Managed RCM Model

OlleyaHealth account team reviewing revenue cycle priorities with a client

A managed RCM operating model. Not just labor support.

OlleyaHealth manages selected professional revenue cycle functions through defined work intake, production and quality oversight, root-cause feedback, finance visibility, and client governance.

Schedule an RCM Assessment

How we begin

  1. Assess

    Identify priorities, pain points, systems, data, and the most practical starting point.

  2. Design

    Confirm scope, responsibilities, workflows, access, reporting, and escalation.

  3. Implement

    Document processes, train the team, validate sample work, and configure reporting.

  4. Manage

    Begin controlled production with close supervision and issue tracking.

  5. Review

    Review quality, turnaround, blockers, and readiness for the next stage.

  6. Improve

    Correct workflow issues and expand only after performance and fit are validated.

How we manage ongoing operations

  1. Work Intake & Prioritization

    Organize charts, charges, claims, denials, A/R, and payment workflows by service line, payer, priority, aging risk, timely-filing exposure, and urgency.

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    • Define the work queues and starting scope.
    • Separate urgent items from routine production.
    • Confirm priorities, owners, and escalation paths.
  2. Production & Quality Oversight

    Work defined queues with supervision, quality review, productivity visibility, documented workflows, and escalation.

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    • Monitor turnaround, queue age, and productivity.
    • Review quality findings and exception patterns.
    • Document repeatable workflows and handoffs.
  3. Root-Cause Feedback

    Feed coding issues, denial trends, documentation gaps, payer problems, charge lag, and A/R blockers upstream.

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    • Identify recurring issues instead of isolated transactions.
    • Route findings to the right operational stakeholders.
    • Track prevention actions and workflow corrections.
  4. Finance Visibility & Decision Support

    Give leadership visibility into volume, trends, risk, capacity, priorities, and recommended actions.

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    • Connect operational work to leadership review.
    • Surface risks, blockers, and capacity needs.
    • Use reporting to define next actions and owners.

The relationship

Operating cadence, clear owners, and governance based on scope

An OlleyaHealth account representative reviewing priorities with the client team

Daily Operating Management

Based on scope, daily operating management typically keeps active queues, exceptions, urgent blockers, and handoffs visible.

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The required output is clear actions, owners, due dates, and decisions needed to keep work moving.

Weekly Client Operations Review

Weekly reviews typically focus on production status, open issues, quality findings, turnaround, backlog movement, payer or system blockers, and upcoming priorities.

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The output is an updated action list with owners, due dates, and decisions.

Monthly Performance Review

Monthly reviews, when included in scope, connect operating activity to trends, risks, capacity needs, quality findings, and reporting visibility.

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The output is a leadership-ready view of what changed, why it may have changed, and what action follows.

Executive Escalation / Quarterly Business Review

Executive escalation and quarterly business reviews are used based on scope and need to address strategic issues, recurring blockers, performance direction, governance decisions, and next-stage planning.

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The output is documented decisions, owners, due dates, and agreed priorities.

Client governance

Client governance

The client retains approval over priorities, material workflow changes, scope changes, expansion timing, and the responsibilities that remain internal. Every material action has an owner, due date, and documented next step.

Give your revenue cycle a more reliable operating rhythm.

Build a better
operating rhythm

Let us review where work is piling up, where visibility is limited, and where a more committed RCM partnership could make the difference.

Schedule an RCM Assessment