Healthcare Operations & Revenue Cycle Consulting

Clarity, efficiency,
and results — across
your entire practice.

MedRev Consultants partners with healthcare practices to solve complex operational and financial challenges — from workflow design and payer negotiations to credentialing, contracting, and revenue cycle optimization.

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Transparency
Problem-Solving
Efficiency
Automation
Integrity

Full-spectrum
practice consulting

We work across the full lifecycle of a healthcare practice — from the operational foundation to the financial engine. Every engagement starts with an honest assessment of where things stand, and ends with measurable, documented improvement.

01
⚙️
Process & Workflow Optimization
End-to-end review and redesign of clinical and administrative workflows. We identify inefficiencies, eliminate redundancy, and build processes that scale — without adding headcount.
Workflow DesignSOPsStaff Training
02
🤝
Payer Negotiations
Strategic analysis of your payer contracts and reimbursement rates. We identify underpayment patterns, prepare negotiation packages, and advocate for rates that reflect the value of your services.
Contract AnalysisRate BenchmarkingNegotiation
03
📋
Provider Credentialing
Structured credentialing management from initial application through payer enrollment. We track deadlines, manage CAQH, and ensure providers are active and billing without gaps.
CAQHPayer EnrollmentRe-credentialing
04
📄
Contracting
Review, negotiation, and management of payer, vendor, and employment contracts. We surface unfavorable terms, close compliance gaps, and ensure your agreements work in your favor.
Payer ContractsVendor AgreementsCompliance
05
💰
Revenue Cycle Management
Comprehensive RCM consulting across the full billing lifecycle — charge capture, claims management, denial resolution, A/R optimization, and reporting. Built for Athenahealth practices.
Billing AuditDenial ManagementA/R Optimization
06
📊
Performance Reporting
Custom KPI dashboards and financial reporting designed for practice owners and administrators. Clear, honest data — presented in a way that drives decisions, not confusion.
KPI DashboardsFinancial ReportingBenchmarking
07
🎯
Coaching & Mentorship
One-on-one coaching and team mentorship for practice managers, billing staff, and administrators. We build internal capability — so your team becomes stronger and more self-sufficient over time.
1-on-1 CoachingTeam DevelopmentLeadership
Proprietary AI Technology — Athenahealth Exclusive
REVi X

REVIX is our proprietary AI revenue intelligence platform — built exclusively for Athenahealth practices. It automates the most time-consuming billing tasks, reduces denials, and surfaces revenue your current process is missing. An intelligent service layer on top of your existing athenaOne workflow — not a replacement for it, and never a loss of visibility or control.

Ask about REVIX in your practice
✓ HIPAA Compliant ✓ PHI Protected ✓ Enterprise Security
Autonomous ICD-10 & CPT coding from encounter notesAI
🔍 Pre-claim scrubbing against NCCI edits & payer rulesAI
📋 Prior auth with InterQual/MCG medical necessity lettersAI
🚫 Denial categorization & AI-generated appeal draftsAI
🧬 HCC V28 risk adjustment & gap identificationAI
💬 Staff billing assistant — real-time patient account intelAI

How we work

Every engagement is guided by five principles that shape every recommendation, every conversation, and every deliverable we produce.

🔍
Transparency
You always know where things stand. We present data honestly — even when it's uncomfortable — and communicate progress clearly at every stage.
🧩
Problem-Solving
We dig into root causes, not just symptoms. Every recommendation is grounded in analysis, built to solve the actual problem — not the visible one.
Efficiency
We respect your team's time. Our goal is to simplify — not add complexity. Every process we design is tested against one question: does this make things simpler?
🤖
Automation
Manual work that can be automated, will be. We identify every repeatable task in your revenue cycle and build systems that handle it — freeing your team for higher-value work.
🤝
Integrity
We tell you what you need to hear. Our advice is independent, conflict-free, and always in the best interest of your practice — never influenced by vendor relationships.

Numbers that
move the needle

↑ We strive for
99%
Clean claim rate target — industry average is 92%
30%
Target reduction in A/R days within the first quarter
5%
Revenue capture improvement we aim for per practice
24%
HCC capture improvement we target for risk-adjusted patients
Clean Claim Rate99% target
First Pass Yield96% average
Net Collection Rate97%+ target
Denial Rate ReductionUp to 60%
What we work toward with every client
Billing and admin processes become predictable
Payer contracts start working in their favor
Denial rates drop within 30 days
Staff spend less time on manual follow-up
Leadership finally has clear financial visibility
"We don't just identify the problem — we stay until it's fixed."
100%
Athenahealth focused
10+
Years of experience
🏥
Athenahealth Super User — Certified
athenaOne Certification · Credly Verified
📊
MGMA ACMPE — CMPE (In Progress)
Certified Medical Practice Executive · MGMA
☁️
AWS Bedrock · HIPAA-Eligible Infrastructure
BAA Signed · SOC 2 · ISO 27001
⚕️
Athenahealth Marketplace Partner
SMART on FHIR · 800+ API Endpoints

Built on expertise.
Driven by integrity.

MedRev Consultants was founded on a straightforward belief: healthcare practices deserve a consulting partner who is direct, experienced, and accountable for outcomes — not just recommendations.

We work exclusively with practices on Athenahealth's platform, across the full spectrum of operational and financial challenges — from designing better workflows and negotiating stronger payer contracts, to managing credentialing pipelines and optimizing every stage of the revenue cycle.

Our engagements are built on five values that show up in everything we do: transparency in what we find, integrity in what we recommend, problem-solving discipline in how we approach challenges, relentless efficiency in our solutions, and a commitment to automation that removes manual burden from your team — permanently.

01
We assess before we prescribe
Every engagement starts with a thorough, honest review of your current state — workflows, financials, contracts, and systems. No assumptions, no pre-packaged solutions.
02
We build solutions that stick
We design processes your team can operate confidently — with clear documentation, training, and handoff so results don't evaporate when we leave.
03
We measure everything
Every engagement has defined KPIs from day one. You always know what success looks like and how we're tracking against it — in plain language, not consultant-speak.
04
We automate what we can
Wherever a task is repeatable, we build automation. REVIX is our proprietary AI layer — designed to handle revenue cycle work that shouldn't require human attention every day.

Let's talk about
your practice.

Book a free 30-minute discovery call. We'll listen, ask the right questions, and give you an honest read on where your biggest opportunities are.

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