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Revenue Cycle Management

Every step of the cycle. Nothing left behind.

From the moment a patient schedules to the day the last dollar is collected, we manage every step of the revenue cycle so nothing falls through the cracks.

Full-Cycle Ownership

We don’t just submit claims. We own the outcome.

True RCM means taking responsibility from patient access all the way through final collections. Your dedicated team handles every handoff so revenue doesn’t leak between the cracks.

What We Manage

Every phase of your revenue cycle, covered

Most revenue leaks happen in the handoffs: between access and coding, between submission and follow-up, between denial and appeal. We close those gaps at every stage.

Revenue cycle problems don't start at the claim. They start at the front door. We verify coverage, confirm benefits, and flag issues before the first session, so your team isn't chasing problems weeks later.

What’s included
Insurance eligibility verification
Benefits and coverage confirmation
Co-pay and deductible identification
Prior authorization requests
Authorization tracking and renewals
Referral management

Accurate coding is the foundation of clean claims. We review documentation, assign the right codes, and flag gaps before submission. That protects your reimbursement and your compliance.

What’s included
CPT and diagnosis code review
Modifier assignment (GT, 95, HQ, and more)
Documentation gap identification
Charge entry and reconciliation
Coding compliance review
Unbundling and upcoding risk checks

We submit clean claims the first time. Every claim goes through a scrub before it leaves our system, catching formatting errors, missing data, and payer-specific requirements that cause unnecessary rejections.

What’s included
Electronic claim submission (EDI)
Claim scrubbing and pre-submission review
Payer-specific formatting compliance
Secondary and tertiary claim filing
Timely filing monitoring
Rejection identification and correction

Posting errors quietly erode your revenue. We post ERAs and EOBs accurately, reconcile every payment against expected reimbursement, and flag underpayments before they're written off.

What’s included
ERA and EOB posting
Contractual adjustment review
Underpayment identification
Patient responsibility posting
Batch reconciliation and balancing
Payment variance reporting

Denials are inevitable. Leaving them unworked is not. We track every denial, identify root causes, and build appeals that get paid, reducing your denial rate over time through pattern recognition.

What’s included
Denial tracking and categorization
Root cause analysis
Peer-to-peer review coordination
Level I and Level II appeals
Payer escalation management
Denial trend reporting and prevention

Old A/R is lost revenue waiting to happen. We work aging buckets aggressively, identify claims that can still be recovered, and keep your days in A/R from creeping up.

What’s included
A/R aging analysis and prioritization
Follow-up on outstanding claims
Payer escalations for slow-pay issues
Write-off review and authorization
Monthly A/R performance reporting
A/R cleanup and recovery projects

You shouldn't have to guess how your revenue cycle is performing. We provide clear, practice-specific reporting that shows where money is moving, where it's stuck, and where the opportunities are.

What’s included
Monthly revenue cycle summary reports
Collection rate by payer and provider
Denial rate tracking and trending
Days in A/R benchmarking
Prior authorization approval rates
Custom reporting on request
Our Approach

One team. Full visibility. No gaps.

Fragmented RCM is where revenue gets lost. When one vendor handles eligibility, another does billing, and your staff chases everything in between, money slips through. We manage the full cycle under one roof, with a dedicated team that sees the whole picture.

Every month you get a clear view of where your revenue stands, what’s aging, and what we’re doing about it.

Front-end verificationEligibility and benefits confirmed before the first session
Clean claim submissionEvery claim scrubbed and checked before it leaves our system
Payment reconciliationERA and EOB posting with underpayment flagging
Denial ownershipWe track, appeal, and root-cause every denial. Not just resubmit.
A/R recoveryAging buckets worked proactively before they become write-offs
Monthly performance reviewsClear reporting on collections, denials, and revenue trends
Software We Work With

Your EHR. Our expertise.

BreezyNotesTherapyNotesSimplePracticePIMSYDirect Data Entry

Don’t see your platform? We also support direct data entry for practices on any EHR system.

Get Started

Find out where your revenue cycle is losing money.

Book a free consult. We’ll map your current cycle, show you where money is slipping out, and tell you exactly what we’d tackle first.