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What We Do
Consulting empowered by analytics is the tip of the spear. Outsourcing is there when capacity, not insight, is the constraint. Every engagement is measured against the same income statement targets.
Consulting, with the numbers attached.
Lengthy, expensive consulting engagements that end in a binder are the industry's default. Excalibur's practice is built the other way around: measure first, target second, then consult where the data says the opportunity is. Our consultants have run the functions they advise on.
- Excalibur Readiness Assessment. One diagnostic, two lenses: your organization scored against the Pillar Approach and the 7 Principles, with a ranked pillar profile, a maturity snapshot and a roadmap.
- Bridge support between Finance and Revenue Cycle. The translation layer that keeps the CFO and the business office reading from the same sheet of music, daily, not quarterly.
- A/R valuation and reserves. Account-level, triangulated valuation that holds up to auditors, boards and lenders.
- Payer-level income statement. Gross revenue, contractuals, doubtful accounts, uncompensated care and net revenue, by payer, every month.
- Month-end packet preparation and close acceleration. A Revenue Cycle Income Statement in two business days or less.
- Director and VP mentorship. Coaching for the leaders who will own the cadence after we leave.
- Comprehensive revenue cycle redesign. Structure, people, process, technology and measurement, hardwired.
Merlin as a Service.
Embedded expertise plus the AskMerlin platform, delivered as one engagement. Seven applications, one data warehouse, a 20-minute ETL cycle and account-level drill-down everywhere. The platform is not what we sell. It is how the outcome becomes visible every month.
Daily discipline
B41C: 20+ leading and lagging indicators and a daily eye on the income statement, before the first cup of coffee.
Month-end clarity
The Grail: account-level valuation and the interactive income statement that closes the month in two business days.
Dispositional workflow
Gwen: the right account, at the right time, with the right effort. Touching an account that would have resolved itself is not productivity, it is expense.
Measured by: payer-level cash to target, net days, denial rate, DNFB
When capacity is the constraint, we operate.
Analytics-enabled outsourcing, run by a team that is measured on the same payer-level targets as your own staff. Dispositional by design: the art of not touching an account that does not need it.
Full Back-End Revenue Cycle BPO
Cash application, systems controls, call center, denial prevention and recovery, credit balance management.
Ask about this serviceSelf-Pay Outsourcing and Bad Debt Controls
Predictive scoring and segmentation, dedicated bad debt analysts for forecasting and expense control.
Ask about this servicePayment Discrepancy Resolution
A centralized team addressing denials, contractual underpayments, and credit and refund management.
Ask about this serviceLegacy A/R Run-Out
Fixed-book liquidation with flexible pricing: per touch, per resolved account, or cost-plus.
Ask about this serviceDigital Patient Experience
Multi-channel engagement across statements, calls, text, email and portals, tailored to your patient population.
Ask about this serviceVirtual Patient Access and Pre-Processing
Verification, benefits calculation, pre-authorization, estimates and bill-hold resolution.
Ask about this serviceMeasured by: cost to collect, cash yield per touch, bad debt expense
Enterprise tools. Consortium pricing.
One facility's volume rarely justifies enterprise analytics pricing or a full outsourcing bench. Member hospitals combining volume earn enterprise-tier pricing on the AskMerlin platform and Excalibur's professional services, priced like one large system, not many small ones.
Cross-facility analytics to improve payer performance, volume and uncompensated-care opportunity.
Actionable scorecards that equip busy leaders to increase cash and reduce cost to collect.
Consortium-focused analysts tracking leading and lagging indicators for cash and net revenue yield.
Revenue cycle manages cash instead of answering month-end questions for eight to ten days.
Cash, days, A/R over 90 and net denial impact targets that reveal the where and the why.
Strategy and standards aligned across every facility in the consortium.
Start with a Readiness Assessment.
One diagnostic, two lenses. A ranked pillar profile, a maturity snapshot and a roadmap. No obligation, no outsourcing required.