Full Revenue Cycle Management For Independent Practices.
Many denials are decided before a claim is ever sent: a wrong member ID, coverage that ended, an authorization nobody requested. Full RCM puts the front end, the coding and the follow-up with one team, so problems can be caught where they start.
- Coding and credentialing included
- Keep your existing EHR
- A named account manager
- Registration support
- Eligibility and benefits
- Prior authorization
- Referrals on file
- Coding
- Charge entry
- Claim edits and scrubbing
- Rejections fixed
- Payment posting
- Denials and appeals
- A/R follow-up
- Patient statements
Your Account ManagerOne contact for all of it
Denials Start At The Front Desk.
These are the denials that billing alone cannot fix after the fact. Full RCM moves the checks before the visit.
| What goes wrong | What the payer says | What we do before the visit |
|---|---|---|
| Wrong member ID or subscriber | Patient cannot be identified | Verify demographics and policy details against the payer |
| Coverage ended or changed | Coverage terminated | Check eligibility close to the date of service |
| Wrong primary payer | Coordination of benefits needed | Confirm primary and secondary order |
| No authorization or referral | Authorization required | Request and track approvals and referrals |
| Service not covered by the plan | Non-covered service | Flag it so your team can inform the patient first |
Claims Checked Before They Leave.
Between the visit and the payer, a claim passes coding, charge entry and payer edits. Rejections here are fast to fix; denials later are slow.
Coding From The Record
Procedure and diagnosis codes assigned from your clinicians' notes, with questions sent back when the record is unclear.
Charges Entered Promptly
The longer charges sit, the closer they get to filing limits and the harder questions are to answer. We work from completed records as they arrive.
Payer Edits Applied
Claims are checked against national code-pair and unit edits and payer-specific rules before submission.
Every Payment Posted, Every Denial Read.
Payer remittances explain every adjustment and denial with standard reason codes. We read them, post them and act on them.
From electronic remittances and paper EOBs, so balances in your system reflect what the payer sent.
Adjustment and remark codes decide the next step: correct, send records, appeal or close.
Open claims followed up in order of filing deadlines, age and amount.
Secondary claims sent after the primary pays; patient statements for what remains.
The Numbers We Review With You.
Your monthly Excel report shows billed and recovered amounts, appeals, denials and net collection rate, plus broader revenue analysis with Full RCM. Your account manager walks through it with you.
Net collection rate compares what was collected with what could be collected under your contracts: payments divided by charges after contractual adjustments. It shows how much collectible revenue was actually brought in.
Illustrative layout. No sample figures shown.
Your Practice Stays Involved Where It Matters.
Your Practice OneBill RCM TeamYour written quote confirms the providers, payers and services in your scope.
Full RCM Or Medical Billing?
Medical Billing
For a practice whose team will keep registration, eligibility and authorizations. Coding optional; credentialing ordered separately.
Compare Medical Billing Services →Full RCM
For a practice that wants the front end, coding and credentialing handled too, with revenue analysis each month.
Discuss Full RCMQuestions Before You Decide.
What Does Full RCM Add To Medical Billing?
Registration support, eligibility checks, prior authorization, coding, credentialing and revenue analysis, on top of claims, posting, denials, A/R follow-up and patient statements.
Do We Have To Change Our EHR Or Practice Management System?
No. We work in your existing systems with access your practice approves.
How Quickly Are Eligibility Checks Done?
Close to the date of service, so changes in coverage are caught before the visit. We agree on the timing with your front desk during onboarding.
Who Handles Prior Authorizations?
We do. Your clinicians supply the clinical information the payer needs.
How Do Fees Work?
A percentage of the insurance payments we collect that reach your account, with no fee on patient payments. Your rate is set in a written quote.
One Team From Registration To Reporting.
Tell us where your revenue cycle gets stuck. We will walk through scope, fees and next steps, with no commitment.
- BAA signed before any patient-data access
- Your rate and scope in a written quote
- Month-to-month with 30 days' notice