Revenue Cycle Management
Revenue Cycle Management for Healthcare Providers: 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 therapy, behavioral health and other 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.
Key takeaways
- 01Medtransic runs the entire revenue cycle: eligibility and benefits before the visit, clean claims out, denials worked to a cause, receivables chased in deadline order, and plain-English monthly reporting.
- 02One accountable team instead of a billing vendor here and a credentialing vendor there, so no claim stalls in a handoff between companies.
- 03We work inside the EHR and practice management systems you already have. Nothing migrates, and your data stays yours.
- 04Pricing is 4-8% of collections, published openly. Nothing is charged on money that never arrives.
- 05Serving practices in all 50 states, with credentialing handled alongside billing so provider growth never opens a revenue gap.
Frequent Pitfalls in Revenue Cycle Management
Where the cycle actually loses money, stage by stage.
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.
Impact: Money lost before a claim exists never shows up as a denial, so nobody counts it
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.
Impact: A registration error that is never reported back gets made 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.
Impact: The same denial reasons repeating monthly is capacity spent recovering, never preventing
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.
Impact: A claim that crosses its filing deadline is not late revenue, it is gone
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.
Impact: Deposits can look normal for two quarters while the cycle quietly leaks
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.
Impact: Every seam between vendors is a place a claim can stall unowned
How We Handle Revenue Cycle Management Start to Finish
What changes when one team owns the whole cycle.
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.
- Front-end coverage checks before the visit happens
- Denial causes traced to the step that produced them
- Aging worked oldest-first, against filing deadlines
- No handoff seams for claims to fall through
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 SimplePractice, TherapyNotes, ICANotes, eClinicalWorks, Tebra and WebPT among others. Your data stays in your system, under your ownership, the whole time.
- No new software and no data migration
- Team credentialed into your existing setup
- Your practice keeps ownership of its data
- Works across our supported EHR and PM systems
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.
- 4-8% of collections, published openly
- No charge on uncollected claims
- Credentialing priced per application, per provider
- No long-term contract
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.
- Monthly plain-English performance review
- Denial reasons named, with what changed
- Aging tracked against payer deadlines
- Your data available to you on request
What's Covered by Revenue Cycle Management at a Glance
The five stages we run, from before the visit to the report on your desk.
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.
Eligibility checks ahead of the schedule / Verification of benefits / Prior authorization handling / Registration data checked before it becomes a claim
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.
Charge capture from existing documentation / Claim scrubbing before submission / Clearinghouse rejections worked same-cycle / Daily submission cadence, not weekly batches
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.
Appeals filed where recovery justifies them / Cause recorded on every denial / Remittances checked against contracted rates / Recurring causes fixed at the source step
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.
Payment posting and reconciliation / Patient statement follow-up / Aging worked in deadline order / Write-offs documented, never silent
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.
New provider enrollment, started early / Revalidation deadlines tracked / CAQH profiles kept current / Priced per application, per provider
Related Services
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Operational consulting to optimize workflows and improve practice efficiency.
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Data-driven insights to support revenue cycle optimization.
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Regulatory compliance and audit readiness for healthcare practices.
Learn moreGet More From Your Revenue Cycle Management Numbers
Book a free consultation and get a plain statement of where your cycle loses money, and what running it properly would change.
Questions we get asked
- Do you consult on our revenue cycle, or do you run it?
- We run it. A consultant reviews your revenue cycle and hands you a report with recommendations to implement yourself; Medtransic takes over the work instead. Eligibility, claims, denials, receivables and reporting become ours as an operating team, and the fee is a share of what we collect rather than a project fee.
- What does revenue cycle management actually cover?
- Everything between a patient booking a visit and the money arriving in your account. That means eligibility and benefits before the visit, charge capture and claim submission, denial work, payment posting, receivables follow-up and reporting. Billing is one stage inside it, not the whole thing.
- Do we have to change our EHR or practice management system?
- No. We work inside the system you already run, including SimplePractice, TherapyNotes, ICANotes, eClinicalWorks, Tebra and WebPT among others. There is no migration, and your data stays in your system under your ownership.
- How is revenue cycle management priced?
- Billing is 4-8% of what we actually collect, set by your specialty and volume and published on our pricing page. Nothing is charged on money that never arrives. Credentialing is priced separately, per application, per provider.
- What happens to claims already in flight when we switch?
- They are tracked through the handover so none are orphaned between the old process and ours. We take the front of the cycle first, then the daily claims work on a planned date, then work the aged receivables as a separate tracked project.