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Healthcare revenue cycle management

Get paid accurately for the care you already delivered.

We manage the healthcare revenue cycle from patient access through payment — with specialized depth in medical coding, coding audits, clinical documentation improvement, revenue integrity and denial prevention.

Coding accuracy sustained across audited samples
98.5%Coding accuracy sustained across audited samples
Average reduction in AR days within 6 months
12 daysAverage reduction in AR days within 6 months
Clean claim rate achieved for managed clients
96%+Clean claim rate achieved for managed clients
Typical reduction in preventable denials
30%Typical reduction in preventable denials
Healthcare finance and revenue cycle leaders reviewing performance dashboards

Trusted by hospitals, health systems, ASCs and physician groups

  • Regional Health System
  • Academic Medical Center
  • Community Hospital
  • Multi-Specialty Group
  • ASC Network
  • Orthopedic Institute

Who we are

A revenue cycle partner built exclusively for healthcare

We are not a generalist outsourcing firm that added a healthcare vertical. Our teams are credentialed coders, auditors, CDI specialists and revenue cycle operators who work inside provider systems every day — onshore leadership paired with global delivery capacity.

Credentialed talent

AAPC and AHIMA certified coders, auditors and CDI specialists with specialty depth.

Compliance first

Documented QA thresholds, dual review and full audit trails on every workflow.

Measured outcomes

Accuracy, AR days, clean claim rate and denial rate reported against baseline.

Global delivery

US, India and Middle East delivery footprint for follow-the-sun coverage.

End-to-end RCM

Front end → Middle → Back end

Most denials are created long before the claim is worked. We own the whole lifecycle so problems get fixed where they start.

Front End

Clear the patient before the service happens.

Eligibility & Benefits Verification

Patient eligibility verification · Insurance and benefits verification · Coverage validation · Demographic validation

Prior Authorization

Authorization requirement checks · Prior authorization processing · Clinical documentation collection · Authorization status tracking

Middle

Submit accurate, complete claims the first time.

Coding

Medical coding · Coding validation · Documentation review · Coding quality assurance

Billing

Charge entry · Claim creation and scrubbing · Claim submission · Billing validation

Back End

Resolve, recover and prevent recurrence.

AR Management

Insurance and patient AR · Aging analysis · Account and payer follow-up · Underpayment identification

Edits & Rejections

Claim edit management · Rejection identification and categorization · Corrective action and resubmission · Root-cause analysis

Denial Management

Denial identification and classification · Denial investigation · Clinical and documentation review · Appeal preparation and submission

Denial Prevention

Denial trend and root-cause analysis · Front-end issue identification · Coding error and documentation gap analysis · Payer rule monitoring

Why choose us

What makes the difference in practice

Healthcare domain expertise

Teams built exclusively around hospital, health system and physician group revenue cycles — not generalist BPO staffing.

Experienced coding professionals

AAPC and AHIMA credentialed coders and auditors with specialty depth across 40+ service lines.

Technology-enabled operations

Workflow automation, claim scrubbing rules and payer edit libraries layered onto your existing systems.

Quality and compliance focus

Dual-review QA, documented accuracy thresholds and audit trails aligned to payer and regulatory requirements.

Global delivery model

US onshore leadership with India-based delivery centers for follow-the-sun coverage and scale.

Analytics-driven approach

Denial, AR and coding dashboards that tie every operational action to a financial outcome.

Testimonials

What revenue cycle leaders say

"The RCM team helped us improve our revenue-cycle performance while providing greater visibility into our denial trends. We finally know why claims fail, not just how many."
VP, Revenue CycleRegional Health System (Midwest, 4 hospitals)31% reduction in preventable denials
"Coding accuracy went from a monthly argument to a non-issue. Their audit feedback loop actually changed provider documentation behavior."
Director, Health Information ManagementAcademic Medical CenterCoding accuracy sustained above 98%
"They took over AR follow-up during a system conversion and kept collections stable through the transition. That alone paid for the engagement."
CFOMulti-specialty Physician Group (180 providers)AR > 90 days down from 28% to 16%

Global delivery footprint

Onshore leadership, global capacity

Corporate headquarters in the United States with delivery centers in India and a regional office in the Middle East, giving clients extended coverage windows and scalable capacity.

  • Corporate headquarters

    Dallas, Texas, United States

    Client leadership · Revenue integrity · Coding audits · Analytics

  • Delivery center

    Chennai, India

    Medical coding · AR management · Denial management · Billing

  • Delivery center

    Hyderabad, India

    Eligibility & benefits · Prior authorization · Edits & rejections

  • Regional office

    Dubai, United Arab Emirates

    Regional client management · Payer relations · Coding advisory

Where we start

A focused assessment before any commitment

Most engagements begin with a short diagnostic of denial, AR and coding accuracy data. You get the findings whether or not you work with us.

  • Denial root-cause profile by payer and service line
  • AR aging and recoverability assessment
  • Coding accuracy sample review
  • Charge capture and variance snapshot

Ready to talk about your revenue cycle?

Share your current pain points — denials, AR aging, coding backlogs or documentation gaps — and we will bring a specific point of view, not a generic pitch.