You will get RCM Performance Audit - Identify & Fix Revenue Leakage
Project details
As an RCM specialist with the unique authority of an MBBS (Physician) and a Certified ScrumMaster (CSM), I offer a clinical-grade financial audit that transforms financial uncertainty into a clear, actionable strategy. This fixed-price diagnostic service analyzes your historical RCM data (3, 6, or 12 months) to pinpoint and quantify severe revenue leakage, such as the critical Denial Rate and slow Avg. Days in A/R identified in typical practice results. The deliverables include a professional Executive Audit Report and temporary access to a Live Interactive Dashboard to visualize trends and drill into root causes of denials. Every tier includes a dedicated 30 or 60-minute strategy session to personally review the findings, eliminate coding/documentation gaps, and define a Priority Action Plan. Our goal is to use my clinical and agile expertise to provide the definitive diagnosis and strategic roadmap needed to stabilize your cash flow and ensure maximum, compliant reimbursement.
Project Type
Project Management, Virtual Assistance, OtherWhat's included
| Service Tiers |
Starter
$299
|
Standard
$399
|
Advanced
$499
|
|---|---|---|---|
| Delivery Time | 7 days | 9 days | 13 days |
Number of Revisions | 0 | 1 | 1 |
Frequently asked questions
About Taimoore
Medical Billing Expert | Credentialing | Denial & A/R Specialist
Costa Mesa, United States - 2:09 pm local time
🧠 𝐌𝐲 𝐔𝐧𝐢𝐪𝐮𝐞 𝐑𝐂𝐌 𝐀𝐝𝐯𝐚𝐧𝐭𝐚𝐠𝐞
My multidisciplinary background allows me to tackle RCM challenges at the clinical, operational, and financial levels:
𝟏) 𝐂𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐃𝐨𝐜𝐮𝐦𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐈𝐧𝐭𝐞𝐠𝐫𝐢𝐭𝐲: My MBBS medical knowledge provides an unparalleled ability to review charts, understand medical necessity, and ensure documentation fully supports the billed CPT and ICD-10 codes, significantly reducing high-risk audits and clinical denials.
𝟐) 𝐀𝐠𝐢𝐥𝐞 𝐏𝐫𝐨𝐜𝐞𝐬𝐬 𝐎𝐩𝐭𝐢𝐦𝐢𝐳𝐚𝐭𝐢𝐨𝐧 (𝐂𝐒𝐌 𝐏𝐫𝐢𝐧𝐜𝐢𝐩𝐥𝐞𝐬): I apply Scrum principles to the billing workflow, using fast, iterative cycles to quickly adapt to new payer policies, prioritize A/R backlogs, and streamline claim submission and denial appeal processes for continuous improvement.
𝟑) 𝐇𝐢𝐠𝐡-𝐘𝐢𝐞𝐥𝐝 𝐀𝐑 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭: I manage the RCM function transparently, using agile metrics to focus team efforts on the highest-value claims, driving predictable and accelerated collections.
⚙️ 𝐌𝐚𝐬𝐭𝐞𝐫𝐢𝐧𝐠 𝐭𝐡𝐞 𝐅𝐮𝐥𝐥 𝐑𝐞𝐯𝐞𝐧𝐮𝐞 𝐂𝐲𝐜𝐥𝐞
I manage the entire financial life cycle of your claims, specializing in complex and high-acuity billing:
𝟏) 𝐅𝐫𝐨𝐧𝐭-𝐄𝐧𝐝 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞: Precise eligibility and benefits verification, prior authorization tracking, and scheduling management.
𝟐) 𝐇𝐢𝐠𝐡-𝐀𝐜𝐜𝐮𝐫𝐚𝐜𝐲 𝐂𝐡𝐚𝐫𝐠𝐞 𝐂𝐚𝐩𝐭𝐮𝐫𝐞: Detailed review of superbills and documentation to ensure all billable services are captured and coded accurately (ICD-10-CM/PCS, CPT, HCPCS).
𝟑) 𝐃𝐞𝐧𝐢𝐚𝐥 & 𝐀𝐑 𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲: Aggressive, systematic follow-up on aged claims and expert management of complex denials, including filing successful appeals across all major payer types.
𝟒) 𝐅𝐢𝐧𝐚𝐧𝐜𝐢𝐚𝐥 𝐈𝐧𝐬𝐢𝐠𝐡𝐭: Accurate EOB/ERA payment posting, adjustment management, and customized, data-driven AR Financial Reporting.
I am proficient in the industry's leading platforms, ensuring seamless integration with your current workflow: Kareo (Tebra), AdvancedMD, NextGen, Cerner, Practice Fusion, eClinicalWorks (ECW), AthenaHealth, Simple Practice, JaneApp, and more.
I am seeking a long-term partnership with a practice that values strategic process improvement and clinical integrity. 𝐌𝐞𝐬𝐬𝐚𝐠𝐞 𝐦𝐞 𝐭𝐨𝐝𝐚𝐲 𝐭𝐨 𝐬𝐜𝐡𝐞𝐝𝐮𝐥𝐞 𝐚 𝐛𝐫𝐢𝐞𝐟 𝐜𝐨𝐧𝐬𝐮𝐥𝐭𝐚𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐛𝐞𝐠𝐢𝐧 𝐲𝐨𝐮𝐫 𝐑𝐂𝐌 𝐨𝐩𝐭𝐢𝐦𝐢𝐳𝐚𝐭𝐢𝐨𝐧.
Steps for completing your project
After purchasing the project, send requirements so Taimoore can start the project.
Delivery time starts when Taimoore receives requirements from you.
Taimoore works on your project following the steps below.
Revisions may occur after the delivery date.
Data Securely Gathered
The client provides secure, HIPAA-compliant access to their historical RCM data for the selected timeframe. This must be done before we start.
Core Data Processing & Analysis
We perform a deep-dive analysis to identify the root causes of revenue leakage (e.g., Medical Necessity or RCM lag times ). We deliver the Executive Audit Report (PDF) and set up temporary access to the Live Interactive Dashboard.