Transform the patient experience and the operations that power it

We map your operations end-to-end, identify where revenue leaks, redesign workflows, and deliver accountability for recovery gains.
Transform the patient experience and the operations that power it

80+

health systems with >$1B net patient revenue

350+

healthcare clients nationwide

1,000+

hospitals & physician practices served

40+ years

of RCM domain heritage (MedAssist)

Everest Group

Featured IT/BPM Provider 2025 – Operationalizing Generative AI in Healthcare

Everest Group PEAK Matrix®

Major Contender 2026 – Revenue Cycle Management Intelligent Operations

Everest Group PEAK Matrix®

Major Contender 2024 – Revenue Cycle Management Operations

Everest Group PEAK Matrix®

Star Performer 2024 – Revenue Cycle Management Operations
WHY THIS MATTERS

What's under pressure in provider operations

Three forces that are driving up costs and creating margin pressures for all healthcare providers.
Rising Denial Rates
Rising Denial Rates

41%

of providers now face denial rates of 10% or higher, rising annually
Collection burden
Collection burden

$43B

US hospitals spent in 2025 collecting payments from insurers.
Staff time, not care
Staff time, not care

12 hours

per week that physician practices spend on paperwork alone.
Deep domain expertise for Health systems

Consulting built for the revenue cycle operations

The gap between insight and impact is where most consultants stop. It's where we start.

Patient experience redesign

We redesign every patient touchpoint from scheduling to discharge so avoidable contact volume falls and access improves.

Workflow and process redesign

We redesign revenue cycle, workflows so cost to collect drops and unit cost stops climbing.

Target operating model design

We define how a provider operation runs access, revenue cycle, and back-office in an AI-native operating model.

AI strategy and enablement

We provide AI assessment, move you from AI readiness to deployed agents in prior auth, patient access, and revenue cycle workflows.
CLIENT SPOTLIGHT

Transformed collections operations can unlock 240% higher recovery

The engagement identified significant revenue recovery opportunities, uncovering over 500K in projected leakage, 1000's of billing and documentation issues, and a clear path to improve financial performance. A phased transformation roadmap was developed to strengthen revenue integrity, accelerate recovery, and unlock sustainable improvement across the revenue cycle.
Transformed collections operations can unlock 240% higher recovery

$29.6M+

recoverables projected
How we deliver value

Transform. Implement. Operate.

One continuous motion across patient operations, revenue cycle, and care delivery. Select a phase to see what we do and what we are accountable for.

Diagnose the real state of your patient operations before committing to a direction

We map access, revenue cycle, and back-office operations end-to-end, benchmark against peer providers, and surface where cost-to-collect, denials, and patient friction compound.

Discover AI-native operations diagnostics

  • Patient journey mapping across access, registration, care navigation, billing, and discharge
  • Revenue cycle diagnostic: denial rates, rework, eligibility gaps, and authorization friction
  • Contact center benchmarking against healthcare peers in resolution rate and patient satisfaction
  • AI readiness assessment across people, process, systems, and governance

Design and build the operation your diagnostic said was possible

Design the future-state provider operation across access, revenue cycle, and back-office with a business case finance and compliance can defend.

Define requirements and business case

  • Future-state requirements built from diagnostics
  • Prioritized initiative roadmap with sequencing logic across patient access, revenue cycle, and care delivery
  • Business case with return on investment model
  • Success metrics tied directly to patient satisfaction, cost per contact, and denial rates

Design patient and care staff experience

  • Experience design across patient and care team journeys
  • Technology architecture for patient access, registration, and revenue cycle modernization
  • Phased implementation plan with milestones, accountable owners, and risk controls

Deliver the outcomes the business case promised

We run the provider operation we designed, holding collections, denials, and patient access gains long after the engagement officially closes.

Deploy and own the outcomes

  • Change and adoption management across clinical, administrative, and patient-facing functions
  • Patient satisfaction and revenue cycle benefit tracking reported against the business case
  • Benefit realization tracked and reported until every outcome in the business case is closed
TESTIMONIAL
Firstsource CX strategy deliverable was super comprehensive and thorough, one of the best I have seen.
COO
Testing Solutions Service Provider
What Firstsource Consulting provides is a team of experts who can be real partners with us in driving innovation.
CEO
News Publication
Firstsource's consulting deliverable is at par, if not better, than any Big 4 consulting company deliverable.
COO
Major UK Building Society
INSIGHTS

Latest from the Firstsource team

Insights from the field, real operations, real outcomes, and perspectives from the people making it work in live operations.
RPA vs cognitive automation understanding the difference 2
BLog

RPA vs cognitive automation understanding the difference 2

Understand the key differences between RPA and cognitive automation—and how to choose the right approach for your business process improvement goals.
Intelligent automation revolutionizing healthcare patient management
BLog

Intelligent automation revolutionizing healthcare patient management

How intelligent automation is revolutionizing healthcare patient management—from scheduling and eligibility to billing and clinical documentation.
Harnessing omnichannel presence for the ideal customer service strategy
BLog

Harnessing omnichannel presence for the ideal customer service strategy

How an omnichannel presence enables organizations to deliver seamless, consistent customer service across digital, voice, and self-service channels.
$12M+ revenue unlocked and 800K charts cleared for a leading U.S. health system
Case Study

$12M+ revenue unlocked and 800K charts cleared for a leading U.S. health system

Learn how AI-powered autonomous coding helped clear 800K chart backlog, unlock $12M+ revenue, reduce denials, and restore coding turnaround for a leading U.S. health system.
Achieving a ∼99% first pass ratio and $1.9M cost reduction through AI-enabled radiology RCM
Case Study

Achieving a ∼99% first pass ratio and $1.9M cost reduction through AI-enabled radiology RCM

Learn how AI-enabled radiology RCM helped a leading U.S. billing company achieve a 99% first pass ratio, reduce cost-to-collect by $1.9M, and scale operations efficiently.
How an Ohio urology practice cut AR days by 49% and costs by 77%
Case Study

How an Ohio urology practice cut AR days by 49% and costs by 77%

Discover how an Ohio urology practice reduced AR days by 49%, cut costs by 77%, and improved clean claim rates using advanced RCM optimization and automation.
contact us

Start with discovery

  • Rapid diagnostics: AI maturity mapped across your operations.
  • Expedited benchmarking: Your position versus vertical peers.
  • Fastracked roadmap: Where Kairos creates the most value, first.