Our Services · Revenue Cycle Management

Lower the cost-to-collect. And improve the results.

End-to-end revenue cycle management that improves cash flow, reduces denials, and removes administrative burden from your clinical and operational teams.

Revenue Cycle Management
Revenue Cycle Management
The Guarantee 25%

savings on revenue cycle spend — in contract, and we share the financial risk

Your Challenge

Revenue cycle dysfunction doesn't stay contained — it ripples across the organization.

01 · Cash Flow

Delayed or denied claims create cash flow gaps that force difficult decisions.

02 · Capacity

Reactive RCM teams process volume without capacity to address root causes.

03 · Visibility

Limited visibility into denial trends makes improvement nearly impossible.

04 · Cost

High cost-to-collect erodes margin on every dollar the clinical team generates.

05 · Turnover

Billing staff turnover compounds the problem — institutional knowledge leaves.

06 · Payers

Payer rules and requirements shift constantly, consuming capacity the team doesn't have.

Our Solution

The full revenue cycle, managed end to end.

Opus Health manages the full revenue cycle, from intake through final payment — with no system replacement, working inside your existing EHR and billing environment.

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What We Deliver

Insurance verification at point of scheduling

Charge capture review and coding accuracy

Claims submission, tracking, and follow-up across all payer types

Denial management: root cause analysis, appeals, and workflow redesign

Payment posting and reconciliation

Performance reporting with consolidated leadership visibility

How It Works

From assessment to operations — without disruption.

Step 01 · Assess

We map your revenue cycle

We baseline current performance — vendors, workflows, denial patterns, and cost-to-collect — and set the contract targets we'll be held to.

Step 02 · Transition

Your team comes with us

Your revenue cycle staff transition to Opus, workflows are standardized, and everything keeps running inside your existing EHR and billing systems.

Step 03 · Operate

We run it, accountably

Opus manages the cycle end to end against in-contract targets, with consolidated performance reporting to your leadership.

Two clinicians reviewing a patient folder

People-first by design: institutional knowledge stays in your hospital, and your staff gain consortium-scale career paths.

Your Outcomes

Turn your revenue cycle into a strength.

Net Collections %

Higher net collections as a percentage of net patient revenue

Days in A/R

Reduced days in accounts receivable

Denial Rate

Lower denial rates with documented root cause resolution

Cash Flow

More predictable cash flow

Cost-to-Collect

Lower total cost-to-collect over the contract term

Clean Claim Rate

Higher first-pass clean claim rates, with fewer reworked submissions

These aren't aspirations — targets are set in contract, and we share the financial risk.

Common Questions

What hospital leaders ask us first.

What happens to our billing staff?

They come with us. Opus hires and manages your existing revenue cycle team — institutional knowledge stays with your hospital, and your people gain consortium-scale training and career paths.

Do we have to replace our EHR or billing system?

No. We operate inside your existing EHR and billing environment — no rip-and-replace, no disruptive system migration.

Do we lose control or independence?

No — that's the point of the model. You keep your governance, your board, and your identity. We run operations; you run the hospital.

Is Opus a fit for a hospital our size?

The consortium is built specifically for small and mid-sized independent hospitals and providers — organizations that need enterprise-scale capability without enterprise-scale overhead.

How long does the transition take?

It's phased. After the assessment, functions transition on a schedule designed around one rule: cash flow is never interrupted.

How is pricing structured?

As a managed services agreement priced against your current revenue cycle spend — with a guaranteed 25% savings written into the contract, and shared financial risk if targets aren't met.

What happens if you miss the targets?

We share the financial risk. Targets are written into the contract, and our compensation is tied to hitting them — if performance falls short, so does what you pay us.

Contact Us

Let's talk about your operations.

Every healthcare organization faces operational challenges — but you don't have to navigate them alone. Whether you're dealing with revenue leakage, system inefficiencies, or administrative strain, Opus Health can help you move forward with a more aligned, scalable model.

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