Healthcare revenue cycle management
Revenue Cycle Management That Helps Your Practice Focus on Care — and Cash Flow
From eligibility checks to aging claims, we take on the revenue cycle work your team does not have time for.
The full lifecycle
Every stage where reimbursement can stall
Problems show up late but start early. We look at the whole chain, then own the stages you assign.
- 01Scheduling / Patient Intake
- 02Eligibility / Benefits
- 03Prior Authorization
- 04Coding & Claims*
- 05Submission
- 06Denials
- 07Payment Posting
- 08A/R Follow-Up
- 09Reporting
*Coding and claim preparation only where appropriately staffed and contracted. Clinical documentation and code selection that depends on clinical judgment remain with your providers.
Delivery paths
Choose the level of support you need
Point Solutions
One workflow, such as verification, A/R recovery, or credentialing, handled end to end.
Dental Revenue Desk
A combined desk for dental eligibility, claims, attachments, posting, and follow-up.
Full-Service RCM (subject to assessment)
Broader ownership across the cycle once an assessment confirms fit and staffing.
Dedicated or Shared Support
Named dedicated team members or shared capacity, depending on volume.
Services
Revenue cycle services
Dental RCM
Eligibility, claims, attachments, posting, aging, and appeals for dental offices.
Learn moreMedical Billing
Claims, clearinghouse follow-up, denial queues, and reconciliation for physician practices.
Learn moreA/R Recovery
Structured follow-up on aged insurance receivables, from tracing to appeal.
Learn moreInsurance Verification
Pre-visit eligibility and benefits checks with documented exceptions.
Learn morePrior Authorization
Requirement checks, submission, tracking, and outcome routing.
Learn moreProvider Credentialing
Provider data, CAQH, enrollment, revalidation, and EFT/ERA support.
Learn morePatient Access
Scheduling, confirmations, recall, callbacks, and front-office support.
Learn moreSystems & data governance
Your systems. Your data. Controlled access.
We work inside client-owned EHR, PMS, clearinghouse, and payer systems. We do not ask you to move patient data into our tools.
Client-owned systems
You own the EHR/PMS, clearinghouse, and payer portal accounts. We use named user accounts you provision and can revoke.
Access governance
Role-based permissions, access reviews, and prompt removal when team members change.
Minimum necessary access
Permissions limited to what each task requires, consistent with the HIPAA minimum necessary standard.
Signed agreements first
Onboarding starts only after a services agreement and a business associate agreement (BAA) as applicable.
Group security practices are ISO/IEC 27001-focused. That framework supports good security but does not by itself establish HIPAA compliance. See HHS guidance on minimum necessary.
Reporting
Metrics we help you monitor
These are examples of reporting metrics, not performance promises. Definitions are agreed with you before reporting begins.
- Clean claim rate
- Claims accepted without edits or rejections
- First-pass acceptance
- Claims accepted on first submission
- Days in A/R
- Average time to collect
- A/R by aging bucket
- 0–30, 31–60, 61–90, 91–120, 120+
- Denial rate by reason
- Where and why claims fail
- Net collection rate
- Collected versus collectible, as defined
- Eligibility-related denials
- Denials traceable to coverage issues
- Response SLA
- Our turnaround against contracted targets
Indicative starting prices for verification desks, A/R assessments, credentialing, and full RCM.
See packagesQuestions
Revenue cycle FAQ
Do you replace our billing team?
Not necessarily. We can take full ownership or specific queues such as verification, posting, or A/R follow-up.
Do you promise higher collections?
No. We commit to documented work and transparent reporting. Financial results depend on factors outside any vendor’s control.
How do you access our systems?
Through named accounts you provision, with minimum necessary permissions, after agreements and a BAA as applicable are signed.
Do you provide coding?
Only where appropriately staffed and contracted. We disclose exactly who performs coding-related work.
Next step
Request a revenue cycle assessment.
Share how your revenue cycle runs today and we will suggest a sensible place to start.