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Revenue Cycle Process Improvement

Convert undocumented work and inconsistent handoffs into a process your team can actually follow and manage.

OriNova maps the current-state workflow, identifies delays and control failures, designs the future-state process, and documents the operating steps. The result is an implementation-ready SOP with ownership, decision points, evidence requirements, escalation rules, and QA controls.

Business-only discovery firstNo bank accessEvidence and scope controls

Who this service is for

  • Teams relying on verbal instructions or personal spreadsheets
  • Practices experiencing repeated handoff failures and rework
  • Organizations changing staff, billing vendors, or systems
  • Leaders who need consistent training and accountability

What OriNova reviews

  • Process start and end points
  • Roles, decisions, approvals, and handoffs
  • Systems, reports, and evidence used at each step
  • Delays, missing ownership, and rework loops
  • Escalation and exception rules
  • Quality checks and management controls
  • Training, pilot, and adoption requirements

Operational and reimbursement risks this can surface

  • Critical knowledge living with one employee
  • Tasks moving by email or verbal reminder
  • Different staff making inconsistent decisions
  • No evidence that a handoff or QA step occurred
  • New SOPs created without a pilot or change owner

What the client receives

  • Current-state process map
  • Future-state workflow design
  • Detailed SOP and role responsibilities
  • Operational checklist and exception rules
  • Pilot, training, and implementation plan
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 process boundaries and desired outcome

2. Interview

Interview approved stakeholders and review existing documents

3. Map

Map actual work, handoffs, delays, evidence, and decisions

4. Design

Design the future state with clear owners and controls

5. Build

Build the SOP, checklist, pilot plan, and success measures

Frequently asked questions

Do you create SOPs without observing the current workflow?

No. A useful SOP must reflect the real process, systems, owners, exceptions, and approval requirements.

Can this service support a billing-vendor transition?

Yes. It can define handoffs, responsibilities, evidence, escalation, and reporting expectations for the transition.

Will the SOP guarantee staff adoption?

No. Adoption depends on leadership, training, system configuration, workload, and follow-through. OriNova includes an implementation and pilot path to reduce that risk.

Need clearer workflow & sop improvement findings?

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

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