Revenue Cycle Management
One team across eligibility, coding, claims, denials and AR — with your patient balances left with you.
What the Revenue Cycle Covers
Medical Billing
Charge entry, scrubbing, submission, payment posting and patient statements.Learn MoreMedical Coding
Coding from your documentation, with queries back to you when the note does not support the code.Learn MorePrior Authorization
Requests, payer follow‑up and appeals on denied auths.Learn MoreEligibility and Benefits Verification
Coverage, benefits and patient responsibility checked before the visit.Learn MoreDenial Management
Denials worked by reason code, corrected, appealed and tracked.Learn MoreAR Follow-Up and Recovery
Aged AR worked by bucket and payer, with recovery reported back to you.Learn More
How the Cycle Runs
Six services, in the order a claim moves through them. Pick one to see what happens there.
Coverage is confirmed for the date of service and the plan's benefits are read before the appointment, so the front desk knows what to collect at check-in.
Eligibility and Benefits
Coverage is confirmed for the date of service and the plan's benefits are read before the appointment, so the front desk knows what to collect at check-in.
Prior Authorization
Where the payer requires approval, the request is built from the clinical note, submitted through the payer's channel and followed until the authorization comes back.
Medical Coding
The provider's note is coded as written. If it does not support a code, a query goes back to the provider; nothing is coded from a superbill alone.
Medical Billing
The claim is built, scrubbed against payer edits and sent through your clearinghouse. Payments are posted from the remit, and underpayments are queried with the payer.
Denial Management
Each denial is worked by its reason code: corrected and resubmitted, appealed with records, or adjusted off when it is correct. The patterns go into your reporting package.
AR Follow-Up and Recovery
Open claims are worked by deadline, then by balance, then by payer. Anything unrecoverable is proposed for write-off with the reason; the decision stays with your practice.
What It Costs a Year
One rate on collections, billed only on what is actually paid. Software, clearinghouse access, denial appeals and electronic statements are included.
- In-House Biller
- CuranetMD at 2.99%You Keep $21,600
- In-House Salary and Benefits
- $40,000
- Overhead
- $11,500
Example only. In-house figures are illustrative and your costs will differ.
How a Handover From Your Current Biller Works
There is no single switch-over day. The handover runs in parallel, and every claim has a written owner.
The Cut-Off Date
We agree on a date in writing. Claims from that date are ours; claims before it stay with your current biller unless you scope the aged AR to us as well.Old AR
If your previous biller leaves aged AR behind, we triage it first and tell you what can still be recovered before anyone works it.Access
You create our logins in your practice management system, clearinghouse and payer portals. Nothing is migrated.If an Engagement Ends
Work in progress is documented and handed back, and your access grants are revoked.
Frequently Asked Questions
What practices ask before they hand over the revenue cycle.
One Team for the Whole Cycle
Tell us where claims stall, from eligibility to aged AR. We will come back with a written scope.