Billing & Revenue Enhancement

What We Do

Healthcare billing is complex. The Aligned Solutions Revenue Center of Excellence, comprised of experienced industry professionals specializing in charging and billing, coding and compliance, and EPIC Electronic Health Record (EHR) implementation, can help you maximize revenue from federal, state, and commercial payers.

Billing Revenue Maximization

In depth assessment of services provided by your organization, crosswalk against regulatory and policy documentation from CMS, MassHealth, and payer guidance to identify new billing opportunities. End to end implementation support, including charge capture, EPIC Electronic Health Record (EHR) implementation, documentation support.

Comprehensive Assessments

Billing Opportunity Identification

End-to-End Implementation

Financial Sustainability Planning

Innovative services funded by grants, philanthropy or research funding are always at risk of ending when the original funding source ends. Identifying ongoing, predictable revenue sources is critical for sustaining and expanding effective interventions and programs supported by discretionary or time limited funds. Aligned Solutions will map your grant funded services to existing codes and support implementation strategy to sustain your service models.

Revenue Identification

Payer Reimbursement

Implementation Support

Value & Incentive Based Payment Models

Aligned Solutions has experience developing value-based, performance, and incentive driven payment models at MassHealth, and analyzing and implementing them at healthcare provider organizations. Aligned Solutions can help your organization succeed in the world of value-based care, whether you are a policymaker, funder, or healthcare organization.

Value-Based Care

Alternative Payment Strategies

Financial Sustainability

Why Aligned Solutions?

We combine deep knowledge of healthcare policy, behavioral health, and government systems with experience in revenue enhancement, operational efficiency, and technology-driven solutions. This unique blend allows us to address complex challenges and deliver practical, innovative solutions for health and human services organizations.

Our team brings over a decade of leadership experience in strategic, operational, and policy roles, working with state agencies and private healthcare organizations such as MassHealth, the Bureau of Substance Abuse Services, and Mass General Brigham. Backed by our Revenue Center of Excellence with over 50 years of healthcare billing expertise, we are uniquely positioned to deliver informed solutions grounded in deep industry knowledge and practical experience.