Know where revenue is slipping—and what to do next.
$15,000 Fixed-Price Revenue Integrity Assessment · 4–6 weeks
Connect financial patterns with coding, documentation, payer requirements, workflows, and controls.
Receive a Revenue Integrity Blueprint, prioritized 90-day action plan, and executive presentation.
Receive a Revenue Integrity Blueprint, prioritized 90-day action plan, and executive presentation.
Review up to 12 months of available claims, payments, denials, adjustments, write-offs, and A/R data.
Review up to 50 risk-based encounters for coding accuracy, documentation support, modifiers, medical necessity and missed or unsupported services.
Targeted review of billing policies and requirements for up to three payers.
What We Examine
Claims &
Financial Performance
Coding & Documentation
Payer
Requirements
Evaluate workflows, preventive controls, denial patterns, and revenue cycle processes.
Operational
Controls
A structured summary of findings, financial opportunities, and operational root causes.
Documented opportunities classified as validated, calculated, or estimated.
Prioritized recommendations identifying what to address first.
What You Receive
Revenue Integrity Blueprint
Financial Opportunity Analysis
90-Day
Action Plan
A 60-90 minute review of findings, priorities, and recommended next steps.
Executive
Presentation
Leaders seeking greater visibility into financial performance and reimbursement opportunities.
Executives looking to identify systemic issues and strengthen preventive controls.
Organizations seeking an independent review of coding, payment accuracy, and operational performance.
Who It's For
CFOs &
COOs
Revenue Cycle
Leaders
Physician Practice Executives
The M&R Value Guarantee
One Additional Targeted Review. No Additional Professional Fee.
We believe a Revenue Integrity Assessment should deliver meaningful financial insight and actionable recommendations.
If your initial $15,000 Revenue Integrity Assessment does not identify at least $15,000 in documented financial opportunity, M&R Healthcare Consulting Services will perform one additional targeted review at no additional professional fee.
How the Guarantee Works
If the initial assessment does not meet the $15,000 documented financial opportunity threshold, M&R will work with your organization to identify one specific area warranting further investigation.
This additional review will:
Focus on a mutually agreed-upon area of potential financial opportunity.
Use available claims, reimbursement, coding, documentation, or operational information relevant to that area.
Provide additional findings and recommendations based on the targeted review.
Be completed without an additional professional consulting fee.
Conditions & Limitations
The Value Guarantee is subject to the following conditions:
Complete and accurate information: Your organization must provide substantially complete, accurate, and timely data necessary to perform the assessment.
Required access: M&R must receive appropriate access to relevant medical records, claims information, supporting documentation, and applicable systems.
Stakeholder participation: Your organization must provide reasonable access to requested stakeholders and operational information.
Defined scope: The additional review is limited to one mutually agreed-upon area and does not constitute a second comprehensive Revenue Integrity Assessment.
Financial opportunity: Identified opportunities may include validated, calculated, or estimated financial findings supported by available evidence and documented assumptions.
No guaranteed recovery: Identified opportunities do not guarantee additional reimbursement, collections, cost savings, or future financial performance.
The additional targeted review is not a substitute for collections services, claim recovery, implementation assistance, or other consulting services outside the agreed assessment scope.
Our Commitment
Our goal is to ensure your organization receives a thoughtful, evidence-based evaluation of its revenue integrity opportunities, with clear priorities and practical recommendations for improvement.
Start with a Clearer View
Not sure where revenue may be slipping through the cracks?
Start with our complimentary five-minute Revenue Integrity Readiness Review to identify areas that may benefit from a closer look.
Start with our complimentary five-minute Revenue Integrity Readiness Review to identify areas that may benefit from a closer look.