RCM Guardrails + Credentialing Oversight

A prevention-focused oversight model for hospitals and clinics that need stability and visibility without replacing internal teams or vendors.

Guardrails deliverables

Denials prevention: trends, categories, and weekly actions tracked to closure
Credentialing and enrollment visibility to prevent leakage (proactive renewal calendar)
Early warning indicators for cash flow drift (AR >90, payer-specific anomalies)
Operating cadence and cross-functional alignment (finance, billing, front desk, providers)
Payer escalation framework with documented ownership and timelines

Visibility

Monthly dashboard + variance alerts

Stability

Repeatable weekly operating rhythm

Audit Readiness

Credentialing posture and documentation support