End-to-End Revenue Cycle Management
For practices seeking comprehensive support, we offer complete RCM outsourcing that includes all eight services above, functioning as your complete back-office revenue cycle department.
Complete Package Includes:
✅ All credentialing and re-credentialing services ✅ Payer contracting review and negotiation ✅ Complete eligibility verification for every patient ✅ Full prior authorization management ✅ End-to-end medical billing and coding ✅ Aggressive denial management and appeals ✅ Systematic AR follow-up and collections ✅ Comprehensive monthly reporting and analytics ✅ Dedicated account manager as your primary contact ✅ Practice management system integration ✅ Staff training and support ✅ Compliance monitoring and updates ✅ Custom workflow optimization ✅ Scalable services that grow with your practice ✅ No software or technology costs
Why Choose Complete RCM:
Cost Savings:
- Eliminate billing staff salaries, benefits, and overhead
- No practice management software licensing fees
- No clearinghouse or technology costs
- No ongoing training and education expenses
- Predictable monthly costs based on collections
- Only pay when you get paid (percentage-based pricing)
Expertise:
- Certified professional coders (CPC, CCS)
- Experienced billing specialists across all specialties
- Dedicated credentialing team
- Expert denial management specialists
- Up-to-date knowledge of payer policies and regulations
- Deep understanding of compliance requirements
Technology:
- Enterprise-grade billing software
- Real-time claim tracking systems
- Advanced reporting and analytics platforms
- Electronic remittance advice (ERA) processing
- Patient payment portal
- No capital investment required
Scalability:
- Services expand as your practice grows
- No hiring, training, or turnover concerns
- Consistent service during staff vacations or absences
- Adapt to volume fluctuations easily
- Support for adding providers or locations
Focus on Patient Care:
- Eliminate billing stress and frustration
- Free up time for clinical activities
- Reduce administrative burden on clinical staff
- Improve work-life balance
- Focus on growing your practice, not managing billing
Performance Improvement:
- Guaranteed improvement in days in AR
- Increased collection rates
- Reduced denial rates
- Better cash flow and financial predictability
- Expert guidance on financial optimization
Pricing Models:
Percentage of Collections:
- Typically 4-8% based on monthly collection volume
- Aligned incentives (we succeed when you succeed)
- No payment if we don’t collect
- Transparent fee structure
- Volume discounts for larger practices
Per-Claim Pricing:
- Flat fee per claim submitted
- Predictable monthly budgeting
- Simple pricing structure
- Suitable for high-volume practices
Hybrid Models:
- Combination of percentage and per-claim
- Base fee plus performance incentives
- Customized to your practice’s needs
- Flexible terms and agreements
No Long-Term Contracts:
- Month-to-month or annual agreements
- Performance-based relationships
- Exit provisions if not satisfied
- Transparent terms and conditions