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Revenue Cycle Management

Revenue cycle management that closes the loop from scheduling to deposit

RCM is not a product. It is the difference between a clean claim and a 120-day A/R bucket. We manage every step between the patient walking in and the money hitting your account.

Days in A/R below 30Net collections ratio 95%+Patient pay conversion 3x industry average

Request a free audit Call (973) 699-6689

<30 daysdays in A/R

95%+net collections ratio

<5%denial rate

Why most RCM vendors leak revenue

Most RCM shops focus on claim volume and forget the edges. Eligibility runs once and never again. Prior auth gets treated as a scheduling task, not a revenue task. Patient balances sit 180 days before anyone sends a second statement. Every one of those gaps is cash on the floor.

What full-cycle RCM actually includes

Eligibility and benefit verification before every visit, not just intake
Prior authorization tracked with payer-specific turnaround windows
Coding review for every encounter, with specialty-aware LCD and NCD checks
Claim submission and scrubbing through multi-payer clearinghouse
Remittance posting and variance review against fee schedule
Denial management with full appeal workflow
Patient billing with statement cycles tuned to pay behavior
Monthly KPI dashboards and quarterly business reviews

RCM is not a product you buy. It is the difference between a clean claim and a 120-day A/R bucket sitting until timely filing runs out.
ASA Management playbook

The KPIs we actually hit

Days in A/R

Under 30 across the book. Under 40 for surgery and specialty with inherent lag.

Net collections ratio

95% or better, measured against allowed amount.

Denial rate

Under 5% on first submission.

A/R over 90 days

Under 15% of total A/R.

Patient pay collection rate

55%+ on balances under $500. Industry average is under 20%.

How is RCM different from medical billing?

Billing is a piece of RCM. RCM is every revenue touch from scheduling to final deposit, including eligibility, authorization, coding, patient collections, and reporting. Billing alone does not fix the front-end gaps that create denials.

Can you manage RCM for a group of 10+ providers?

Yes. We run RCM for solo practices, multi-site groups, and ambulatory surgery centers up to 50+ providers. Onboarding scales with team size.

Do you provide patient billing and collections?

Yes. Statement cycles, payment plans, pre-collections outreach, and collections agency handoff. All with audit-ready documentation.

What reporting do we get?

Monthly KPI dashboard covering net collections, days in A/R, denial rate, payer mix, and top variance reasons. Quarterly business review with trended data and specific action items.

Start here

See the revenue leak before you sign anything.

A 30-day claim review, written findings, and a number. That is enough to decide.