04 / Cyber Consulting
Revenue Cycle Cyber Preparedness & Recovery
Cyberattacks on health systems are accelerating. The revenue cycle is the most exposed part of the organization when an EHR goes dark — and the last to get a continuity plan. We fix that.
18 days
Average ransomware downtime in healthcare
$1.9M/day
Average operational loss during an incident
90% ↑
Year-over-year increase in healthcare attacks
0.3%
Of protected revenue a continuity program costs
The Stewardship Case
Your revenue cycle is exposed. Most organizations find out at the worst possible moment.
CFOs, CROs, and VPs of Revenue Cycle are hired to be good stewards of financial health. Protecting hundreds of millions in annual revenue against the most likely catastrophic operational event of the next 24 months is not optional. It is the job.
We have been put on high alert. The advisories are public. If you have not built a revenue cycle continuity program, the question is not whether you should. The question is what you are going to do about it this quarter.
The Seatbelt Analogy
“Your IT team is competent. Your billing team is excellent. Your processes are mature. None of that protects you when a nation-state-sponsored attacker takes your EHR offline for 25 days.”
The threat is external. The preparation has to be specific. You wouldn't drive on the highway without strapping in your most valuable cargo. Your revenue cycle is the baby. And it's unstrapped.
Read the full playbookCapabilities
What we build with you.
Revenue Cycle Resiliency Assessment
A revenue-cycle-specific assessment across patient access, charge capture, AR, and all clinical departments that feed the revenue cycle. Not a generic cybersecurity audit.
Downtime Document Repository
Every hospital has downtime procedures scattered across shared drives and binders. We consolidate them into one accessible system that does not depend on your EHR being up.
Downtime Platform Implementation
When the EHR goes dark, you need an active platform preserving patient access, ADT, charge capture, and eMAR. Paper margins will not hold for 25 days.
Parallel Data-Capture Team Design
Clinical staff cannot retroactively enter charges after day three. We design and staff the parallel capture team before the outage — named team, named lead, in writing.
Full-Cycle Downtime Drills
Not tabletop exercises ending at hour eight. Actual drills running documentation, charge capture, and reconciliation across multi-day scenarios. The fifth drill is the difference between a $3M recovery and a $300K one.
Post-Attack Revenue Recovery
Structured AR recovery, charge reconciliation, paper-to-digital record remediation, and sub-system data extraction before caches purge. We manage the document avalanche so your team can focus on patients.
Bond Rating & Insurance Preparedness
Fitch issued the first cyber-related hospital downgrade in 2024. We build the documentation and governance frameworks that demonstrate preparedness to rating agencies and cyber underwriters.
Board & Executive Communication
Silence after an attack triggers downgrades and underwriting scrutiny. We build the communication frameworks so your leadership team can respond with confidence and a specific plan.
How We Engage
A structured path from exposed to resilient.
Assess
We evaluate your revenue cycle's cyber exposure across all resiliency domains — identifying where a disruption would hit hardest, financially. This is a revenue-cycle-specific assessment, not a generic IT audit.
Prioritize
We rank gaps by revenue impact and remediation complexity — giving your leadership team a clear, actionable roadmap that starts with the highest financial risk.
Prepare
We build and test the procedures, platforms, and playbooks that keep billing running before an attack — not improvised in the middle of one.
Recover
When an incident occurs, we are in the room — managing AR recovery, rebuilding workflows, and making sure no revenue is left behind in the cleanup.
Our Partnership
Advisory expertise. Platform power. Together.
6QD is the revenue cycle advisory partner for Amelior Management Solutions & Services — a healthcare cyber-resiliency platform validated by a national standards committee and designed specifically for the operational realities of hospital billing and revenue operations.
Where 6QD brings 30+ years of revenue cycle expertise, Amelior brings purpose-built technology. Together we deliver something neither could alone: a structured, technology-enabled resilience program that lives inside your revenue cycle operations — not alongside them.
Amelior MSS — Downtime Platform
Anchor
Revenue Cycle Downtime Operations Platform
When your EHR goes down, Anchor goes up. Revenue cycle continuity begins on Day 1 — not after weeks of scrambling with paper charts and tribal knowledge.
Billing & AR Continuity
Keep collections moving through EHR downtime. Maintains the workflows your team needs to keep accounts receivable from falling off a cliff.
Eligibility & Auth Offline Workflows
Patient access stays functional without system access. Pre-built eligibility and authorization workflows run independently of your EHR.
Claims Submission Continuity
Alternative submission pathways for your specific payer mix — so claims go out even when your primary clearinghouse connection is severed.
Workforce Downtime Procedures
Role-by-role playbooks your staff can follow before, during, and after an incident — built and tested with 6QD advisory support.
AR Backlog Recovery
Structured tools to track, prioritize, and recover revenue lost during downtime — so nothing falls through the cracks in the cleanup.
Don't wait for the call you're not prepared for.
Most organizations discover their revenue cycle has no cyber-resilience plan at the worst possible moment. A 6QD assessment takes weeks — an unplanned incident takes months to recover from.
Early Adopter Cohort: Preferred pricing · Direct product team access · Voice in the roadmap