RCM Services
Ten revenue cycle services, delivered modularly or together
Choose the functions you need today. Each service is scoped with defined volumes, cadence and reporting, and can expand into broader end-to-end support.
Service catalogue
What we can operate for you
Medical Billing
Charge capture, charge entry and claim creation aligned to payer and specialty requirements.
- Charge entry
- Claim scrubbing support
- Clean-claim workflows
Claims Management
Submission, rejection handling and claim status tracking through to adjudication.
- Claim submission support
- Clearinghouse rejections
- Status checking
AR Management
Structured AR work queues prioritized by aging bucket, payer mix and dollar value.
- Aging analysis
- Work queue prioritization
- Payer follow-up
Denial Management
Denial identification, categorization, appeal preparation and root-cause feedback loops.
- Denial categorization
- Appeals support
- Root-cause analysis
Eligibility & Benefits
Verification of coverage, benefits and authorization requirements ahead of service.
- Coverage verification
- Benefit checks
- Authorization tracking
Payment Posting
ERA and manual posting with reconciliation, adjustments and variance identification.
- ERA / EOB posting
- Reconciliation
- Underpayment flags
Insurance Follow-Up
Consistent payer follow-up cadence with documented outcomes and next actions.
- Payer calls and portals
- Documented outcomes
- Escalation paths
Coding Support
Coding support and documentation review coordinated with your clinical and billing teams.
- Code review support
- Documentation queries
- Specialty alignment
Revenue Cycle Reporting
Operational reporting on AR, denials, collections and work completed, on your cadence.
- AR and aging reports
- Denial trend reporting
- Productivity visibility
AR Cleanup
Project-based cleanup of aged or backlogged AR, including legacy system balances.
- Backlog projects
- Aged AR review
- Legacy balance resolution
Engagement models
Modular or broader support
Modular RCM
Add operational capacity to a specific function while your team keeps the rest. Common starting points are AR follow-up, denial management, eligibility verification and payment posting.
- Defined scope and volumes
- Agreed daily or weekly cadence
- Function-level reporting
End-to-end RCM
Broader coverage across patient access, billing, claims, AR, denials, posting and reporting, coordinated by a single operational team.
- Coordinated coverage across the cycle
- Root-cause feedback into upstream steps
- Consolidated revenue cycle reporting
Let's discuss your revenue cycle and automation goals
Tell us about your organization and current setup. We'll follow up with a practical, scoped conversation — no obligation.