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.

Tendward Health: rolling hills and a small town at sunrise
Trusted across care settingsHospitalsCritical access hospitalsRural health clinicsSurgical centersPhysician & behavioral health practicesLabs & imaging

How we help

Practical support, from the front desk to the boardroom

View all services

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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Consultant at a whiteboard outlining revenue cycle priorities

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 work

Meet 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
Portrait of Mekhela Ghebrehiwet

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.