Medical Billing Expert

Outsource Revenue Cycle Management Services

Leave the complexities of your RCM process to us,
we will add up the figures for you.

Enhanced Healthcare Revenue Cycle Management Services for Greater Returns

Is the business side of your practice performing as well as the clinical side? If getting a clear picture of your accounts continues to be a struggle, there must be something amiss. It has got something to do with improper medical billing, incorrect transcription services, untimely claims submission, absence of insights, or a mix of these. Squaring up the figures will never be an easy game till you know where to begin. To set things right, your RCM services must be waiting to leverage the experience of the right revenue cycle management company.

We at MedBillingExperts realign hospital revenue cycle management services to plug the gaps that play with the figures. We bank on appropriate authorization, highest level of coding, continuous monitoring of key performance metrics, established payment plans, periodical auditing of aging account receivables, daily payment posting, and up-to-date appeals process, to make inter-dependent revenue processes work in sync and ensure figures match up at the closing hours of the day.

Video on revenue cycle management solutions

Here’s How We Streamline Your Revenue Cycle Management

  • Leverage cloud-based RCM software to automate the entire process flow of claims filing, invoicing and payment transactions, and managing denials.
  • Offer multiple payment options to patients and collect co-payments before treatment to improve patient payment rate.
  • Redress denied claims within the 24 hours window after it is received and carry our regular follow ups till it gets settled.
  • Identify root cause of claim denials to minimize AR days. This includes a proper understanding of payers’ distinct CAS codes and work on denials on the basis of specific CAS codes.
  • Leverage a data-driven revenue cycle management framework to continously track financial performance.

How Our RCM Outsourcing Services Help Your Practice
Get a Clear Picture Every Day

At the end-of-day, our physician revenue cycle management services help you have a closer look at these figures to know where your finances stand:

Clinical Collections

Amount generated in total clinical collections

Net Collection Ratio

Money collected against the amount that is legally due

Denial Management

Denied & resubmitted claim count & claims in resubmission process


Billing Management

Bills pending correction, edits and re-verification

Payment Posting

Updated EOB/ERA towards claims payment

Insurance Verification

Count of network & out-of-network patients and uncovered procedures



Day’s insurance adjustments and justified write-offs

Days Sales Outstanding

Time left to collect outstanding money

Aged A/R Analysis

Loan percentage collected within 0-60 days. CLR balance

RCM Services We Can Partner with You On

Billing and Corrections

Our physician revenue cycle managementin medical billing include charge entry with patient demographic data, pre-billing edits, hard copy claims filings, electronic claims generation, charge master review and following up with patients for co-pays. As one of the trusted revenue cycle management companies, our outsourcing services are the highest order because it involves re-verifying insurance eligibility, billing to the highest level of specification, reviewing claim information multiple times, revisiting coding through multi-level quality check, and keeping ourselves updated on the changing rules of different third-party payers. We ensure all this within stipulated turnaround time.

Medical Billing Solutions
medical billing services
medical coding services

Medical Coding

As one of the long-standing revenue cycle management companies in the market, we have an experienced coding team with profound expertise in handling all data entry, ICD-10, and procedural and DRG coding. They specialize in a range of specialties, including radiology, emergency department, anesthesiology, surgery, and more. We bank on standard references like HAAD Coding Manual, HAAD Adjudication rules to deliver highest level of medical coding services. Additionally, we carry out healthcare revenue cycle management audits regularly to ensure our experts are always up to date with codes and are aware of latest compliance requirements.

CPT Medical Coding

Claim Processing

Our revenue cycle management steps involve collecting patient demographic information, identifying CPT and ICD codes, scanning for billing and coding errors, generating an EOB, evaluating claims for accuracy, and processing denied claims for resubmission. The hallmark of our RCM outsourcing services includes accurate documentation, multi-level review for errors, regular follow ups with insurance companies and periodic reports on the status of each claim. Our methodical approach helps you reduce medical claims processing times by 40% and increase clean claim rate up to 97%.

Accurate Medical Claims
claims processing services
denial management services

Denial Management and Appeals

We manage your entire denial management, from analysis of root causes of denials to following up with payers to rebilling with any necessary appeals correspondence. We bank on analytics to analyze denial trends and develop strategies to nip them in the bud. We help you get complete control over hospital revenue cycle management services by bucketing denials on the basis of top denial categories, hardest hit department, and listing out payers denying claims thereby helping you address the root cause and source of denials effectively.

Denial Management

Insurance Verification

Our experts will help you with medical insurance verification of primary and secondary coverage, out-of-network benefits, and co-insurance and deductible information. They also evaluate prior authorization requirements to ensure the submission of clean claims. Our agents are very particular about obtaining pre-authorization number, referral from PCP, updated patient demographics, patient follow-ups, and keep patients updated of co-pays, co-insurance, deductibles, health insurance caps, plan exclusions etc. our revenue cycle management solutions guarantee 99% accuracy in insurance eligibility verification.

Medical Insurance Verification
insurance verification services
Payment Posting in Medical Billing

Payment Posting

Our payment posting services ensure that data from both ERAs and EOBs match payments made, denials and non-covered services are reported, process write-offs and adjustments are noted, and issues with collecting co-payments and deductibles are identified. As a best practice we depend on electronic remittance with payers. We also help you identify zero payments, partial pays, and low pays to help you understand if they are a result of an incorrect payment or a denial. Our RCM in medical billing services ensures accurate claims submission to secondary payers and reduced denial resolution time.

Payment Posting in Medical Billing

Our Specialties

Practices of Other Revenue Cycle Management Companies

Intensive Claims

Benchmarks to ensure work-queue configurations are optimized


KPI data to get actionable insights into the root cause of RCM problems

Dynamic Process

Deep knowledge of the unique aspects of your business to help identify detailed integration points and provide workflow guidance

Access to Data

Our revenue cycle management in medical billing process provide integrated billing to effectively upload, transfer, and share data between systems seamlessly

Powerful Automation

Our revenue cycle outsourcing services provide time-saving support by automating administrative tasks and ensuring clean claims are submitted the first time around

In-Depth KPI Assessments

Dedicated account managers to assess KPIs and serve as a single point of contact

Read Our Clients Latest Reviews

Kavita CEO, CHPPS (CA)

"After a careful evaluation of some of the well-known revenue cycle management companies, we decided to put our faith on MedBillingExperts. We have leveraged their healthcare revenue cycle outsourcing services to ensure that our claims were paid within 7 days of a claims submission. We have noticed an increase in revenue by 34%, which we attribute to gaining insight into what we were actually collecting and what was left on the table."

Medical Director Chiropractic Practice (MA)

"We have used a lot of EMRs over the years because we had a problem with our practice not having any money coming in despite claims being submitted. We wanted to use one program to handle all our needs, from medical billing and coding to scheduling and collections. The RCM services they provided was user-friendly and helped reduce our administrative costs by 54%."

Revenue Cycle Management in Medical Billing Through Our Lens

Revenue Cycle Management Steps

Our RMC Process

A Step-Wise Explanation Of Our Revenue Cycle Management Services

Discover how our complete RCM services framework operate starting with setting a patient’s appointment through to effective denials management and collections.

How it Works
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Case studies on Revenue Cycle Management

Case Study

A Geriatric Practice That Reduced Their Claims Rejections

By using MedBillingExperts, this major US healthcare provider was able to identify the key causes of their claims rejections and underpayments to optimize their cash flow.

Read Our Case Study

FAQ's on Healthcare Revenue Cycle Management Services

Revenue cycle management or RCM in medical billing is the financial process by which healthcare care practices track patient care from registration and appointment scheduling to the final payment made for availing a treatment. It primarily involves charge capture, claims submission, coding, patient collection, pre-registration, registration, remittance processing, and third-party follow-up.

There are many reasons for outsource revenue cycle management business to a third-party vendor. However, the most imp reasons for outsourcing include:

  • Get more control over claims denial and AR aging caused due to inefficient registration and administration process.
  • Acquire economies of scale through a cost-sharing model that enables you avail best of breed staff and cutting-edge technology for collections.
  • Acquire first-hand knowledge of latest payer rules, changes in legislation, and evolving industry practices.

Revenue cycle management is important because it ensures uninterrupted cash flow for the medical service provider. It simplifies the billing and collection cycles, by registering, appointing, scheduling and processing the payment.

The process is also responsible for reducing the amount of denied claims by revising and resubmitting denied claims and following up with patients on receivables.

We offer a range of pricing models. These include the general pricing model, full time pricing model, transaction-based pricing model, percentage-based collection model, and tailor-made pricing models. These pricing models are customizable.

The RCM requirements of different practices and specialties are different and hence these is no one particular way to improve RCM. However, a few proven ways to improve the process are:

  • Establish payer-payment alignment by moving away from paper-based processes, embracing electronic submission, obtaining prior authorization etc.
  • Accelerate momentum of patient pay with a patient centric RCM drive and well-defined follow up process.
  • Embrace technology such as automation to eliminate repetitive manual tasks and predictive analytics to understand evolving trends.

We bank on a scalable cloud-based EHR platform to deliver our support services. So, we can scale-up or scale-down to your need with remarkable flexibility.

We can start supporting your requirements within a time period of 2 weeks. It takes us just a couple of weeks to understand your medical practice and its requirements and get acquainted with the software you use, workflow, KPIs etc.

You can contact MedBillingExperts 24/7 and 365 days a year. You can contact us by:

Call : 1866 344 1936

FAQs on Revenue Cycle Management Services


Clean Claims On First Submission




HIPAA Compliance


Increase in Collections

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Our Healthcare Software Expertise

Software Tools We Use for Medical Billing and Coding Solutions