Frequently Asked Questions (FAQs)

JTS Health Partners works with community hospitals, critical access hospitals (CAHs), rural health systems, teaching hospitals and regional health networks across the United States. Our consulting model is built specifically for organizations with limited internal RCM infrastructure — hospitals where the revenue cycle team is stretched thin, coding resources are constrained and every denied claim has a direct impact on operating margin.

Our RCM services cover the full revenue cycle: denial management and claim appeals, medical coding audits, clinical documentation improvement (CDI), charge capture and revenue integrity review, patient access consulting, interim management and payor contract analysis. We also offer embedded RCM support for hospitals that need ongoing operational expertise rather than a one-time engagement.

nCREAS™ is JTS Health Partners’ proprietary RCM Intelligence Engine — a technology platform that uses predictive analytics and AI to help hospital revenue cycle teams identify denial risk before claims are submitted, recover underpaid or denied claims faster, and improve clean claim rates over time. It includes four modules: Predict (pre-submission denial risk scoring), Streamline (billing workflow automation), Recover AI (AI-assisted denial appeal and underpayment identification), and Engage (patient financial engagement and self-pay recovery). nCREAS™ is available

Yes. Our health information management (HIM) consulting services include inpatient and outpatient coding and audits, coder education and competency training, CDI program development, compliance and risk review, and HIM department assessments. We work directly with Directors of HIM, coding managers and compliance officers at community and rural hospitals. In addition, we offer peer-to-peer physician evaluation and management (E&M) education and training.

Yes. JTS Health Partners provides healthcare information technology (HIT) consulting with a focus on revenue cycle system optimization, workflow redesign and service request resolution. Our HIT work is typically integrated with our RCM consulting engagements to ensure technology and process are aligned.

The large national RCM firms are built for high-volume health systems. JTS Health Partners is built for community and rural hospitals that need senior-level consulting expertise, not offshore processing centers. We bring a dedicated team, a proprietary analytics platform (nCREAS™) and direct experience with the billing rules, payor landscapes and operational constraints specific to critical access hospitals and smaller community health systems.

JTS Health Partners serves hospitals and health systems nationally across the United States.