Revenue Cycle Management
Financial performance is foundational to sustainable health services. THA's team of subject matter experts comes alongside your leadership — providing the assessment, corrective action, and hands-on mentoring your Nation needs to ensure every service your programs deliver translates into accurate, compliant, and fully collected revenue.
Strengthening Your Programs — one claim at a time.
Your Future
Sustainable health systems don't happen by accident. THA guides Tribal Nations through the transitions, assumptions, and infrastructure decisions that protect access to care for future generations.
Your Programs
Strong programs require strong operations. THA works alongside Tribal leadership to optimize financial performance, strengthen clinical operations, and ensure every program delivers maximum value to your community.
See how we support Tribal programs. ↓
Your People
Healthy communities begin with accessible, high-quality care. THA helps Tribal Nations strengthen the programs, services, and systems that keep your people well — today and for generations to come.
Here's how we can help:
Clinical Documentation & Coding Review
Ensure accurate coding and complete documentation for every patient encounter — building the clinical record foundation that supports compliant billing, maximum reimbursement, and audit readiness.
Payer Enrollment & Contract Maintenance
Ensure all payer contracts are current, accurate, and optimized — establishing the enrollment and contracting foundation that enables clean claims and maximum reimbursement before a single claim is submitted.
Claims Submission, Tracking & Correction
Streamline claim processing, minimize errors, and ensure timely submission — building efficient workflows that reduce denials and accelerate revenue flow for your health programs.
Denial Management & Appeals
Identify denial patterns, address root causes, and recover revenue efficiently — transforming denials from a recurring drain into a manageable, measurable improvement opportunity.
Payment Posting & Reconciliation
Maintain accurate financial records, ensure payments are posted correctly, and reconcile accounts consistently — providing the financial clarity your leadership needs to make informed operational decisions.
PRC Administration Support
Optimize Purchase Referred Care workflows, ensure accurate claim processing, and strengthen program integrity.
For comprehensive MLR strategy and PRC financial planning, see our MLR & PRC Strategy page →
EHR Evaluation & Transitions
Support seamless technology updates or new system implementations — ensuring your electronic health record supports clinical excellence, billing accuracy, and operational efficiency across your health programs.
Compliance, Audit Readiness & 638 Billing
Navigate complex Medicaid wrap and 638 billing requirements, strengthen internal controls, and prepare for internal and external audits — ensuring your programs remain compliant, protected, and financially sound.
Operations. Transitions. Outcomes.
Executive guidance and hands-on support for Tribal and Urban Indian health systems.