The Complete Suite of RCM Offerings (All Included Under One Rate)
Nine operational modules run as a single synchronized system inside your existing EHR/PM. One rate, one accountable team, zero line-item invoicing.
Nine Modules. One Accountable Team.
Each module below runs inside your existing systems — nothing to migrate, nothing to rebuild.
Medical Billing & Charge Capture
Every encounter reconciled against schedules and scrubbed against NCCI edits before a single claim leaves the building.
Real-Time Eligibility & Benefits (VOB)
Live copay, deductible and coverage checks before the patient arrives — eliminating bad debt at the source.
Provider Credentialing & Contracting
CAQH scrubs, payer packets and weekly follow-up calls that cut enrollment from 6-9 months to 30-60 days.
Prior Authorization Coordination
Clinical documentation submitted to payers before treatment so authorizations are never the reason care stops.
EFT Setup, ERA Setup & EDI Clearinghouse
Electronic funds transfer, 835 ERA auto-routing and 837 clearinghouse configuration inside your existing EHR.
Patient Payments & Statements
Digital statements, SMS/email pay links and respectful payment-plan management that recover patient balances faster.
Root-Cause Denial Management
We classify every denial by root cause, appeal with clinical documentation, then fix the upstream workflow that caused it.
Practice Analytics & Reporting
Weekly claim snapshots and monthly executive reviews covering collections by payer, aging buckets and net collection ratio.
RPM & Telehealth Specialist Coding
Payer-compliant coding for Remote Patient Monitoring and telehealth encounters across commercial and government programs.
The EntireRCM 8-Step Precision Workflow
A synchronized loop connecting clinical documentation to reconciled bank deposits with complete audit transparency.
EHR, EFT/ERA & EDI Setup
Role-based HIPAA access, 835 ERA routing, EFT direct deposit, and clearinghouse EDI configuration inside your existing EHR/PM. Zero system change.
Pre-Encounter VOB & Auths
Patients verified for coverage, deductible balance, and prior authorizations before stepping foot into your clinic exam rooms.
Clinical Charge Scrubbing
Encounters matched against clinical charts. AAPC compliant coders review CPT, ICD-10, HCPCS, and specialty modifiers (-25, -59).
Clean Claim Submission
Electronic transmission through cleared clearinghouses within 24-48 hours of encounter completion with zero formatting faults.
Payment Posting & Statements
Remittances posted same day. Digital patient billing & statement delivery deployed for prompt copay/deductible resolution.
Root-Cause Appeals
Denied claims are isolated by reason code. Supporting clinical notes are attached and appealed while underlying templates are updated.
Aggressive A/R Follow-Up
Aging claims worked directly with insurance adjudicators before timely filing constraints expire. No balance left stranded.
Executive Financial Review
Clear executive dashboards detailing collections by payer, write-off prevention, net collection rates, and practice expansion insights.
Credentialing That Moves in Weeks, Not Seasons
Every week a provider waits for enrollment is roughly $8,000 in rendered care that cannot be billed to commercial payers. Our credentialing desk exists to compress that window with complete packets and documented weekly payer contact.
- 30–60 day average approval vs 6–9 month industry average
- Retroactive effective dates pursued where payer policy permits
- Medicare & Medicaid enrollment handled through PECOS and state portals
- Re-attestation tracking so privileges never lapse silently
What Practices Ask Before Outsourcing
Scope, integration, compliance, and what changes on day one.
Ready to Recover Every Dollar Your Practice Earns?
Join medical practices and surgery centers running at 99.2% first-pass claim acceptance. Book your complimentary 20-minute gap analysis call today.