Revenue Cycle Management Services From Check-In to Final Payment

Revenue cycle management (RCM) covers every step between booking a patient and collecting the last dollar. Medbillz manages the whole cycle, so problems at the front desk don't turn into denials at the back end.

The revenue cycle we manage

Scheduling and eligibility → Prior authorization → Coding and charge entry → Claim submission → Payment posting → Denial management → A/R follow-up → Patient collections → Reporting

The KPIs we report on

• Days in A/R
• First-pass clean claim rate
• Denial rate by payer and reason
• Net collection rate
• A/R over 90 days

When full RCM makes sense

Growing practices, practices with high denial rates, and practices that lost their in-house biller.

FAQs

• What's the difference between medical billing and RCM? Billing covers claims and payments. RCM also covers the steps before and after: eligibility, authorizations, coding, A/R and patient collections.
• Can you take over only part of the cycle? Yes. Many clients start with billing or A/R and add the rest later.
• How do you measure success? Against your starting KPIs from the free audit, reviewed with you every month.