risk.

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Why Coding Excellence Matters

Accurate coding is essential for timely reimbursement, reduced denials, and regulatory compliance. Industry research shows that organizations with optimized coding processes experience fewer audits, higher revenue capture, and improved relationships with payers and patients.

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Industry Insights

  • The adoption of AI-assisted coding and advanced EHR integration is transforming coding departments, increasing speed and accuracy while reducing manual workload.

  • Coding errors remain a top cause of claim denials and compliance penalties—making ongoing education and process optimization more important than ever.

  • Specialty-specific coding knowledge is increasingly vital as healthcare delivery becomes more complex and payer scrutiny intensifies.

Charge Capture/Coding
HIM/ROI Consulting

HIM and Release of Information

Effective Health Information Management (HIM) and Release of Information (ROI) are the backbone of secure, compliant, and efficient healthcare operations. Anchor Healthcare Consultants partners with your organization to optimize HIM and ROI processes, leveraging Epic’s advanced modules and industry best practices to ensure accurate record management, timely information release, and robust regulatory compliance.

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Ready to strengthen your HIM and ROI operations?
Contact Anchor Healthcare Consultants today to schedule an assessment and discover how our Epic-focused solutions can enhance compliance, efficiency, and patient trust.​​

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Why HIM/ROI Excellence Matters

Accurate and timely management of health information is critical for patient safety, regulatory compliance, and operational efficiency. Industry leaders report that streamlined HIM and ROI processes reduce legal risk, accelerate billing, and improve patient and provider satisfaction.

 

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Industry Insights

  • Automation and digital workflows are transforming HIM and ROI, enabling faster, more accurate responses to record requests and reducing administrative burden.

  • Compliance with HIPAA and state-specific regulations is more complex than ever, making robust audit trails and secure data exchange essential.

  • Centralized and remote ROI models are emerging as best practices, offering scalability and efficiency for organizations of all sizes.

Self-Pay Anchor

Self-Pay AR & Vendor Management

Managing self-pay accounts receivable (AR) and vendor relationships is increasingly complex in today’s healthcare landscape. Anchor Healthcare Consultants partners with organizations to optimize self-pay collections and implement best-in-class vendor management strategies. Our approach combines Epic expertise, proven operational workflows, and industry-leading vendor management practices to drive higher patient collections, reduce bad debt, and ensure seamless, compliant vendor partnerships.

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Ready to improve your self-pay collections and strengthen your vendor partnerships?
Contact Anchor Healthcare Consultants today to schedule a comprehensive assessment and discover how our Epic-focused solutions can help you achieve financial excellence and operational peace of mind.​​

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Why Self-Pay AR & Vendor Management Excellence Matters

With patient responsibility for healthcare costs at an all-time high, effective self-pay AR management is essential to maintaining healthy cash flow and patient trust. Meanwhile, robust vendor management ensures you receive high-quality, compliant services and maximize the value of every partnership. Organizations that excel in these areas achieve higher collection rates, lower bad debt, and greater operational efficiency.

 

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Industry Insights

  • Digital engagement and automation are now standard for leading self-pay collection programs, improving both speed and patient satisfaction.

  • Clear vendor selection criteria, regular performance monitoring, and open communication are proven to reduce risk and enhance vendor outcomes

  • Centralized vendor management systems and analytics are transforming how healthcare organizations manage contracts, compliance, and performance

Denials Management Anchor

Denials & Accounts Receivable (AR) Management

Effective denials and AR management are critical to maintaining healthy cash flow and financial stability in today’s complex healthcare environment. Anchor Healthcare Consultants partners with organizations to reduce claim denials, accelerate payment recovery, and optimize AR performance by leveraging Epic’s advanced revenue cycle tools, industry best practices, and data-driven strategies.

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Struggling with rising denials or slow AR recovery?
Contact Anchor Healthcare Consultants today to schedule a comprehensive assessment and discover how our Epic-focused solutions can help you reduce denials, accelerate cash flow, and achieve lasting revenue cycle excellence​​

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Why Denials & AR Management Excellence Matters

Denials cost the healthcare industry billions annually, with up to 67% of providers citing them as their top RCM challenge. Poor AR management leads to delayed payments, increased write-offs, and lost revenue. Organizations with optimized denial and AR processes see higher reimbursement rates, reduced administrative burden, and improved patient satisfaction.

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Industry Insights

  • Automation and analytics are transforming denial management, enabling real-time identification and resolution of issues

  • Proactive denial prevention—through front-end accuracy, coding optimization, and payer policy management—is now considered industry best practice

  • Outsourcing or partnering with specialized experts can accelerate recovery, reduce costs, and provide access to advanced technology and analytics

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