Revenue Cycle Ops

Get claims out clean and keep A/R from aging

Revenue Cycle Ops: our ops team and vetted partners handle charge entry, claims, denials, payment posting, and A/R follow-up, with monthly reporting your practice can check against its own numbers.

Run by our ops team and vetted partners

Scope your RCM work All AI Ops

What's included

An engagement can cover the whole cycle or the parts your billing staff can't keep up with. Nephrology practices with recurring visits and monthly dialysis-related billing get the same structure, set up around their payer mix.

  • Charge entry

    Charges entered from your visit documentation and checked against the schedule so visits don't go unbilled.

  • Claim scrubbing and submission

    Claims checked for missing or mismatched data before they go out, then submitted and tracked.

  • Rejections and denials

    Clearinghouse rejections corrected and resubmitted. Denials worked by reason, with appeals prepared when the documentation supports one.

  • Payment posting

    Payments and ERAs posted and reconciled against what was billed, with underpayments flagged.

  • A/R follow-up

    Open claims followed up by aging bucket, starting with the ones closest to a filing deadline.

  • Statements and monthly reporting

    Patient statements sent on your schedule, and a monthly report covering charges, collections, denials, and A/R.

How it works

We start from your current billing setup and change only what the scope says we will. AI prepares the claim scrubs and flags denials and aging claims into work queues, and our billing team decides what to correct, appeal, or escalate.

  1. 01

    Review the current cycle

    We look at open A/R, recent denials, and how charges move from the visit to a claim today.

  2. 02

    Daily billing work

    Charge entry, claims, posting, and follow-up run on an agreed cadence inside your billing system.

  3. 03

    Decisions go to your team

    Write-offs, patient balance questions, and anything that needs a provider's input come back to your staff with the details attached.

  4. 04

    Monthly report and review

    You get the month's numbers and a call to go through what changed and what's next.

Where the line sits

Your practice keeps control of write-offs, patient financial policy, and anything that changes what a provider documented.

Payers set their own processing timelines, so we report on the work done and where each claim stands, not on promised collection results.

  • Write-offs need your approval

    We recommend adjustments and write-offs. Someone at your practice approves them.

  • Documentation stays the provider's

    If a claim needs a documentation change, we send it to the provider. We don't edit the clinical record.

  • Patient balances follow your policy

    Statements, payment plans, and collections steps follow the financial policy your practice sets.

Works alongside

FAQ

Frequently Asked Questions

Yes. We work in the system your practice already uses, with access your team grants during onboarding.

More AI Ops