RCM Services

Claims, billing, payment posting and
reconciliation, owned end to end

Revenue cycle work fails in the gaps between systems: a claim billed at the wrong contract rate, a payment posted with the wrong check number, an invoice sitting unresolved because nobody owns the follow-up. Our RCM team owns the full cycle end to end.

Claims & Billing

  • Daily claims and invoice billing at contracted rates and prices
  • Monthly invoice billing per contract (client-specific)
  • New claims clearance
  • Error claim resolution
  • Patient invoice pricing and billing, issued on time

Payment Posting

  • Daily IPA and invoice posting
  • Accurate check number, check date and check amount entry in the LIS

Reconciliation & Adjustments

  • Verification of pending invoices
  • Non-billable and non-contracted CPT handling
  • Claims and invoice adjustments with documented reason and approval
  • Back-dated posting

Compliance & Exceptions

  • Documented reasons for every pending claim or invoice
  • Valid-reason tracking for non-disbursement of payment

Where this fits

Order Entry Services sits upstream — every claim starts as a verified order. Patient billing calls that come in downstream are handled by Customer Service. Deciding whether to outsource? Read In-house vs. outsourced medical billing.

Want to see how this would work for your team? Most engagements start with a short scoping call.

Talk to Our Team →