
All RCM services
Your entire revenue cycle, or only the areas you choose
Front-end, mid-cycle and back-end services for medical and dental practices, delivered by one dedicated, senior-led pod.
Illustrative imageThe revenue cycle
Every stage, one accountable pod
- 1Scheduling & eligibilityDemographics, coverage and benefits confirmed
- 2Prior authorizationRequests submitted and tracked
- 3CodingCPT, ICD-10, HCPCS and CDT
- 4Charge entryComplete, timely charges
- 5Claim submissionScrubbed and edited before sending
- 6Payment postingERAs and EOBs reconciled
- 7AR follow-upEvery open balance, on cadence
- 8Denials & appealsRoot causes fixed, appeals written
- 9ReportingKPIs and insights for you
Reporting insights feed back into front-end fixes, so the same issues don't repeat
Medical RCM
Medical services by stage
Front end, mid cycle, back end, and the insight that ties them together.
01
Front end: patient access
- Scheduling & registrationDemographics and insurance captured up front
- Eligibility & benefits verificationCoverage, copays and deductibles confirmed
- Prior authorizationRequests submitted, tracked and followed up
- Credentialing & contractingEnrollment, re-credentialing and payer contracts
02
Mid cycle: coding & claims
- Charge entryTimely charges with documentation checks
- Medical codingCPT, ICD-10 and HCPCS, E/M leveling and specialty coding
- Claim scrubbing & submissionEdits applied to reduce rejections
- Medical transcriptionClinical documentation transcribed for your records
03
Back end: payments & recovery
- Payment posting (ERA/EOB)Electronic and manual remits, reconciled
- AR follow-up & old-AR recoverySystematic follow-up, including aged balances
- Denials & appealsRoot-cause fixes and written appeals
- Underpayment & contract analysisPayments checked against contracted rates
- Patient billing & callsClear statements and courteous patient support
04
Insight & support
- Reporting & KPI dashboardsRegular visibility into collections, AR and denials
- RCM auditsProcess, coding and workflow reviews
- Virtual medical assistantsRemote help with front-office and patient tasks
Dental RCM
Dental services by stage
01
Front office & insurance
- SchedulingOrganized calendars and appointment coordination
- Insurance verificationFrequencies, waiting periods and maximums
- Pre-auth & pre-determinationSubmitted and tracked so treatment is not delayed
- Treatment-plan estimatesClear patient-portion estimates before treatment
- Credentialing & PPO contractingProvider enrollment and PPO network participation
02
Coding, claims & documentation
- CDT codingAccurate procedure coding to payer requirements
- Charge entryProcedures entered completely and on time
- Narratives & attachmentsX-rays, perio charts and narratives with claims
- Claim submissionClean claims sent and tracked to resolution
- Ortho billingContracts, recurring claims, patient payments
03
Payments & recovery
- Payment postingEOBs and ERAs posted and reconciled accurately
- PPO fee schedules & underpaymentsPayments checked against your fee schedules
- AR recoveryFollow-up on outstanding insurance balances
- Denials & appealsCorrected claims and documented appeals
- Patient statementsClear, timely statements for patient balances
04
Insight & support
- Reporting & auditsVisibility into production, collections and AR
- Virtual dental assistantsRemote help for front-desk and insurance tasks
Full cycle
We run your revenue cycle end to end, from eligibility to reporting.
À la carte
Pick specific services, such as AR follow-up, posting or credentialing.
Start with an audit
Not sure where to start? A free audit shows where revenue may be held up.
Free billing audit
Start with a free billing audit.
Before you commit to anything, our specialists review how your revenue cycle runs today: what's working, what isn't, and where revenue may be held up. No cost, no obligation.
What a typical audit looks at
- Denial patterns and root causes
- AR aging and stuck balances
- Coding and charge-capture gaps
- Eligibility and front-end workflow
- Payment posting and underpayments
- Practical next steps, clearly prioritized
No cost. No obligation. BAA signed first.