Coding Audits
We perform comprehensive coding audits to ensure compliance, reduce denials, and enhance revenue accuracy.
Denial Management
Our service effectively manages denied claims, ensuring timely appeals and maximizing revenue recovery.
Patient Billing Services
We streamline patient billing to ensure accurate invoices and enhance cash flow by minimizing errors and delays.
Financial Analytics
Our financial analytics services provide actionable insights to optimize your revenue cycle and improve profitability.
Appeals Management
We handle denied claims through professional appeals, reducing provider workload and improving revenue recovery.
Compliance Consulting
Our consulting services ensure healthcare organizations meet regulatory requirements, reducing risks and penalties.
Revenue Cycle Assessment
We evaluate your revenue cycle processes and provide tailored recommendations to improve efficiency and profitability.
Training and Education
We offer resources to improve staff proficiency in revenue cycle management and keep teams updated on industry practices.
Cash Flow Management
We implement strategies to optimize cash flow, forecast revenues, and reduce financial instability for healthcare providers.
Integrated RCM Software Solutions
We provide advanced software tools to streamline revenue cycle processes, ensuring real-time analytics and seamless integration with existing systems.
Cost Structure for Revenue Cycle Management Services
Typically 4% - 8% of collected revenue, based on the amount collected for services rendered. This model works well for practices of all sizes, with rates varying by practice complexity.
Per-Claim Fee
$4 - $10 per claim submitted, ideal for smaller practices or those with low claim volumes. This pricing structure charges a fixed fee for each claim processed.
Flat Monthly Fee
$2,000 - $15,000 per month, typically for larger practices or multi-location providers. This can be all-inclusive or segmented by services offered, providing predictable costs.
Hourly Rate
$75 - $250 per hour, applicable to specialized services like complex claim appeals or consulting.
Tiered Pricing
A mix of fixed fees and percentages depending on the practice’s size and claim volume. Larger practices may benefit from discounted rates based on increased volume.