Facing reimbursement roadblocks? We're ready to help.
Trust our experienced RCM professionals to optimize your billing processes for financial and operational success.
Your revenue cycle should be efficient, compliant, and audit-ready—you can trust our experts to ensure it is built for financial sustainability and regulatory adherence.
Our team helps you uncover hidden revenue with tailored solutions that keep your organization ahead of regulations, driving sustained financial success.
Eliminate process gaps, boost operational performance, and keep your RCM team running at peak efficiency.
Ensure accurate, timely reimbursements with revenue cycle enhancements that eliminate errors, reduce denials, and secure every dollar owed.
Proactively identify risks and tackle audits head-on, ensuring stress-free compliance.
Build a strategic charging approach that unites people, processes, and financial success on your terms.
Ensure accurate charge capture and stay confidently compliant with the expertise of our mid-cycle revenue specialists.
Our team’s decades of healthcare insight fuel a smarter, stronger approach to revenue cycle management.
in 60 days
after program completion
after process improvements
Leveraging years of hands-on experience, our team seamlessly connects technology, operations, and compliance to overcome even the toughest revenue challenges—no matter the scale.
From short-term projects to long-term partnerships, Wilshire’s revenue cycle consultants thrive at the intersection of operations and technology to help shape your strategy, simplify complexities, improve productivity, and execute efficiently.
Our typical engagement is 6-9 months and paves the way for RCM optimization, guaranteeing compliance every step of the way.
Define scope, set desired outcomes and KPIs, and connect and collaborate with key stakeholders.
Review existing contracts, policies, and procedures. Identify risk areas in charge capture, coding, billing, documentation and reimbursement.
Formulate recommendations on revenue policies and procedures and reach consensus on a path forward.
Implement cross-departmental reconciliation processes and ensure minimal disruptions in billing or payment processes. Optimize EHR templates and workflows, compliance monitoring tools, and claim submission processes.
Provide RCM staff training and coaching and conduct regular coding audits to ensure accuracy and compliance. Ongoing monitoring of regulatory changes and tracking of KPI performance.
Trust our experienced RCM professionals to optimize your billing processes for financial and operational success.
Wilshire is committed to helping your team achieve complete, accurate reimbursement with specialized services tailored to your needs.
