AI-Powered Precision and Efficiency in RCM Services
Our AI Rules Engine automates workflows and maximizes revenue with accurate results.
Trusted by today’s leading healthcare organizations
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"Our revenue increased by 24% in the first year, and denials were reduced by 20% after 120 days."
David Fischler, M.D.
Pulmonary and Intensive Care Specialists
"Our revenue increased by 20% in the first 6 months with 97% of A/R being under 60 days."
Russell Samofal, M.D.
Podiatry Center of New Jersey
"Our A/R dramatically reduced 30% after the first 90 days. Denials have been reduced by 10% to 15%."
Gladys Serrano, CEO
Hispanic Counseling Center (HCC)
How our revenue cycle services work
Every step in the patient process is optimized to maximize your revenue capture.
Credentialing
Registration
Prior Authorization and Eligibility
Charge Entry and Coding Review
Claim Scrubbing and Submission
Automated Denial and Appeals Management
Payment Posting and Patient Collections
Weekly Performance Review
Accelerate cash flow & reduce days outstanding
You’ll benefit from our proven RCM services model to deliver real results:
- Achieve an average collection rate of ~96%
- Improve your clean claim submission rate, reduce denials, and provide more accurate/timely payment posting
- Collect more of what's NOT being paid including denials, appeals, and open patient balances
Comply with complicated CMS initiatives
You won’t have to worry about the seemingly never-ending billing regulations affecting your practice including:
- No-Surprises Act
- Cures Act
- Clinical decision support
- MIPS reporting
Ensure full patient payment
Use an array of features that work to reduce your outstanding patient balance A/R including:
- access to a patient responsibility estimator
- enabling patients to pay from any mobile device
- interactive balance due reminder texting
Security matters
When patient information is involved, HIPAA can respond with severe financial penalties if you don’t have protections in place. So, we take our clients’ security very seriously.
- 99.9% Uptime
- HIPAA Compliant
- SOC-1 & SOC-2
- Disaster Recovery
Understanding your revenue
Following MGMA financial reporting recommendations, you'll be provided key industry metrics and process improvement strategies to improve your revenue cycle. We'll meet with your team weekly and monthly to review your key:
- Benchmarking metrics
- Key Performance Indicator (KPI) metrics
- Best practices for billing
Put our experience to work for you
Our management team has over 200 combined years of experience in RCM and billing services.
Sheryl Miller, MBA
EVP of Sales & BD, RCM Services
Gene Spirito, MBA
National Sales Manager, RCM
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Jim O'Neill
Sales Manager, Laboratory RCM
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Scott Friedman
Director of Sales, RCM Division
Marybeth McGowen
RCM Division Manager
Daphna Barzillai, MBA
RCM A/R Manager
Isaiah Leech, MBA
National Portfolio Manager
Kim Becker
National Portfolio Manager
Getting started with RCM services
Achieving dramatic business growth is as easy as 1, 2, 3...
1. Talk with an Advisor
Tell us your financial and operational goals, get your questions answered, and discover how much our team can increase your revenue and efficiency.
2. Develop a Plan
Our proven process has increased our clients’ revenue typically by 10% -20% and sometimes even more. Together, we'll build a perfect plan for you.
3. Experience Success
You’ll see increased revenue, have more money in the bank, and operate more efficiently. In fact, our 90-day guarantee guarantees it!