Specifications include, but are not limited to: The selected Vendor will provide activities, technical assistance, education, consultation and/or trainings to Critical Access Hospitals (CAHs) and cohorts of CAHs to improve Revenue Cycle Management. The selected Vendor must conduct improvement activities, projects and/or trainings that are: Based on the most current Medicare Rural Hospital Flexibility (Flex) Grant needs assessment conducted by the Department; Determined in collaboration with CAH leaders; and Approved by the Department prior to implementation. The selected Vendor will provide Revenue Cycle Management activities to CAHs on an annual basis, which includes activities, projects and/or trainings that focus on areas including, but not limited to: Assessment and reduction of denial rates. Analysis of charge capture effectiveness. Comprehensive charge master review. Billing and coding education. Service line analysis. Analysis of department-level staffing. Physician practice management assessment. Analysis of reporting practices for Medicare reimbursement.