Revenue Cycle Management
Collect More of What You've Already Earned
Between underpayments, denials and abandoned A/R, the average practice writes off revenue it was fully entitled to collect. Healthcare SBC pairs certified billing specialists with AI-driven claim intelligence to close that gap, and shows you exactly where every dollar is.
% of net
How RCM is priced: we are paid when you are
6
KPIs reported on every engagement
$0
Per-claim and per-interface surcharges
Full-cycle revenue management, from registration to final payment
Revenue cycle failures rarely start in the billing office. They start at the front desk with an unverified plan, in the exam room with incomplete documentation, or at the coding step with a modifier that triggers an automatic denial.
Healthcare SBC manages the entire cycle rather than just the back end. We verify eligibility before the visit, validate coding against payer rules, scrub every claim before submission, work denials to resolution instead of writing them off, and pursue underpayments against your contracted rates.
You keep full visibility the whole way. Every claim, denial, appeal and dollar is visible in real-time dashboards, and you own your data: always.
Capabilities
What's included
Get paid faster, more completely, and with less effort
Eligibility & benefits verification
Automated checks before every encounter surface inactive plans, deductibles and prior-auth requirements while there's still time to act.
Certified medical coding
AAPC- and AHIMA-credentialed coders review documentation for accuracy, specificity and compliance across ICD-10, CPT and HCPCS.
AI claim scrubbing
Millions of payer-specific edits run against every claim before submission, catching the errors that cause first-pass rejections.
Denial management & appeals
Denials are categorized by root cause, appealed with supporting documentation, and fed back upstream so the same denial stops recurring.
Underpayment recovery
Every remittance is compared against your contracted rates, and anything short is identified, documented and pursued.
Patient balance resolution
Clear statements, digital payment options and respectful outreach that collects patient responsibility without damaging relationships.
Why it matters
The outcomes practices actually measure
We are evaluated on the numbers that change in your operation, not on features shipped or tickets closed.
- Identify revenue leakage
- A full assessment shows exactly where charges, claims and appeals are falling through: usually in places nobody was watching.
- Reduce claim denials
- Front-end verification and pre-submission edits stop the majority of denials before a payer ever sees the claim.
- Improve cash flow
- Faster submission, faster resolution and disciplined A/R follow-up pull cash forward and flatten month-to-month volatility.
- Gain financial visibility
- Real-time dashboards replace month-end guesswork with clear answers on collections, denials, payer performance and provider productivity.
How it works
What working with us looks like
- 1
Patient access & eligibility
Registration data is validated and coverage verified before the visit, eliminating the front-end errors behind most denials.
- 2
Charge capture & coding
Documentation is reviewed and coded to the highest supportable specificity, with compliance checks on every encounter.
- 3
Claim scrubbing & submission
Payer-specific edits run pre-submission, and clean claims go out electronically within one business day.
- 4
Denial management & A/R
Every denial is worked to resolution, every aged account is pursued, and root causes are fixed upstream.
- 5
Reporting & optimization
Monthly reviews against MGMA benchmarks turn your revenue cycle data into specific operational changes.
Frequently paired with
FAQ
Revenue Cycle Management, frequently asked questions questions
- What is revenue cycle management in healthcare?
- Revenue cycle management is the complete financial process of a patient encounter, from scheduling and insurance verification through charge capture, coding, claim submission, payment posting, denial management and final patient balance resolution. Effective RCM ensures a practice is paid accurately and promptly for the care it delivers.
- How much do Healthcare SBC RCM services cost?
- Most clients engage on a percentage of net collections, which aligns our incentives directly with yours, we're paid when you're paid. The exact rate depends on specialty, claim volume, payer mix and scope of services. Flat-fee and hybrid models are available for high-volume groups.
- Do I have to switch my EHR to use Healthcare SBC RCM?
- No. Our RCM services work with your existing EHR and practice management system. We integrate with the major platforms and can operate directly inside your system if you prefer. Clients who do move to SpeedCare typically see additional gains from tighter clinical-to-financial integration.
- How quickly will I see results?
- Most practices see measurable improvement in first-pass acceptance within 30 to 45 days and meaningful A/R reduction within 90 days. Recovery of aged A/R and underpayments typically continues to produce results through the first six to twelve months.
- Who owns the data if I leave?
- You do, without qualification. Your clinical and financial data is yours, and we provide complete exports in standard formats at any time, including at the end of an engagement.
- Can I get a free revenue cycle assessment?
- Yes. Our team will analyze a sample of your claims, denials and A/R aging and deliver a written assessment quantifying recoverable revenue, denial root causes and benchmark gaps: at no cost and with no obligation.
We're here to help
Ready to see what your revenue cycle could be doing?
Start wherever makes sense: a demo, a free assessment, or a straight conversation with someone who does this every day.