Revenue Cycle & Financial Sustainability: protect the margin while the rules change

Medicaid cuts, twice-yearly redeterminations, work requirements starting in 2027, and a shifting payer mix are hitting health centers and nonprofits at the same time demand is rising. Many health centers are already operating at a loss. The fixes are usually inside the building: denials nobody works, visits coded below what was delivered, patients who lost coverage and never got re-enrolled.

Full revenue-cycle audit: front-desk eligibility checks, coding, charge capture, claims, denials and A/R follow-up.

Coverage-loss playbook: redetermination outreach, enrollment workflows, sliding-fee and self-pay processes that keep patients in care.

Service-mix and pricing analysis, no-show reduction, and per-visit value improvement.

ROI and cost-benefit models for staffing changes, outsourcing, grants and technology purchases.

Financial dashboards and KPIs the CFO, COO and board can read in five minutes.

A revenue leakage report with dollar estimates by cause, redesigned billing and eligibility workflows, trained staff, and a monthly scorecard.

Who it's for: FQHCs, behavioral health and social services providers on Medicaid-heavy payer mixes; nonprofits replacing lost grant revenue; any service business with cash tied up in receivables.