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ORINOVA GROUP
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Healthcare Revenue Cycle Assessment

See where the revenue cycle is working - and where control gaps may be creating risk.

OriNova reviews the operating structure around claims, payments, denials, aging, ownership, and reporting. The goal is not to replace your billing team. It is to give leadership a clear, evidence-based view of where revenue-cycle processes may be breaking down and what should be prioritized first.

Request a Revenue Cycle Review conversationSee a sample deliverable
Business-only discovery firstNo bank accessEvidence and scope controls

Who this service is for

  • Practices with inconsistent denial or aging follow-up
  • Organizations with unclear ownership between internal staff and vendors
  • Leaders receiving reports that do not translate into action
  • Teams preparing for growth, outsourcing changes, or workflow redesign

What OriNova reviews

  • Revenue-cycle roles, handoffs, and accountability
  • Payment posting and reconciliation controls
  • Denial identification, assignment, and escalation
  • Aging and backlog monitoring
  • Allowed-amount and reimbursement review practices
  • Management reporting, KPI definitions, and action ownership
  • Access, documentation, and quality-assurance controls

Operational and reimbursement risks this can surface

  • Unassigned denials or exceptions
  • Reports without owners, due dates, or decisions
  • Backlogs that grow because prioritization rules are unclear
  • Posting and reconciliation processes that operate separately
  • Dependence on one person or undocumented knowledge

What the client receives

  • Executive diagnostic summary
  • Priority control-gap register
  • Revenue-cycle workflow observations
  • Recommended 30-, 60-, and 90-day action roadmap
  • Suggested management KPIs and ownership structure
Important scope reminderOriNova provides analytical review, operational assessment, documentation, and reporting support. Findings do not authorize coding changes, payer submissions, claim corrections, appeals, write-offs, or guaranteed recovery. Items requiring payer-specific research, qualified coding or clinical review, legal review, or client confirmation are clearly flagged.

How the engagement works

1. Define

Define the business questions and processes in scope

2. Review

Review approved workflow descriptions, reports, and a limited claim sample when applicable

3. Document

Document evidence, limitations, and operational risk

4. Prioritize

Prioritize findings by impact, urgency, and implementation effort

5. Deliver

Deliver a management-ready report and action roadmap

Frequently asked questions

Is this a full billing audit?

No. The review is an operational and analytical assessment. Any claim-level testing is limited to the written scope and is used to support workflow findings.

Will OriNova replace our billing company?

No. OriNova provides a second layer of review and documentation so leadership and the billing team can make better-informed decisions.

What information is needed?

Typical inputs include workflow descriptions, aging and denial reports, posting reports, KPI reports, policies, and a limited approved sample when claim-level evidence is necessary.

Need clearer revenue cycle review findings?

Start with a short business-only conversation to define the question, scope, and evidence.

Request a Conversation