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Sunstone Consulting LLC

Healthcare revenue cycle and compliance consulting for hospitals

11-50 employees

About Sunstone Consulting LLC

Sunstone Consulting LLC provides revenue cycle management and compliance consulting services to hospitals and health systems across the United States. The firm specializes in chargemaster management, charge process optimization, revenue integrity, and reimbursement services. With over 30 years of client relationships documented, the company works with major academic medical centers and regional health systems.

The firm's service portfolio centers on Medicare and Medicaid compliance, particularly around physician fee schedules, evaluation and management coding, and workers' compensation claims. Sunstone's approach combines regulatory expertise with revenue recovery services, focusing on both compliance assurance and net revenue optimization. The company provides educational webinars and maintains thought leadership on CMS policy changes, as evidenced by detailed regulatory analysis content.

Sunstone's client roster includes nationally recognized institutions such as Duke Health System, Cincinnati Children's Hospital, Geisinger, Penn State Health, and Trinity Health. The firm holds HIPAA compliance certification and maintains long-term relationships with clients, with testimonials citing 30-year working relationships and confidence in compliance-focused service delivery.

Best For

Large hospital systems and academic medical centers seeking specialized revenue cycle consulting with deep regulatory expertise. Organizations requiring chargemaster optimization, Medicare compliance reviews, or revenue integrity assessments will find aligned capabilities. Best suited for established healthcare providers with complex billing operations and regulatory compliance requirements.

Key Strengths

  • Documented 30-year client relationships demonstrating sustained value delivery and trust
  • Specialized expertise in CMS physician fee schedule changes and E/M coding compliance
  • Client portfolio includes major academic medical centers and multi-hospital health systems
  • Provides educational webinars and detailed regulatory guidance on Medicare policy changes
  • Focus on compliance-centered revenue optimization reduces audit risk
  • Specific expertise in workers' compensation and auto claims, a niche area for hospitals

Why Choose Sunstone Consulting LLC

Choose Sunstone Consulting when regulatory compliance is as important as revenue optimization. The firm's long client tenure suggests reliable execution and relationship continuity. Organizations facing CMS policy changes, preparing for Medicare audits, or seeking chargemaster reviews will benefit from the specialized regulatory knowledge demonstrated in the firm's thought leadership.

Expect a consulting engagement focused on compliance assurance with revenue enhancement as a secondary outcome. The educational approach, including webinars on regulatory changes, indicates a knowledge-transfer methodology rather than pure implementation services.

Healthcare Focus

Sunstone Consulting exclusively serves the hospital and health system sector, with 100% healthcare focus evident in their service offerings and client roster. The firm specializes in hospital-specific regulatory compliance areas including Medicare physician fee schedules, chargemaster management, and revenue integrity services. Their HIPAA compliance certification and expertise in CMS policies demonstrate deep healthcare industry specialization rather than cross-industry consulting capabilities.

Ideal Client Profile

Multi-hospital health systems and academic medical centers with annual revenues exceeding $500 million that require specialized revenue cycle consulting. Organizations with significant Medicare patient populations, complex physician billing operations, or recent regulatory compliance concerns. CFOs and revenue cycle directors seeking consultants who balance revenue recovery with compliance risk mitigation.

Specializations

Chargemaster and charge process optimization Revenue integrity services Workers' compensation and auto claims Physician fee schedule compliance Evaluation and management (E/M) coding Reimbursement and revenue recovery Medicare and Medicaid compliance

Client Types

Hospitals Health Systems

Why Choose Sunstone Consulting LLC?

  • 11-50 team members
  • Select Partner on Curatrix
  • Verified on Curatrix

Quick Facts

Company Size
11-50 employees

Profile last updated: Feb 4, 2026

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