Deliverables
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Comprehensive RCM Workflow Assessment and Optimization Plan
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Centralized Operating Model Integrated with DPMS Rollout
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Phased Implementation Strategy for Sustainable Scalability
Challenge
The client, a national Dental Partnership Organization (DPO), aimed to streamline and centralize revenue cycle management (RCM) operations across more than 100 partner practices. Key workflows, including insurance verification, payment posting and collections, were inconsistent and resource-intensive. At the same time, the client sought to transition all practices to a new Dental Practice Management System (DPMS), requiring coordination between enterprise teams, RCM leadership and technology vendors to align operations and support scalable, centralized workflows.
Solutions
ProspHire conducted a comprehensive assessment of current RCM workflows, partnering closely with stakeholders across the enterprise to identify inefficiencies and variability in process execution. Using baseline SOPs, the team designed future-state workflows, aligned with the capabilities of the new DPMS. Efforts focused on improving automation, integrating vendor tools and reducing administrative overhead. A phased implementation plan was developed to synchronize the RCM centralization with the DPMS rollout, ensuring consistent data flows and operational continuity across practices.
Impact
Through a three-month period, ProspHire helped define and launch a centralized RCM operating model integrated with the DPMS transition strategy. The initiative improved coordination across enterprise and practice teams, reduced manual effort, and streamlined core functions such as claims submission, payment posting and collections. With optimized workflows and system alignment, the client enhanced reporting accuracy, reduced revenue leakage and established a foundation for scalable, long-term operational efficiency across its partner network.
