Our services

Credentialing & Provider Enrollment

Stay compliant, get paid faster, and reduce administrative burdens.

  • Full service provider credentialing & recredentialing to ensure timely payer enrollment.
  • CAQH & NPI Management to maintain up to date provider records.
  • Automated license & compliance tracking to prevent credentialing related claim denials.
  • Payer enrollment & network applications to expand provider access to patient populations.

Benefit: Reduce credentialing delays, ensure compliance, and accelerate provider revenue generation.

Payer Contract Negotiation & Reimbursement Optimization

Secure higher reimbursement rates & negotiate better contract terms.

  • Contract analysis & benchmarking to ensure fair market rates.
  • Payer rate negotiation to maximize provider revenue & reimbursement opportunities.
  • Appeals & dispute resolution for underpayments & denied claims.
  • Value based care contract consulting to navigate shifting reimbursement models.

Benefit: Strengthen payer relationships, optimize contract terms, and maximize revenue potential.

Price Transparency Compliance & Strategic Pricing

Ensure CMS compliance while positioning your practice for financial success.

  • CMS price transparency rule compliance for hospitals & outpatient centers.
  • Healthcare pricing strategy optimization to align rates with competitor benchmarks.
  • Patient cost estimator & self pay pricing tools to improve patient financial experience.
  • Real time market price intelligence to monitor competitors and adjust pricing accordingly.

Benefit: Stay compliant with government regulations while enhancing pricing strategies to maximize profitability.

Revenue Cycle Management & Financial Advisory

Turn operational inefficiencies into financial opportunities.

  • Claims management & denial prevention to improve cash flow.
  • Billing workflow optimization to reduce administrative burdens.
  • Self-funded employer & payer contract consulting to enhance revenue stability.
  • Financial analytics & KPI tracking for performance-based decision-making.

📌 Benefit: Increase revenue collection, reduce claim rejections, and enhance overall financial stability.

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DATA, DIFFERENTIATION, & DILIGENCE

Updated Version for Halcyon Healthcare Advisors:

At Halcyon Healthcare Advisors, we leverage data driven strategies, advanced market insights, and hands on payer negotiation expertise to help providers optimize network participation, secure higher reimbursement rates, and maintain full compliance with evolving regulations.

How We Deliver Value:

Data Driven Decision Making

We utilize benchmarking analytics, contract comparisons, and payer rate intelligence to ensure providers receive competitive reimbursements aligned with market standards.

Customized Payer Negotiation Strategies

We take a proactive approach to contract reviews, identifying opportunities for providers to negotiate better rates, avoid underpayments, and optimize contract terms for long term financial success.

Credentialing & Compliance Expertise

Our automated credentialing solutions and payer enrollment tracking help providers stay in network, maintain active participation, and avoid claim disruptions.

Price Transparency & Strategic Positioning

With CMS price transparency mandates in effect, we guide providers in compliance readiness, helping them strategically publish pricing, structure competitive cash pay rates, and strengthen patient cost estimation models.

At Halcyon Healthcare Advisors, we don’t just provide insights

we deliver actionable solutions that drive financial growth, operational efficiency, and regulatory confidence for healthcare providers.

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