Revenue Integrity. Compliance. Growth.
Revenue Cycle Management
More than billing — a complete financial engine for your practice, delivered with transparency inside your own systems.
Medical Billing vs. Revenue Cycle Management
Medical Billing
A single piece of the puzzle.
- Claim Submission
- Payment Posting
- Claim Follow-Up
- Collections
Revenue Cycle Management
The whole puzzle — assembled, monitored, and optimized.
- Full Revenue Cycle Management
- Revenue Analysis & Optimization
- Compliance & Risk Management
- Contracting & Credentialing
- Denial Prevention & Resolution
- Practice Growth Support
The Complete List
Everything Your Revenue Cycle Needs
Revenue Cycle Management
More than billing — a complete financial engine for your practice, delivered with transparency inside your own systems.
Medical Billing & Coding
Take away the need to hire and manage coders and billers by leveraging our team of in-house certified billing experts.
Credentialing & Contracting
Payer-specific rules change often. We stay on top of all changes to ensure your practice remains compliant.
Patient Engagement
In the most recent Beryl Institute – Ipsos PX Pulse results, three-quarters (76%) of Americans surveyed said they have not had a positive patient experience in the past three months and 60% have had an outright negative healthcare experience. We strive to turn this around!
Virtual Intake & Scheduling
Streamline patient intake and verify insurance in real time — designed specifically for medical practices.
Denial Management & Appeals
We maximize the revenue recovery process with our denial management solutions — monitoring every claim to identify errors and respond to clearinghouse rejections, with a Clean Claim Ratio at 99.8%.
Compliance Monitoring & Audit Services
Protect your practice from regulatory risk, improve revenue integrity, and stay audit-ready with OIG- and HIPAA-aligned compliance monitoring from Medical RCM.
Startup Practice Support
Revenue cycle services built to launch and scale healthcare startups — from idea to profitable operations, fast.
Revenue Recovery
We ensure your claims are paid according to the proper fee schedule — recovering underpayments and unpaid claims other billers leave behind.
A/R Management
Aggressive, systematic follow-up on aging accounts receivable — capturing unpaid claims and restoring cash flow.
Eligibility & Benefits Verification
Real-time patient benefit verification so your front desk knows coverage, eligibility, and patient responsibility before the visit.
Prior Authorizations
Fast, reliable prior authorization processing that keeps schedules full and prevents downstream denials before they happen.
Payment Reconciliation
We post insurance payments, bill patients for out-of-pocket expenses, and reconcile all remits against your bank deposits.
Nationwide Payer Experience
Experience Across All Insurance Types & Most States
Our medical billing services team is able to tackle any type of insurance:
- Out-of-Network or In-Network
- (VA) Veterans Administration
- Medicaid, Medicare, Medicare Advantage
- All Local and Commercial Insurance Plans
We work with your Practice Management Software
Full transparency inside the systems you already use: TherapyNotes, TheraNest, Availity, Change Healthcare, Waystar, athenahealth, Practice Fusion, Kareo (Tebra), eClinicalWorks, AdvancedMD, CentralReach, NextGen Healthcare.
Additional Services
Beyond the Revenue Cycle
Start-Ups
Looking to start your own practice? We CAN help! Services include, but are not limited to: creation of practice policies, handbook, SOPs, and establishing compliance with local and federal guidelines to ensure your practice is ready to start seeing patients. We will help set up your EMR practice management system, enrolling for EDI, ERA, EFT with your selected payors.
Bookkeeping
Payroll, accounting, and analytics — so your back office runs as cleanly as your revenue cycle.
Marketing
Website creation, social media ads & management, Google Ads, and more — to keep your schedule as full as your cash flow.