Professional RCM

Professional RCM gives your practice a billing department without hiring one. Everything in Essential is here, and then the work extends past getting claims out the door.

We verify insurance eligibility before claims are submitted, which is where a large share of denials get prevented rather than appealed. We run full insurance follow-up on outstanding claims, manage your accounts receivable so balances don't quietly age past the point of collection, and handle denial management rather than only filing appeals, which means looking at why a payer keeps denying a code and fixing the pattern behind it. Patient balance follow-up, monthly reporting, and revenue cycle recommendations complete the package, with priority support throughout.

This is the right tier for practices losing revenue somewhere between the claim and the payment, who need someone actively working the cycle rather than processing it. Book a free discovery call and we'll review where your revenue is going.