Stay Ahead
of the Curve in
Rural Healthcare
A Strategic Initiative to recapture lost revenue
Improving Revenue Integrity Systems for Healthcare Providers Nationwide
The US healthcare system is in deep trouble, and not many Americans understand the looming danger. The heartbeat for health care is the Provider pump, and the dedicated administrators, doctors, and nurses do know the danger ahead.
The Big Beautiful Bill is skinning you alive with cuts to Medicare and Medicaid. For Rural Hospitals the $50B Rural Health Transformation Program will not solve the problems of delivering care and keeping the doors open. For ACA, the train will be off the tracks by year end.
We are here to help certain Hospitals and Providers recover revenue they are not aware they are missing. We understand the system and we ar ready to discuss our forensic process for what we call “Cash from Contracts.” We help with private insurance revenue, to the tune of 18 to 20%.
Underpayments:
The Chain of Events Every Hospital Faces
Services Delivered
→ ICD-10 Coding
Every patient encounter, procedure, or supply must be captured and translated into ICD-10 codes so insurers can process the services provided.
Coding
→ Invoice Creation
Once coded, the billing office (or a third-party vendor) generates invoices. Each charge is priced based on the hospital’s contracts with insurance companies—those contracts dictate the reimbursement dollar amounts, line by line.
Invoice → Claim Submission → Adjudication
The invoice becomes a claim. Hospitals file it, and insurers run it through adjudication. This is rarely a one-and-done process—insurers reject, reduce, and re-process claims multiple times before issuing a final remittance.
Our Role: Independent
Forensic Analysis
We bypass the typical coding debates and focus solely on comparing final payments against the actual terms of the contract. This is not a subjective review; it’s a contract compliance audit.
The Reality: Substantial Underpayments
Industry averages suggest underpayments of 0.5% to 4.5%. Our audits consistently reveal much deeper gaps—often 14% or more—with averages between 18% and 22%. For a hospital with thin margins, this is the difference between solvency and financial distress.
About Us
Wendy
WallisBronson Healthcare Consulting
Rural hospitals across the nation are undergoing one of the most dramatic and consequential transformations in modern healthcare history. At WallisBronson Healthcare Consulting, we recognize how valuable your time and clarity are — especially at the executive level.
That’s why we’ve created a monthly, in-depth newsletter curated specifically for hospital leaders and decision makers like you.
Charles
WallisBronson Healthcare Consulting
Wallis Bronson LLC is a trusted partner to healthcare providers nationwide. With decades of experience in revenue integrity and payer contract strategy, our team empowers medical practices to recover lost income, reduce risk, and build sustainable growth.
We believe in a proactive, data-driven approach to financial health—helping organizations streamline operations, ensure fair reimbursement, and stay compliant in a complex payer landscape.
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