Questions we hear most from healthcare practices.

Revenue cycle management (RCM) is the full financial process a healthcare practice runs from the moment a patient schedules an appointment to the moment their balance is paid in full — covering registration, eligibility verification, charge capture, coding, claims submission, payment posting, denial management and accounts receivable follow-up.

Medical billing typically refers to the specific tasks of preparing and submitting claims and posting payments. Revenue cycle management is broader — it includes billing but also covers the upstream steps (registration, eligibility, coding) and downstream steps (denial management, AR follow-up, reporting) that determine whether those claims actually get paid.

We work with a range of outpatient and specialty practices, including primary care, behavioral health, orthopedics, cardiology, dermatology, physical and occupational therapy, multi-specialty groups, and diagnostic/DME providers. Each specialty has different coding conventions and payer rules, and our workflows are configured accordingly.

In most cases, yes. We integrate with your existing EHR/PM system rather than asking you to change platforms. During onboarding we confirm compatibility and set up the connections needed to move charges, claims and remittances through your existing system.

Denials are categorized by root cause — eligibility issues, coding errors, missing documentation, timely filing, medical necessity, and so on. Each category is corrected and either resubmitted or appealed, and recurring patterns are flagged so the upstream process (coding, verification) can be adjusted to prevent repeat denials.

Patient and billing data is handled under HIPAA-conscious operating procedures, with access limited to the staff working your account. We're happy to walk through our specific data-handling practices and any agreements your organization requires as part of onboarding.

Onboarding timelines vary by practice size, specialty and how much historical AR needs to be reviewed. During your consultation we'll give you a realistic timeline based on your specific setup rather than a generic estimate.

Pricing depends on claim volume, specialty and the scope of services you need (for example, full RCM versus billing and coding only). We'll walk through options during your consultation rather than quoting a one-size-fits-all rate here.

Yes. Aging accounts receivable is one of the most common reasons practices reach out. We start by triaging the backlog by age and payer, then work it alongside new claims so current billing doesn't fall behind while the backlog is cleared.

Typically: read-only or billing access to your EHR/PM system, your current payer contracts and fee schedules, and a point of contact on your team who can answer documentation questions. We'll confirm the exact list during your consultation.