Kohler Healthcare Consulting

Name

Kohler Healthcare Consulting

Legal name

Kohler Healthcare Consulting, Inc.

Website

https://kohlerhealthcareconsulting.com

Company type

Private

Founded year

1980

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Headquarters

HQ city

Woodstock

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Healthcare Consulting Services: Professional consulting services delivered through engagement-based engagements providing expertise in revenue cycle management, compliance, analytics solutions, and litigation support to healthcare organizations across the United States.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Kohler Healthcare Consulting is a healthcare consulting firm that delivers engagement-based professional services across four core practice areas: Analytic Solutions, Compliance, Revenue Cycle Management, and Litigation Support. The firm serves hospitals, medical practices, skilled nursing facilities, ambulatory surgery centers, urgent care centers, home care agencies, pharmacies, laboratories, dental and physical therapy practices, combining clinical, financial, regulatory, and data analytics expertise to improve reimbursement, compliance, documentation, and operational outcomes. Services are delivered by a credentialed staff of former healthcare operators and supplemented by proprietary tools such as the Balanced Analytic Revenue and Compliance Reporter (BARCR).

Product overview

Kohler Healthcare Consulting is a healthcare consulting firm offering professional services across four main practice areas: Analytic Solutions, Compliance, Revenue Cycle Management, and Litigation Support. The firm provides sector-specific consulting for skilled nursing facilities, hospitals, medical practices, ambulatory surgery centers, home care agencies, urgent care centers, pharmacies, laboratories, dentistry, and physical therapy. Key specialized offerings include a Balanced Analytic Revenue and Compliance Reporter (BARCR) tool, EPIC implementation services, Charge Description Master solutions, Lean Six Sigma methodology, Clinical Documentation Improvement programs, and Interim Leadership placements. The consulting services are delivered by staff with backgrounds as Nurses, Financial and Regulatory positions, Managers, Administrators, Coders, HIM Directors, Patient Financial Services Directors and Compliance Officers. The firm operates as a service-based consulting organization rather than a software product company.

Differentiator

Problem solved

Functional benefit

Products and services

• Analytic Solutions Healthcare data analytics consulting services that combine operations, finance, documentation, coding, billing, and data science capabilities to help clients integrate disparate healthcare data sets and identify trends, patterns, and compliance risks for providers, payers, and life science organizations.
• Compliance Services Healthcare compliance consulting services including OIG work plan analysis, compliance program assessment, regulatory guidance, and HIPAA compliance support for healthcare organizations.
• Revenue Cycle Management End-to-end revenue cycle consulting covering front-end services, charge master integrity, coding audits, denial prevention, and back-end services for hospitals and physician practices.
• Litigation Support Services Healthcare litigation support offering expert witness testimony, deposition preparation, case strategy, arbitration support, and statistical analysis for disputes involving providers, payers, and billing issues.
• Balanced Analytic Revenue and Compliance Reporter (BARCR) Proprietary analytics tool that combines revenue and compliance data analysis for healthcare organizations, supporting trend identification and compliance monitoring across the RCM lifecycle.
• EPIC Implementation and Optimization EHR implementation and optimization services for EPIC and other enterprise solutions, including preference lists, revenue cycle builds, and Charge Description Master data review.
• Electronic Health Record (EHR) Services Pre-build preparation, installation support, and implementation assistance for EHR systems with focus on clinical documentation and billing module optimization.
• Charge Description Master (CDM) Solutions Comprehensive Charge Description Master review services including full CDM review, fast-track integrity reviews, basic desk audits, annual updates, consolidation, and department-specific reviews.
• Lean Six Sigma Methodology Quality improvement methodology applying Lean Six Sigma principles to reduce variation, waste, and defects in healthcare operations, with documented ROIs such as $200K on ICU admission appropriateness and $30K-$50K on reduced contaminated blood samples.
• Clinical Documentation Improvement Program (CDI) ICD-10-focused clinical documentation improvement program using data mining for opportunity identification, physician-led education, and denial prevention.
• Readmission Reduction Program Community-Based Case Management Program that uses a multidisciplinary team approach to reduce avoidable hospital readmissions.
• Centralized Business Office (CBO) Model Revenue cycle redesign combining hospital and physician network experience to improve cash collections through reduced denials and workflow streamlining, typically yielding 3-5% net cash increase and 1% bad debt reduction within the first year.
• Interim Leadership Services Interim placement of experienced professionals into healthcare executive roles including CFO, CNO, CCO, CDI Manager, HIM Director, and Skilled Nursing Facility Director.
• Arbitration Services Health services claim and payment dispute resolution services with Charlotte L. Kohler serving as expert witness or arbitrator for providers and payers.
• Anesthesia and Pain Management Compliance Compliance audits for anesthesia services including medical direction, concurrency, and coding/billing reviews for pain management practices.

Quantifiable outcome

• Many organizations have typically seen an increase of net cash of 3-5% and a reduction in bad debt of 1% within the first year with Centralized Business Office implementation
• +6 more outcomes

Named customers3 records

Segments9 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature3 records

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Huron Consulting Group: Large publicly traded consulting firm with a dedicated healthcare practice covering revenue cycle, clinical documentation, and compliance; substantially broader service portfolio and headcount than KHC but competes for the same hospital and health system engagements.
• Guidehouse (formerly Navigant Consulting): KHC's former parent during 2003-2009; Guidehouse continues to operate a large healthcare provider consulting practice across revenue cycle, compliance, and analytics, making it a direct overlap on KHC's core service lines and a likely competitor on enterprise RFI bids.
• Deloitte Healthcare Consulting: Global professional services firm's healthcare practice serving providers, payers, and life sciences clients across operations, technology, and regulatory strategy; competes for enterprise healthcare consulting engagements at much larger scale and breadth than KHC.
• Premier Inc. Healthcare performance improvement company providing consulting, GPO services, and analytics to hospitals and health systems; overlaps with KHC on supply chain, RCM, and performance improvement work at materially greater scale.
• Optum Advisory Services: Advisory arm of UnitedHealth Group/Optum combining consulting, technology, and outsourced services across revenue cycle, analytics, and population health for providers and payers; massive scale and capital base make it the dominant incumbent against which KHC competes.

Direct peers

• The Chartis Group: Healthcare-focused management consulting firm serving providers, payers, and healthcare technology companies across strategy, operations, revenue cycle, and clinical transformation; closest competitor in mission, scale band, and provider-centric positioning.
• Hayes Management Consulting: Specialized healthcare IT and operations consulting firm supporting EHR optimization, revenue cycle, and analytics initiatives for hospitals and physician practices; directly comparable in EHR/RCM implementation services such as KHC's EPIC offering.
• ECG Management Consultants: Specialized healthcare management consulting firm advising hospitals, medical groups, and academic systems on strategy, operations, finance, and technology; directly comparable in size, vertical focus, and service mix to KHC.
• nThrive (formerly MedAssets/Premier Healthcare): End-to-end revenue cycle management services and analytics platform for hospitals and health systems; directly competes with KHC's RCM, charge master, and analytics services while also offering technology that KHC delivers through services.
• PYA (Pershing Yoakley & Associates): Healthcare-focused advisory firm providing consulting, assurance, tax, and compliance services to hospitals, physician groups, and other providers; near-direct overlap on RCM, compliance, and valuation services relevant to KHC's clients.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/kohlerhealthcareconsultinginc
• Xx.com/KohlerHealthCa1
• Facebookfacebook.com/KohlerHealthCareConsulting

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Kohler Healthcare Consulting