Welcome to Health Care Resource
Optimizing Revenue. Empowering Care.
At Health Care Resource, we partner with healthcare organizations to build smarter, stronger, and more sustainable revenue cycle operations. With deep expertise in strategy, compliance, and performance execution, we deliver the insight and leadership needed to improve financial performance without compromising patient experience.
What We Do
Revenue Cycle Consulting
We provide end-to-end revenue cycle consulting tailored to your organization’s needs—from front-end access to back-end collections. Whether you’re preparing for a system transition, struggling with denials, or looking to drive measurable performance improvement, we help you identify root causes and implement scalable solutions.
Our focus areas include:
Workflow optimization across scheduling, registration, coding, billing, and follow-up
Denials management and root cause analysis
Charge capture reviews and revenue integrity strategies
KPI development and dashboard reporting
Management Consulting
We help health systems, physician groups, and outpatient providers align operations with business goals through actionable strategy and hands-on support. Whether you’re facing organizational change, process redesign, or performance improvement initiatives, we bring both the strategic lens and the operational know-how to drive results.
Advisory services include:
Strategic planning and business case development
Process improvement and change management
Operational assessments and gap analyses
Staff training, structure evaluation, and policy development
Interim Leadership & Department Management
When your organization needs steady, experienced leadership, we offer interim management support across Revenue Cycle and Patient Access functions. We ensure continuity, realignment, and accountability while building the internal capacity you need for long-term success.
Available leadership roles include:
Interim Patient Access Director or Manager
Interim Revenue Cycle Director or Supervisor
Operational turnaround and staff re-engagement
Department stabilization and process documentation
Why Health Care Resource
20+ years of healthcare leadership experience
Track record of successful turnarounds and revenue recovery
Flexible, scalable engagement models (remote, hybrid, onsite)
Independent, vendor-neutral, and results-driven
We understand the unique challenges healthcare organizations face—and we know how to solve them.
Let’s Work Together
Whether you need a trusted advisor, an interim leader, or a strategic partner, Health Care Resource is here to support your mission and help your teams succeed.
Contact us today to schedule a free consultation.
Standard Operating Procedures for Healthcare Organizations
The Comprehensive Denial Prevention & Appeal Management SOP delivers a turnkey framework to standardize your workflows, reduce rework, and boost recovery—built for EMR environments and grounded in payer-compliant best practices. This downloadable SOP includes:
Detailed, step-by-step guidance for front-end prevention, mid-cycle resolution, and back-end appeals
Built-in EMR workflows, denial classification methods, and escalation protocols for faster resolution
Audit-ready documentation templates and appeal letter formats aligned with payer expectations
Clear role-based responsibilities and practical strategies for tracking appeals and root causes
Whether you're a revenue cycle leader, denial coordinator, practice administrator, or healthcare consultant, this SOP provides the operational clarity and proven structure needed to prevent denials, improve appeal outcomes, and protect your bottom line.
Struggling with denials, delays, or inconsistent workflows in outpatient prior authorizations? The Outpatient Prior Authorization SOP offers a turnkey solution, built for EMR environments and grounded in payer-compliant best practices. This downloadable SOP includes:
Detailed, step-by-step guidance for imaging, infusion, radiation therapy, physical therapy, and occupational therapy
Built-in EMR workflows, escalation pathways, and denial prevention tactics
Audit-ready documentation standards aligned with real-world payer requirements
Clear role-based responsibilities and practical visit tracking strategies
Whether you’re a healthcare administrator, practice manager, or revenue cycle leader, this SOP provides the structure and clarity your team needs to reduce denials and improve operational efficiency.
The Clinical Documentation Improvement (CDI) & Provider Query Process SOP offers a turnkey solution to elevate your documentation quality, reduce denials, and support accurate reimbursement—built for EMR-based workflows and aligned with industry compliance standards. This downloadable SOP includes:
Detailed, step-by-step guidance for initiating and managing provider queries across inpatient and outpatient settings
Built-in EMR documentation workflows, compliant query templates, and real-world clinical examples
Audit-ready query and response tracking tools to support RAC, payer, or internal review readiness
Clear role-based responsibilities for coders, providers, CDI specialists, and auditors
Whether you're a coding lead, CDI professional, HIM director, or revenue cycle executive, this SOP provides the structure your organization needs to drive documentation accuracy, support quality measures, and ensure defensible coding outcomes.
The Revenue Cycle Optimization SOP Bundle brings together three powerhouse SOPs—Clinical Documentation Improvement (CDI) & Provider Query, Denial Prevention & Appeal Management, and Outpatient Prior Authorization—to give your team a unified playbook for reducing revenue leakage and improving operational performance. This downloadable bundle includes:
Step-by-step guidance across documentation improvement, denial prevention, and authorization workflows
Built-in EMR-compatible tools, escalation pathways, and audit-ready documentation templates
Real-world payer-aligned best practices to support compliance, reimbursement accuracy, and appeal success
Clear role-based responsibilities and workflow standardization for coders, billers, providers, and front-end teams
Whether you're leading a clinic, managing revenue cycle operations, or training new staff, this comprehensive SOP bundle provides the structure, consistency, and clarity your teams need to:
Improve clinical documentation and reduce query turnaround time
Prevent front-end and back-end denials with proactive workflows
Standardize outpatient authorization processes across service lines
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