Healthcare Revenue Cycle Management Services

How revenue cycle management works

We organize the revenue cycle into three stages and measure each one.

• Front end: eligibility and benefits verification, prior authorization, demographic accuracy
• Mid cycle: coding review, charge capture and claim scrubbing
• Back end: payment posting, denial management, A/R follow-up and patient balances

Medical billing vs revenue cycle management

Medical billing usually means creating and submitting claims. RCM covers the whole lifecycle, including the front-end work that prevents denials and the back-end work that recovers unpaid balances. Our Complete Billing plan is full RCM.

Reporting you can act on

Each month you get collections, adjustments, denial reasons by payer and A/R aging buckets, plus a short summary of what we are doing about any problem areas.

Revenue Cycle Management by specialty

See how we apply revenue cycle management to specialty-specific rules:

Frequently asked questions