RISE Optimization Program

RISE: Revenue Cycle and EHR Optimization for Organizations That Bill In-House

RISE (Revenue, Insight, Strategy, Execution) is Revele’s structured consulting engagement for healthcare organizations that manage their own billing. We find where revenue is lost in your workflows, EHR configuration, and coding. Then we build a prioritized roadmap and work alongside your team to put it in place.

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+21.89% average monthly collections in the first six months for eClinicalWorks practices that began Revele’s full RCM services, which include RISE onboarding, in 2024–25.1

What is RISE Optimization?

RISE Optimization is Revele’s consulting program for improving revenue cycle performance in organizations that keep billing in-house. Revele’s consultants assess your financial results, EHR configuration, front-desk and back-office workflows, and clinical documentation and coding. They present findings and a prioritized roadmap, then help you implement it through EHR configuration, workflow redesign, staff training, standard operating procedures (SOPs), and KPI dashboards.

RISE is how Revele onboards every new full-service revenue cycle management (RCM) client. It is now also available as a standalone engagement, so organizations that bill in-house can use the same methods without outsourcing. RISE supports eClinicalWorks, NextGen, Epic, athenahealth, Allscripts, ModMed, and other EHR platforms.

The RISE framework

Four pillars guide every engagement.

Revenue

Find untapped opportunities to increase collections and your gross collection rate.

Insight

Turn operational and financial data into payer-, provider-, and service-line analytics.

Strategy

Prioritize initiatives in a roadmap with clear KPIs, milestones, and a timeline.

Execution

Put changes in place hands-on: EHR configuration, staff training, SOP development, and change management.

Signs your organization could benefit from RISE

  • Collections have flattened, and no one can show exactly where revenue is being lost.
  • Write-offs are high, and avoidable losses aren’t separated from unavoidable ones.
  • Claims take too long to submit, or payments take too long to arrive.
  • Your EHR was configured years ago, and workflows have grown up around its gaps.
  • Reports can’t answer payer-, provider-, or service-line questions without hours of manual work.
  • New billing programs, such as care management, remote patient monitoring, or value-based contracts, depend on workflows your system isn’t set up to support.

Who RISE is for

RISE is built for organizations that run billing with their own staff and want outside expertise to improve results without outsourcing.

Organizations

Independent practices and physician groups. A roadmap sized to your team, plus provider-level E/M benchmarking that gives physicians concrete documentation feedback.

Hospital and health system ambulatory networks. Hospital-owned ambulatory networks are a strong fit: a consistent assessment across clinic sites, standardized SOPs and training, and KPI dashboards leadership can compare across locations.

FQHCs, community health centers, and Rural Health Clinics. Workflows and reporting built around your payment model. See RISE for community health organizations.

What each team gets

Executives and senior leaders. A findings presentation, a prioritized roadmap with KPIs and estimated timelines, and regular leadership performance reviews during implementation.

Revenue cycle, finance, and operations teams. Payer reimbursement comparisons, denial and write-off segmentation, redesigned workflows, formal SOPs, and custom KPI dashboards.

Physicians and other providers. E/M coding benchmarked against CMS data for each provider’s specialty, a clinical documentation assessment, and training on updated workflows.


How a RISE engagement works

RISE runs in two phases. Phase 1 diagnoses; Phase 2 implements. Nothing in your system changes until you approve the roadmap.

Phase 1: Discovery and Strategy

  1. Kickoff within two weeks of engagement.
  2. Remote review of your data, reports, and EHR configuration.
  3. On-site workflow assessment: front-desk shadowing, back-office and revenue cycle review, and clinical documentation assessment.
  4. Analysis: provider E/M benchmarking against CMS specialty data, payer reimbursement comparison, gross collection rate baseline, and avoidable versus unavoidable write-off categories.
  5. Findings and roadmap: a findings presentation, actionable recommendations, and a prioritized roadmap with estimated timelines.

Phase 1 is observation and analysis only. No changes are made to your system.

Phase 2: Implementation and Change Management

After you approve the roadmap, Revele’s consultants carry out the prioritized work, managed by a dedicated project manager:

  • EHR configuration and workflow optimization
  • Staff training and formal standard operating procedures
  • Custom KPI dashboards
  • Regular leadership performance reviews
  • Defined workstreams for clinical coding or denial management when Phase 1 identifies gaps

Talk with Revele about scoping a RISE engagement

What RISE covers

Revenue cycle workflow automation

Streamline and automate revenue cycle workflows inside the systems you already use.

Reporting and analytics

Payer-, provider-, and service-line reporting, with custom KPI dashboards.

Front-desk and patient access

Assess and improve the front-desk and patient access workflows where many billing problems start.

Clinical documentation and coding

Improve coding efficacy and documentation-to-claim accuracy to support billing accuracy and compliance.

RISE results

RISE is how Revele onboards every new full-service RCM client. A late-2025 study of eClinicalWorks practices that began Revele’s full RCM services in 2024 and the first half of 2025 compared each practice’s results with its own average for the 12 months before go-live.1

Change after moving to Revele First 3 months First 6 months
Average monthly collections +21.53% +21.89%
Average gross collection rate +25.68% +20.38%
Average payment per claim +18.75% +18.82%

 

The RISE pilot

Revele opened RISE to organizations outside its full-service client base after a pilot practice completed the program. Within four months, that practice recorded:2

  • 11.4% increase in monthly collections
  • 6% increase in charge and payment amount per claim
  • 81% reduction in costly write-offs
  • 7.3% improvement in net collection rate
  • 74% reduction in average time to submit claims
  • 58% reduction in claim payment time

In those first four months, the financial gains exceeded the program’s cost by more than 20 times.

“The impact was immediate and clear. Revele’s proactive and strategic approach is a sharp contrast to other vendors. Their work mitigated what could have been over $700,000 in unresolved adjustments, demonstrating the immense value of their expertise and deep understanding of the revenue cycle.”

— RCM Director, Revele client organization

1 Study conducted in late 2025 of eClinicalWorks practices that began Revele’s full RCM services in 2024 and the first half of 2025, across multiple specialties and group sizes. These practices received RISE as part of Revele’s full-service RCM onboarding. Each practice’s results are compared with its average for the 12 months before go-live. Changes are relative, not percentage points: a practice averaging $100,000 in monthly collections that rises to $121,890 shows a 21.89% increase. Individual results vary with specialty, payer mix and starting performance. Past results do not guarantee future results.

2 Pilot results reflect one practice over its first four months in the RISE program and do not guarantee future or comparable results.

RISE for community health organizations: FQHCs, CHCs, and RHCs

Federally Qualified Health Centers (FQHCs), other community health centers (CHCs), and Rural Health Clinics (RHCs) are paid under different rules than fee-for-service practices, and differently from one another. A RISE engagement is scoped to the payment model, reporting obligations, and workflows that apply to your organization.

For Rural Health Clinics

  • Configure the EHR workflows behind individually billed care management services, including Advanced Primary Care Management (APCM) and remote patient monitoring (RPM): patient eligibility tracking, consent capture, time documentation, and code stacking without overlap.
  • Optimize the allowable cost tracking that feeds your cost-per-visit calculation.

For FQHCs and other community health centers

  • Prepare for value-based contracts with Hierarchical Condition Category (HCC) coding, documentation-to-claim synchronization, and reliable data analytics.
  • Protect wraparound payments through audits and reconciliation.
  • Track denial trends and payer-level performance with dedicated reporting.

Why organizations choose Revele for RISE

Built inside a working revenue cycle operation

RISE is how Revele onboards every new full-service RCM client, so its recommendations come from day-to-day billing practice.

Deep eClinicalWorks expertise, beyond one EHR

For nearly two decades, Revele was one of the largest eClinicalWorks value-added resellers. RISE also supports NextGen, Epic, athenahealth, Allscripts, ModMed, and other EHR platforms.

We work inside your system

Revele’s consultants work directly in your own EHR, so every change is visible to your team.

Experience at scale

Founded in 1991, Revele today supports nearly 1,000 providers across all 50 states.

Security and compliance

Revele has refined its controls to secure client data for more than 25 years, backed by SOC 2 work and an independent third-party audit firm for HIPAA privacy and security. See our SOC 2 compliance.

Frequently asked questions about RISE

What does RISE stand for?

RISE stands for Revenue, Insight, Strategy, Execution. It is Revele’s structured consulting program for improving revenue cycle and EHR performance in organizations that manage billing in-house.

Do we need to outsource our billing to Revele to use RISE?

No. RISE is how Revele onboards its full-service revenue cycle clients, and it is now also available as a standalone engagement for organizations that keep billing in-house.

Which EHR platforms does RISE support?

Revele’s deepest expertise is in eClinicalWorks. RISE also supports NextGen, Epic, athenahealth, Allscripts, ModMed, and other EHR platforms.

How long does a RISE engagement take?

Kickoff happens within two weeks of engagement. Phase 1 ends with a roadmap that includes estimated timelines, and the length of Phase 2 depends on the initiatives you approve.

Will Revele change our system during the assessment?

No. Phase 1 is observation and analysis only. Changes begin in Phase 2, after you approve the roadmap.

What results can we expect?

Results depend on your starting point. In a late-2025 study, eClinicalWorks practices that began Revele’s full RCM services, which include RISE onboarding, increased average monthly collections 21.53% in their first three months and 21.89% in their first six, compared with their own averages for the prior 12 months. In the RISE pilot, one practice cut costly write-offs 81% within four months. Past results do not guarantee future results.

How is RISE different from Revele’s full-service RCM?

With full-service RCM, Revele’s team performs your billing through Core Billing, Elite RCM & Insights, or Hybrid RCM. With RISE as a standalone engagement, your team keeps billing in-house, and Revele assesses, plans, and helps implement improvements. Compare RCM Service Levels.

Does RISE support FQHCs and Rural Health Clinics?

Yes. For RHCs, RISE configures care management workflows such as APCM and RPM and improves allowable cost tracking. For FQHCs and other community health centers, it covers HCC coding, documentation-to-claim synchronization, wraparound payment reconciliation, and payer-level reporting.

Can Rural Health Transformation Program funds pay for RISE?

It depends on your state’s approved plan and rules, and no vendor can guarantee that a service will qualify or that funding will be awarded. Revele can provide the baseline metrics and gap analysis that support a proposal, but does not write grant applications.

How much does RISE cost?

RISE is a paid consulting engagement scoped to your organization. The initial consultation is complimentary.

How do we get started?

Schedule a consultation or complete the request form on this page. Revele will discuss your goals, systems, and current performance, and whether a RISE engagement fits.

Find out where your revenue cycle is losing ground

Start with a conversation about your goals, your systems, and your current performance. Complete the form, or schedule a time directly.

Schedule a RISE Consultation

Prefer to start with your data? Request a complimentary RCM performance assessment.

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