Revenue Cycle Management Services - One Team, the Whole Cycle

Revenue cycle management is everything between a patient booking a visit and the money arriving in your account. Medtransic runs that entire span for physician practices: coverage checked before the visit, claims out clean, denials worked to a cause, receivables chased in age order, and reporting you can read. One team, inside the systems you already use, at 4-8% of collections.

Frequent Pitfalls in Rcm Consultancy

Revenue Is Lost Before a Claim Ever Exists

A share of practice revenue never reaches the claim stage. Coverage that was never verified, an authorization nobody obtained, a visit documented too thinly to bill: each one becomes a write-off weeks later. Billing-only fixes cannot recover this money because by the time billing sees the visit, the damage is already done.

The Cycle Is Split Across People Who Don't Share a Goal

The front desk collects insurance details, a biller submits claims, someone chases old balances when there is time. Each does their piece; nobody owns the whole. When a denial traces back to a registration error, the person who made it never finds out, so the same error arrives again next week.

Denials Get Worked, but the Causes Never Get Fixed

Working a denial recovers one claim. Recording why it happened, then changing the step that produced it, prevents the next hundred. Most practices only have capacity for the first half, which is why the same denial reasons repeat month after month on the same reports.

Receivables Age Because Nobody Owns the Follow-Up

New claims always feel more urgent than old ones, so unpaid claims sit while fresh work goes out. Every payer runs a filing deadline, and a claim that crosses it is not delayed revenue, it is gone. The quiet expiry of aging claims is one of the largest losses in practices that self-manage the cycle.

You See Deposits, Not Performance

Most owners judge the revenue cycle by whether the bank balance looks normal. That number cannot tell you what share of claims paid on first submission, what was written off and why, or which payer is quietly underpaying. A cycle can be leaking for two quarters before deposits look wrong.

Fixing It Piecemeal Creates Vendor Sprawl

One company for billing, another for credentialing, software for eligibility, and old receivables handled by nobody. Every seam between vendors is a place where a claim can stall with each side assuming the other has it. The handoffs between services are where the cycle actually breaks.

How We Handle Rcm Consultancy Start to Finish

One Team Accountable for the Entire Cycle

Medtransic takes responsibility from the front of the cycle to the back: eligibility and benefits before the visit, clean claim submission, denial work with the cause recorded, payment posting checked against remittances, and aged receivables worked in deadline order. When one team owns every stage, a problem found at the back gets fixed at the front.

We Work Inside the Systems You Already Have

There is no software to buy and no migration to survive. We work in your existing EHR and practice management setup, including athenahealth, eClinicalWorks, Tebra, AdvancedMD, TherapyNotes and WebPT among others. Your data stays in your system, under your ownership, the whole time.

Pricing That Follows Collections

The fee is 4-8% of what we actually collect, set by your specialty and volume, published on our pricing page. Nothing is charged on money that never arrives, which puts our incentive exactly where yours is: claims paid correctly, the first time, at the full contracted amount.

Reporting You Can Read Without a Finance Degree

Every month you see what was billed, what was collected, what was denied and why, and how your receivables are aging. The report is written to be read by a practice owner, not a billing analyst, and the underlying data is yours to inspect whenever you want.

What's Covered by Rcm Consultancy at a Glance

Before the Visit

Coverage verified, benefits confirmed, and required authorizations obtained before the patient is seen. Front-end failures are the cheapest to prevent and the most expensive to discover later, which is why the cycle has to start here rather than at claim submission.

Claims Out Clean

Charges captured from your documentation, claims scrubbed and submitted, and clearinghouse rejections caught and corrected before they cost time. The day-to-day claims discipline is covered in depth on our medical billing service page.

Denials and Underpayments

Every denial is worked, appealed where the money justifies it, and logged with a cause. Payments are checked against what the contract says the payer owes, because paid-but-short claims are invisible on any report that only tracks denials.

Receivables and Posting

Payments posted promptly and reconciled, patient balances followed up, and aged claims worked oldest-first because those are nearest their filing deadlines. Old receivables get a deliberate owner instead of waiting for a quiet week that never comes.

Credentialing Alongside

New providers enrolled with payers before their schedules fill, and revalidations tracked so active enrollment never quietly lapses. Credentialing runs as part of the same engagement, priced per application, so growth does not open revenue gaps.

Here's How Rcm Consultancy Gets Done

Read the Cycle as It Runs Today

We start by reviewing your recent claims, denials and aging, and mapping who currently does what between scheduling and deposit. This produces a plain statement of where your cycle loses money and a baseline to judge us against later. If the review says your cycle is healthy, we say that.

Get Credentialed Into Your Systems

Our team is set up in your existing EHR, practice management system and payer portals. Nothing is migrated and nothing is reconfigured, so your clinical work continues untouched while access is established.

Take Over the Front of the Cycle First

Eligibility, benefits and authorization work moves to us ahead of the claims work, because front-end errors poison everything downstream. Cleaning the intake first means the claims we then take over start cleaner than the ones we inherited.

Assume the Daily Claims Work

Submission, rejections, denials and posting move to us on a planned date, with claims already in flight tracked so none are orphaned in the handover. From this point the cycle has a single accountable owner.

Work the Backlog, Then Report Monthly

Aged receivables from before the switch are worked as a tracked project, oldest and largest first. From the first full month you get the standing report: billed, collected, denied and why, aging, and what we changed since last month.

Related Billing Resources

Frequently Asked Questions

What is revenue cycle management consulting?

Revenue cycle management consulting is a strategic advisory service that analyzes your entire billing operation - from patient scheduling and registration through claims submission, payment posting, and collections - to identify revenue leakage, operational inefficiencies, and compliance gaps. Medtransic's RCM consultants provide actionable recommendations and hands-on implementation support to improve financial performance.

How much can RCM consulting improve my practice revenue?

Improvement comes from a combination of reduced denials, improved charge capture, optimized coding, better payer contract terms, and lower operational costs. The size of the impact depends on how much revenue your practice is currently leaking - the initial assessment quantifies it line by line before any engagement begins.

What is included in a revenue cycle assessment?

A Medtransic revenue cycle assessment includes end-to-end workflow mapping, KPI benchmarking against specialty-specific standards, denial root cause analysis, payer mix and contract evaluation, compliance gap identification, technology utilization review, and a prioritized improvement roadmap with projected ROI for each recommendation.

How long does an RCM consulting engagement take?

The initial assessment phase takes 2-4 weeks. Implementation of priority recommendations typically occurs over 60-90 days. Medtransic offers ongoing advisory engagements with monthly performance reviews and quarterly strategy adjustments to sustain and build on improvements over time.

Does Medtransic provide administrative services in addition to consulting?

Yes. Medtransic provides outsourced administrative services including credentialing management, payer enrollment, prior authorization coordination, compliance reporting, and staff augmentation - allowing practices to reduce overhead while maintaining operational excellence.

Related Resources

Contact Medtransic today for expert rcm consultancy services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.