02 / Transformation
Revenue Cycle Transformation
Automation without process redesign produces faster versions of broken workflows. 6QD partners with revenue cycle leaders to redesign the underlying operating model — and build the structural capability needed to sustain performance improvement over time.
Start the Conversation>95%
Net collection rate target for transformed revenue cycles
30–50
Target days in AR for high-performing health systems
<5%
Denial rate achievable with upstream process redesign
30+ yrs
Combined revenue cycle leadership experience on every engagement
The Case for Transformation
Most revenue cycle problems are not technology problems. They are process and operating model problems.
Denial rates creep up. Days in AR drift. Cost-to-collect rises. Staff turnover erodes institutional knowledge. Technology vendors promise fixes that don't hold. The underlying issue is almost always the same: the operating model wasn't designed to sustain performance at scale.
6QD brings 30+ years of revenue cycle leadership experience — including SVP-level transformation at Optum — to engagements where the stakes are real and the work has to hold after we leave.
Our Approach
“We do not hand over a report and leave. We redesign the operating model with your team, implement it alongside them, and build the measurement systems that make the gains stick.”
Typical Engagement Outcomes
Capabilities
What we rebuild with you.
Current-State Assessment & Benchmarking
A rigorous diagnostic of where your revenue cycle stands — against your own historical performance and national benchmarks — with quantified revenue impact for every gap identified.
Process Redesign & Workflow Optimization
End-to-end workflow mapping, redesign, and standardization across patient access, coding, billing, AR, and denials. We eliminate the friction that drives cost and delays payment.
Denial Management Program Build & Turnaround
Full denial management program design: CARC/RARC tier classification, SOP development, work queue design, staffing models, and performance dashboards. From reactive to proactive.
Coding & CDI Strategy
Physician and facility coding accuracy reviews, clinical documentation improvement programs, and query workflow design — with a clear line from documentation quality to net revenue.
Charge Capture & Charge Integrity
Charge capture gap analysis across departments, CDM review, missed charge identification, and corrective action planning. Revenue you earned but never billed.
Payer Contract Performance & Underpayment
Systematic review of payer contract terms, payment accuracy, and underpayment recovery. Most health systems are leaving 1–3% of net revenue on the table in underpayments.
Operating Model Redesign
Organizational structure, staffing ratios, span of control, role design, and reporting relationships aligned to a sustainable, scalable revenue cycle operating model.
KPI Framework & Performance Dashboards
The right metrics, measured the right way, visible to the right people. We build the performance infrastructure that sustains improvement after we leave.
How We Work
Structured to deliver. Designed to sustain.
Diagnose
Quantify the gap between current performance and benchmark. Identify the root causes — not just the symptoms — that drive revenue leakage.
Design
Redesign processes, roles, and governance structures with your team. The people who live in the work are part of building the solution.
Implement
Stand-up new workflows, train staff, and drive adoption. We are in the trenches through go-live, not handing over a document.
Sustain
Build the measurement systems and management cadences that hold performance gains. Transformation that doesn't sustain isn't transformation.
Ready to build a revenue cycle that holds?
We start with an honest diagnostic. No deliverable theater. Tell us where performance is breaking down and we will show you what sustainable transformation looks like.
Request a Diagnostic