Service
Revenue Cycle Management
All eight stages under one accountable team, from pre-auth to the last patient balance.
Most billing companies own five of the eight stages.
What breaks here
The revenue cycle starts when your front desk answers the phone, not when a charge posts. But the front-end stages — eligibility, authorization, registration — usually sit outside the billing contract, so nobody owns them. They just produce denials that land in billing three weeks later.
That split is why denial rates plateau. The billing company works the denial, correctly, and sends it back. The stage that caused it never hears about it. Next month it happens again, and the month after, and this can continue for years without anyone acting in bad faith.
What we do about it
We take all eight stages or we tell you honestly which ones we cannot reach in your setup. Where a stage stays with your staff, we still measure it, and its denial contribution appears on your monthly review with the specific fix attached.
Handoffs are where revenue leaks, so that is where we put checkpoints: eligibility before the visit, coding review before submission, denial triage within two business days of receipt. Each has a defined owner and a defined clock.
Ask any billing company this
“Which stages of my revenue cycle do you actually touch, and which ones stay with my staff?”
A company that has never thought about the boundary will answer with a service list instead of a boundary.