Revenue Cycle Management Services
We take the whole cycle, from the moment a patient books to the moment the last dollar posts.
Revenue cycle management is everything that happens between a patient scheduling an appointment and your practice being paid in full for it. Eligibility, coding, charge entry, claim submission, payment posting, denial work, patient balances and reporting.
Most practices do not have one broken step. They have six steps that each leak a little, and nobody owns the total. A 6% denial rate feels survivable until you multiply it by twelve months and add the claims that aged out entirely.
We run the whole cycle as one process, with one team accountable for the number at the end of it.
The problem
Where this usually goes wrong
Nobody owns the full number
Front desk handles eligibility, a coder handles codes, a biller submits, and denials land in a pile. Each person is doing their job and revenue still leaks between them.
A/R ages quietly
Claims over 90 days rarely get worked because new claims are always more urgent. By the time anyone looks, timely filing has passed and the money is gone for good.
You cannot see the problem
Your PM system reports what was billed, not what was lost. Without denial reasons grouped by payer and code, you are fixing symptoms.
What is included
- Insurance eligibility and benefits verification before the visit
- CPT, ICD-10 and HCPCS coding by AAPC-certified coders
- Charge entry and scrubbing against payer-specific rules
- Electronic claim submission and clearinghouse rejection work
- ERA and EOB payment posting with contractual adjustment review
- Denial management with root-cause tracking by payer and reason code
- A/R follow-up on every claim past 30 days, worked to resolution
- Patient statements, payment plans and balance follow-up
- Monthly reporting: collection ratio, clean claim rate, A/R aging, denial mix
How it runs
Our process
- 1
Discovery and BAA
We sign a business associate agreement first. Then we look at 90 days of your claims history to find where money is actually leaking, and you see that analysis before you commit to anything.
- 2
System access and mapping
Read-only access to your PM and EHR, plus clearinghouse credentials. We map your payer mix, fee schedule and existing workflows. No migration required, we work inside the systems you already use.
- 3
Cleanup sprint
Before we take steady-state billing, we work your existing aged A/R. This is where the first recovered dollars come from, usually within the first 45 days.
- 4
Steady state
Daily charge entry and submission, daily payment posting, denials worked within 48 hours of receipt, A/R touched on a fixed cycle rather than when someone remembers.
- 5
Monthly review
A call with your numbers in front of both of us. Denial reasons grouped by root cause, what we fixed, what needs a change on your side.
In-house billing compared with outsourced RCM
| Metric | Billing in house | With AsesorMD |
|---|---|---|
| Annual cost | $55k to $95k per biller, plus benefits and turnover | Percentage of net collections, scales with what you collect |
| First-pass clean claim rate | Typically 80 to 87% | Target 97% and above |
| Days in A/R | Often 45 to 60+ | Target under 30 |
| Coverage when staff is out | Billing stops | Team coverage, no gap |
| Denial root-cause analysis | Rarely done | Monthly, by payer and reason code |
| Payer rule updates | Whoever has time | Tracked as part of the service |
Questions we get asked
Do we have to change our practice management system?
No. We work inside whatever PM and EHR you already run. We need read and write access at the billing level, nothing more. Migration is a separate conversation and usually unnecessary.
How is RCM priced?
A percentage of net collections, so we are paid when you are paid. The rate depends on specialty, claim volume and average claim value. There is no setup fee and no long lock-in.
What happens to our existing aged A/R?
We work it. Most practices have recoverable money sitting in the 90 to 180 day bucket that nobody has had time to chase. That cleanup usually produces the first visible result of the engagement.
How long does onboarding take?
Two to three weeks from signed agreement to first claims submitted. Most of that is credentialing us for system access and payer portals, which depends on how quickly access is granted.
Who talks to our patients about their bills?
We do, if you want us to. Patient statements, balance questions and payment plans can sit with our team, or stay with your front desk. Practices split this differently and both work.
What reporting do we get?
A monthly pack covering collection ratio, first-pass clean claim rate, A/R aging by bucket, denial mix by payer and reason, and net collections against the prior period. Plus a call to walk through it.
See what your practice is leaving on the table.
We look at 90 days of your claims data and tell you what is recoverable. No cost, no obligation, BAA signed before anything changes hands.
- Recoverable dollars in your aged A/R, as a number
- Denials grouped by root cause, ranked by value
- A written summary you keep either way
Prefer to talk? (301) 786-0552
Or email info@asesormd.com