Revenue Cycle Management
End-to-end ownership of every step from eligibility check to final payment — so your team focuses on patients, not paperwork.
Why it matters
The hidden cost of getting this wrong
Most independent practices are leaking 5–15% of collectible revenue without realizing it. Not because they have a bad biller — because no single person is watching the entire cycle. Eligibility errors cause downstream denials. Denials sit in queues until timely-filing kills them. Aged AR gets written off. Patient balances go uncollected. End-to-end RCM means one team owns every step, every metric, every dollar — with weekly reporting that shows you exactly where the money is.
What's included
Everything in this service
Real-time eligibility and benefits verification before every visit
Charge entry with automated scrubbing against payer rules
Daily claim submission with first-pass acceptance tracking
ERA/EOB posting and reconciliation against contracted rates
AR follow-up on every claim past 30 days
Denial management with appeal documentation
Patient statements, collections, and payment plans
Weekly KPI reports: collection rate, days in AR, denial rate, first-pass rate, net collection rate
Common pitfalls
What we see go wrong elsewhere
Patterns we run into when we audit incoming practices. If any of these sound familiar, your current setup may be leaving money on the table.
Billing companies that don't track first-pass acceptance — you can't fix what you don't measure
AR follow-up that stops at 90 days because 'it's too old to bother'
Denial recovery that only addresses the denial code, not the upstream cause
Static monthly reports that don't show trend lines or call out anomalies
Generic workflow that ignores specialty-specific coding patterns
Performance benchmarks
What we hold ourselves to
Industry medians shown where applicable. We track these every week and report them to you, in writing.
95%+
First-pass claim acceptance
24–48 hr
Claim submission turnaround
32 avg
Days in AR (industry target: <40)
98%+
Net collection rate
Frequently asked
What practices ask before they switch
How is this different from just hiring a biller in-house?+
An in-house biller owns one role. A full RCM team owns the cycle — coding, posting, AR, denials, eligibility, patient pay — with cross-coverage when someone is out, and dashboards that show you everything in one place. You also get specialist coders, certified credentialing staff, and AR analysts on the same team without paying five salaries.
Will I lose visibility into my own revenue?+
The opposite. We send weekly KPI reports and give you a portal showing every claim's status in real time. Most practices say they have more visibility with us than they did running billing in-house.
What's the transition from my current biller like?+
We've done this 25+ times. The first 30 days run parallel — your existing biller keeps submitting while we onboard, learn your workflow, and clear your AR backlog. By day 60 we're fully operational and submitting claims. By day 90 you'll see first-pass rates and AR aging move. See our process page for the full timeline.
Do you work with my EMR?+
Almost certainly. We work with eClinicalWorks, Athenahealth, Epic, Cerner, NextGen, Kareo/Tebra, AdvancedMD, Medisoft, and 20+ other systems. If yours is unusual, call us and we'll tell you in 5 minutes.
Want to know what revenue cycle management is costing you?
Get a free Revenue Leakage Analysis — a one-page report with three specific revenue leaks at your practice and what they're costing per year. Delivered in 3 business days. No sales pitch.