Revenue cycle & operations consulting
Revenue cycle expertise for the healthcare your community depends on
Strong healthcare strengthens communities.
We partner with hospitals, community healthcare organizations, and independent practices to find revenue challenges, strengthen workflows, develop teams, and build operations that last.

How we help
Practical support, from the front desk to the boardroom
01
Revenue Cycle Advisory
Assess performance, find revenue leakage, and improve every step from patient access through account resolution.
02
Interim & Fractional Leadership
Experienced revenue cycle leadership during transitions, vacancies, and organizational change.
03
Operational Transformation
Strengthen workflows, structure, technology readiness, and performance management.
04
Coding & Documentation Integrity
Project-based coding, quarterly coding and documentation audits, and provider documentation training.
05
Denials & Appeals
Denial trend projects, payer escalations, and appeal readiness aligned with state regulations.
06
Patient Access
Registration, eligibility, and prior authorization done right, so where patients start isn't where problems start.
07
Education & Workforce Development
Practical, role-based training for coders, billers, collectors, patient access teams, providers, and leaders.
Not sure where to start? You don't need a diagnosis to reach out.
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Our approach
Strategy that goes beyond recommendations
Sustainable improvement takes more than identifying what's wrong. We work alongside your leaders and teams to understand root causes, set priorities, strengthen workflows, and develop people, so the systems keep working long after we leave.
How we workMeet the founder
Mekhela Ghebrehiwet
MBA · CPC · CPMA · CPB
More than 15 years inside hospitals, rural clinics, surgical centers, and private practices. Mekhela pairs hands-on revenue cycle experience with executive-level strategy, and she's not just an advisor: she has done the work.
Read Mekhela's story
Let's strengthen what matters.
Every organization is different. Tell us what you're navigating, and we'll start with a conversation about where Tendward can help.