Epic Revenue Cycle Services
Do Not Let Your Epic Go-Live Cost You 90 Days of Revenue
Hospitals and clinics converting to Epic can risk tens of millions of dollars in the first 90 days post-go-live. Charge capture gaps, broken interfaces, denied claims, misaligned contract rates, and unbilled queues quietly compound with change-management challenges, driving an AR spike. EisnerAmper builds revenue cycle controls into your Epic implementation, so revenue keeps flowing when you go live.
Protecting your revenue, compliance - and your patients.
BY THE NUMBERS
The Revenue at Stake in an Epic Conversion
The following results are drawn from recent Epic conversion engagements and demonstrate how Controls Integration uncovered control gaps, reduced risk, and recovered significant financial value.
WHERE ARE YOU IN THE PROCESS?
Supporting Your Epic Journey in Any Phase
Every Epic implementation follows the same five phases. As your technology partner builds the system, we strengthen the revenue cycle controls that protect financial performance, drawing on lessons learned across numerous Epic conversions.
OUR APPROACH
How We Build Revenue Cycle Controls into Your Epic Implementation
Revenue cycle performance depends on Finance and IT working from the same playbook. We provide a unified, real-time view of every control to reduce risk and protect financial outcomes throughout the Epic conversion.
Two Perspectives. One Control Structure.
Finance & Revenue Cycle
IT & Epic Implementation
Revenue Cycle Risk Starts in the Build
During an Epic conversion, revenue cycle leaders, managers, and supervisors get pulled onto the build team. Legacy work goes unworked, and controls that should be configured into Epic never make it into the build. The result surfaces months later, as a post-go-live AR spike no one budgeted for.
- Charge master and fee schedule gaps that clear standard testing, then leak revenue on every claim.
- Interface and ancillary charge drops that stay silent until AR climbs and unbilled claims pile up in the first weeks after go-live.
- Integrating a control during the build costs a fraction of fixing it after go-live. Every wave deeper into Epic adds cost, friction, and rework.
Controls Aligned to Epic Phases
Every controls activity is timed to a milestone in your build, test, train, and go-live plan, and each produces a deliverable. The goal: launch with a control environment equal to, or stronger than, the one Epic replaced.
| Phase | Focus | Deliverable |
| Phase 0 Pre-Work | Scope the risk-and-controls work, mobilize the team, review legacy controls, and run an initial gap analysis. | Gap analysis |
| Phase 1 Workflow & Config | Join build walkthroughs to identify risks, create the Risk and Control Matrix (RaCM), and route controls requirements to the build team. | RaCM v1 |
| Phase 2 Readiness | Finalize the RaCM, visualize gaps from testing, and run pre-go-live testing analytics across charge, interface, and data lineage. | RaCM v2 + analytics |
| Phase 3 Training | Review the training curriculum for evidence of controls and create Control Tip Sheets so end users understand the risks and the controls that address them. | Control Tip Sheets and Change Management Foundation |
| Phase 4 Go-Live | Monitor safety and revenue metrics through Epic dashboards, review safety-related tickets, and define the post-go-live remediation plan for open items. | Go-live monitoring plan |
| Phase 5 Post-Go Live | Run continuous preventative and detective monitoring and perform an 8–12 week post-implementation assessment of high-impact controls. | Operating Effectiveness |
Where Revenue Risk Enters, and How We Address It
Revenue cycle risk shows up across four areas of your conversion. In each, we build the guardrails that keep risks from becoming leakages, breaches, or compliance findings after go-live.
| Risk domain | What good looks like | How we address it |
| Patient Access | Fewer denials after submission | Configure work queues for authorizations and registration, and standardize intake to reduce front-end rejections and authorization denials. |
| Charge Integrity | Charges captured correctly from day one | Pressure-test builds such as EAP/FSC, before going-live, surfacing CPT/HCPCS gaps, mismatched codes, and missing charges. |
| Interfaces & Data | Problems caught before they age into AR | Validate charge generation from ancillary systems and reconcile data conversions; test before live, not after. |
| Claims & PFS | No 90-day unbilled backlog | Build 277 claim-status processing, denial workflows, and refund threshold routing to keep claims moving. |
EisnerAmper's GRASP LIBRARY
Why EisnerAmper
You Go Live, and the Money Keeps Moving
Charges captured from day one, denials worked instead of stacked, claims flowing instead of aging, not a 90-day scramble to trace revenue that slipped through a charge master gap or an interface no one caught. You flip the switch knowing your biggest revenue risks were found and closed while they were still easy to fix.
Backed by GRaSP, Mapped to Epic
Our recommendations draw on GRaSP, our Guided Risk and Safety Program: a library of 1,500+ controls built over 30+ years of healthcare advisory and mapped to specific Epic configurations, workflows, and policies.
Risk Awareness that is Sustainable
The process builds a control environment your team owns. They have a lasting knowledge of risk and control objectives across the operation, long after we've gone.
Representative Outcomes
Control Risks Uncovered During Epic Implementations
900+ Risks Surfaced Before Go-Live
Situation: A health system converting to Epic needed design and compliance risks caught before they could reach go-live.
What we did: Ran controls integration across design validation, mapping each risk to a control inside the build.
Results: 550+ design risks and 350+ regulatory compliance risks surfaced and addressed pre-go-live, spanning CMS, HIPAA, and patient-safety requirements.
$2M+ Aged AR Recovered
Situation: A $700M, five-hospital community health system was mid-Epic build, with aged accounts going unworked as staff shifted onto the conversion.
What we did: Embedded revenue cycle controls into the build and closed the control and staffing gaps around aged AR.
Results: $2M+ in aged AR recovered, 867 build decisions supported, and a 96% control-approval rate across the conversion.
Get Started
Your Next 30 Minutes Could Protect Your Next 90 Days
Share where you are in your Epic timeline. In one 30-minute session, we’ll give you the three biggest revenue cycle risks based on your current wave plan, and how comparable systems handled each. No deck, no obligation.
Start a conversation with the team