Revenue cycle & business office solutions
Post-Acute Revenue Cycle Consulting
Improve Financial Performance. Strengthen Your Business Office. Maximize Every Dollar.
Today's reimbursement environment demands more than accurate billing, it requires a strategic revenue cycle partner who understands post-acute care from admission through final payment.
Pathway Health's Revenue Cycle & Business Office Solutions help providers improve cash flow, reduce aging accounts receivable, strengthen billing operations, and ensure regulatory compliance. Whether your organization needs temporary support, a comprehensive operational assessment, or long-term consulting, our experienced specialists become an extension of your team.
Revenue Cycle Consulting Built for Post-Acute Care
Revenue cycle challenges impact every aspect of your organization—from staffing and operations to resident care and financial stability. Our consultants have decades of experience helping providers identify revenue leakage, improve business office performance, and implement sustainable processes that increase collections while reducing compliance risk. We work alongside your leadership team to create measurable improvements that continue long after the engagement is complete.
What we offer
Our Services
Business Office Assessments
Gain a complete understanding of your current revenue cycle operations.
Our consultatns evaluate:
- Business office workflows
- Staffing structure
- Billing processes
- Collection procedures
- Payer management
- Financial reporting
- Key performance indicators
- Operational efficiencies
You'll receive practical recommendations and an action plan designed to improve collections and operational performance.
Accounts Receivable Recovery
Outstanding receivables reduce cash flow and increase organizational risk.
Our specialists work directly with your team to:
- Reduce aging accounts receivable
- Resolve long-standing balances
- Improve collection workflows
- Identify reimbursement opportunities
- Prioritize high-value claims
- Strengthen follow-up processes
Whether you need assistance with a short-term backlog or long-term process improvement, Pathway Health helps accelerate cash collections.
Medicare, Medicaid & Third-Party Billing Support
Accurate billing is critical to financial success.
Our consultants provide expertise in:
- Medicare billing
- Medicaid billings
- Managed Care reimbursement
- Commercial insurance claims
- Coordination of benefits
- Payment posting
- Billing process improvement
- Reimbursement optimization
Our team understands the unique reimbursement challenges facing post-acute and senior care providers.
Denials Management & Appeals
Denied claims don't always mean lost revenue.
We help organizations:
- Identify denial trends
- Analyze root causes
- Develop corrective action plans
- Prepare and submit appeals
- Improve documentation practices
- Reduce future denials
Recover revenue while strengthening long-term billing performance.
Coding & Documentation Reviews
Documentation and coding accuracy directly impact reimbursement and compliance.
Our consultants review:
- Coding accuracy
- Documentation quality
- Payment integrity
- Compliance concerns
- Revenue opportunities
The result is stronger documentation, improved reimbursement accuracy, and reduced regulatory risk.
Medicare Compliance Reviews
Billing compliance is essential in today's regulatory environment.
Our reviews help organizations evaluate:
- Medicare billing practices
- Documentation requirements
- Reimbursement compliance
- Internal controls
- Operational risk areas
We identify issues before they become costly problems.
Business Office Training
Empower your team with practical education designed specifically for post-acute care.
Training topics include:
- Medicare billing
- Medicaid billing
- Accounts receivable management
- Collections
- Revenue cycle best practices
- Business office workflows
- Appeals management
- Compliance
Training is available onsite or virtually and can be customized for your organization.
Interim Business Office Leadership
Leadership transitions don't have to disrupt financial performance.
Pathway Health provides experienced interim professionals who can immediately support:
- Business Office Manager
- Revenue Cycle Director
- Revenue Cycle Improvement Projects
- Department Stabilization
- Process Redesign
- Staff Mentoring
Our interim leaders focus on maintaining operations while building stronger long-term systems.
Research & Complex Billing Resolution
Some reimbursement questions require deeper investigation.
Our consultants assist with:
- Complex billing issues
- Historical account research
- Credit balance reviews
- Payment discrepancies
- Payer investigations
- Special reimbursement projects
Our goal is to resolve challenging issues efficiently while strengthening future processes.
Integrated With Your Systems
Technology Experience
Our consultants have experience working with many of the industry's leading healthcare systems and billing platforms, allowing us to integrate quickly with your existing workflows and technology.
Why Pathway Health
More Than Billing
Unlike firms that focus only on billing, Pathway Health combines revenue cycle expertise with nationally recognized clinical, regulatory, operational, quality improvement, reimbursement, leadership, and compliance consulting. That means our recommendations improve more than collections. They strengthen the entire organization.
When you partner with Pathway Health, you gain access to experts in:
Our integrated approach helps organizations improve financial performance while delivering exceptional resident care.
Did you know?
Pathway Health's professional consultants are ready to support - whether an urgent challenge or a long-term goal.
Providers we serve
- Skilled Nursing Facilities
- Assisted Living Communities
- Hospitals
- Home Health Agencies
- Hospice Providers
- Continuing Care Retirement Communities
- Behavioral Health Organizations
Ready to Improve Your Revenue Cycle?
Let's build a stronger revenue cycle together.
