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U.S. Healthcare Revenue Cycle

Stop losing revenue
to preventable
denials.

Est. monthly revenue your clinic loses to denials
$0
Based on industry avg. 10% denial rate

Expert remote RCM consulting for U.S. urgent care clinics and independent practices. Fewer denials. Cleaner A/R. A billing team that performs.

Book a Free Audit โ†’ See Services
6+
Years in U.S. RCM
~20%
Avg Denial Reduction
98%
Claims Accuracy
1K+
Claims Audited/Mo

The Problem

Your clinic is leaking revenue.
Here's where.

๐Ÿ“‹

Coding & Modifier Errors

Missing or incorrect modifiers trigger automatic denials. Small errors compound fast across hundreds of daily visits.

โฑ

Untimely Filing

Claims submitted past payer deadlines become write-offs. Without tracking, it's invisible until the money is gone.

๐Ÿ”

No Eligibility Verification

Billing for coverage that doesn't exist at time of service. Caught too late, it costs more to rework than write off.

๐Ÿ“Š

Unworked Denials

Denials pile up with no follow-up system. The oldest, most recoverable claims expire quietly.

Services

What I do for your practice.

Claims Audit

Monthly Audit

Denial pattern analysis, root-cause report, and a prioritized action plan delivered every month.

  • Denial pattern analysis
  • Written root-cause report
  • Prioritized action plan
  • Month-over-month tracking
from $499 /mo
A/R Recovery

Revenue Recovery

I work your aging A/R โ€” insurance follow-ups, appeals, and collections โ€” so your team focuses on new claims.

  • Insurance calls & follow-ups
  • Denial appeals submission
  • Aged A/R prioritization
  • Monthly recovery report
from $999 /mo
Team Training

Billing Training

SOPs, coaching, and performance frameworks to stop repeat billing errors at the source.

  • Custom SOP development
  • Live coaching sessions
  • QA/QC checklists
  • HIPAA compliance review
from $1,299 /mo
Full Service

Full RCM Consulting

I manage your entire revenue cycle as your outsourced RCM lead โ€” audit, recovery, training, and strategy.

  • Everything in all tiers
  • Monthly strategy call
  • Real-time payer escalation
  • Workflow design & onboarding
from $2,499 /mo

About

Ivana Grujoska

"I started this because I kept seeing the same thing โ€” good clinics losing real money to billing problems that were completely fixable."

I've spent over six years working inside U.S. healthcare billing operations โ€” not as a consultant watching from the outside, but doing the actual work. Auditing claims, following up on denials, training billing teams, recovering aged A/R. I know what a messy A/R looks like at 90 days and I know how to clean it up.

I started Rivana Med Consulting because independent urgent care clinics deserve the same level of billing expertise as the big hospital systems โ€” without having to hire a full team or sign a contract with a large firm that will treat them like a small account.

When you work with me, you work with me directly. No handoffs, no account managers. Just honest, consistent work on your revenue cycle.

Experity Availity EPMS HIPAA Urgent Care Billing QA/QC SOP Development

Results

Numbers from the work.

~20%
Average denial rate reduction after monthly audit program
98%
Claims processing accuracy across urgent care billing
35%
Faster team onboarding through structured SOP systems
1K+
Claims audited monthly with full QA/QC documentation

How It Works

From first call to results.

01
Free Discovery Call
30 minutes. We review your denial rate, A/R aging, and billing setup. No charge, no pressure.
02
Audit & Diagnosis
I analyze your claims data and deliver a written report with denial patterns, root causes, and where the money went.
03
Action Plan
A clear, prioritized plan. Quick wins first, then structural fixes that protect revenue long-term.
04
Ongoing Partnership
Monthly retainer. I track your KPIs, work your denials, and keep your team performing.

Your clinic is ready
to recover that revenue.

Book a free 30-minute audit call. I'll show you exactly where you're losing money โ€” at no cost.

Book Free Audit โ†’