Revenue Cycle Management
Expert consulting in billing leakage recovery, MBS item optimisation, claims processing, and debtor management for healthcare providers
Overview
Revenue leakage is one of the most common yet least visible problems in Australian healthcare practices. From under-billing of consultations to rejected claims and unrecovered debts, the cumulative impact on practice profitability is significant. Complete Health Partners delivers targeted revenue cycle consulting that identifies losses, optimises billing practices, and establishes systems for sustained financial performance across the full billing cycle.
What We Offer
Billing Leakage Recovery
- Comprehensive billing audit against consultation activity
- Identification of under-billed and unbilled services
- Analysis of item number selection accuracy
- Gap analysis between clinical activity and claims submitted
- Retrospective recovery strategies where permissible
MBS Item Optimisation
- Item number education for GPs and allied health clinicians
- Review of chronic disease management billing (GP Management Plans, Team Care Arrangements, Reviews)
- Health assessment item utilisation analysis
- Procedural item and incentive payment review
- After-hours and urgent care billing compliance
Claims Processing Improvement
- Rejection and denial root cause analysis
- Automated claims submission workflow design
- Reconciliation processes for Medicare, DVA, and private health funds
- Batch processing and lodgement efficiency improvements
- Reporting dashboards for real-time claims tracking
Debtor Management
- Outstanding patient debt recovery strategies
- Third-party payment follow-up procedures
- WorkCover, CTP, and insurer payment cycle optimisation
- Aged debt escalation frameworks
- Patient communication templates for sensitive billing discussions
Our Approach
1. Revenue Diagnostic: We conduct a detailed audit of your billing data, claims history, and debtor book to quantify losses.
2. Opportunity Mapping: Our consultants identify the highest-value recovery and optimisation opportunities.
3. Implementation: We work with your reception, billing, and clinical staff to embed improved processes and train teams.
4. Monitoring and Reporting: Dashboards and regular reviews ensure gains are sustained and new leakage is identified early.
Expected Outcomes
- Revenue uplift: Practices typically recover 8-15% in previously lost or under-claimed revenue within the first six months.
- Reduced rejections: Streamlined claims processes cut rejection rates by up to 35%.
- Faster payment cycles: Improved debtor management accelerates cash flow by 15-25 days on average.
- Billing confidence: Clinical and administrative teams develop greater competency in MBS item selection and documentation.
Get Started
Every dollar left on the table undermines the sustainability of your practice. Contact us for a confidential billing diagnostic and discover the revenue your practice is entitled to.
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