01 / Revenue integrity
Revenue leakage investigations
Trace missed charges, unbilled services, aging balances, and workflow breakdowns that can leave earned revenue unresolved.
Independent Revenue Cycle
Performance Review & Advisory
Is Your Revenue Cycle Performing
as It Should?
Your financial reports tell a story. We investigate what’s behind it—so you can see where revenue is lost, what’s working, and what needs to change.
Explore the BLY ReviewAn independent perspective. A clearer path forward.
Uncover the Problem. Recover the Revenue.
Our flagship engagement
Confidence in your
revenue cycle starts here.
Whether your billing is managed internally or by an outside partner, BLY gives leadership an evidence-based view of performance and practical recommendations for improvement.
The BLY Review
Independent Revenue Cycle Performance Review
A focused examination of your revenue cycle, shaped around your organization’s priorities, available data, and the questions leadership needs answered.
Discuss your review- Investigate the underlying issuesReview agreed-upon claims, payments, workflows, reporting, and partner performance.
- Validate the findingsDistinguish documented problems, areas requiring further review, and strengths worth preserving.
- Prioritize the opportunitiesAssess financial and operational impact, with assumptions and limitations made clear.
- Build a practical action planDeliver leadership findings and recommended next steps, owners, and measures of progress.
Focused expertise
Follow the evidence.
Find the opportunity.
Start with a specific concern or take a broader look at performance. Each engagement is scoped to the decisions you need to make.
02 / Reimbursement
Payer audits & underpayment analysis
Compare available contract terms and expected reimbursement with payment outcomes to identify discrepancies for follow-up.
03 / Denials
Denial management assessments
Examine root causes, appeal workflows, preventable rework, and accountability across the claim lifecycle.
04 / Accountability
Outsourced billing performance reviews
Assess reporting, service delivery, follow-through, and results to help leadership evaluate an existing partnership.
05 / Technology
EMR & practice management assessments
Review billing configurations, charge capture, claim edits, interfaces, automation opportunities, workflow efficiency, and reporting accuracy.
06 / Operations
Operational clarity & staff education
Validate financial reporting, assess day-to-day processes, and help teams turn recommendations into consistent practices.
SYSTEM EXPERIENCECareTendWeInfuseeClinicalWorksEpicathenahealth
BLY
The courage to ask.
The discipline to investigate.
Independent by purpose.
About BLY
A clear view.
An independent voice.
Inspired by investigative journalist Nellie Bly, BLY Revenue Forensics brings curiosity, rigor, and a willingness to ask difficult questions to healthcare revenue cycle performance.
We work collaboratively with physicians, healthcare executives, internal revenue cycle teams, and outsourced billing partners to bring greater transparency and accountability to financial operations.
A review may uncover missed reimbursement or a process that needs attention. It may also confirm that your billing partner is performing exceptionally well. Both findings help you lead with confidence.
Our role is to investigate, validate, and advise—giving you evidence you can act on.
Built around your organization
Independent physician practices · Specialty medical groups · Ambulatory infusion centers · Home infusion providers · Specialty pharmacies · Multisite organizations · Healthcare enterprises
Start with a conversation
What would you like
a clearer view of?
A question, a concern, or a closer look at performance. Start with a general inquiry or request an introductory conversation to explore a potential engagement.
blyRevenueForensics@outlook.com ↗Please send business inquiries only. Do not include patient information, claim details, or confidential records. A consultation does not commit you to an engagement.