Revenue Cycle Management Services That Keep Cash Flowing
Alpha RCM Solutions manages your revenue cycle from patient registration to final payment, so claims go out clean, get paid and get followed up, with one team accountable for the whole process.
- Front-end, claims and back-end work in one place
- A dedicated account manager for your practice
- Transparent reports on collections, denials and A/R
Request a Free RCM Consultation
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What Revenue Cycle Management Covers
Revenue cycle management (RCM) is everything between a patient booking an appointment and your practice being paid in full. When any step is weak, revenue leaks. Managing the steps together is how you find and fix the leaks.
Front end. Registration, insurance eligibility and authorizations, so claims start with correct information.
Claim creation. Charge capture, coding and claim submission, so claims go out accurate and on time.
Back end. Payment posting, denials, A/R follow-up and patient billing, so what is owed actually gets collected.
Our RCM Services
Every step of the cycle, handled together or one service at a time.
Registration & Eligibility
Patient details and insurance coverage checked before the visit, with authorizations tracked.
Medical Coding
ICD-10-CM, CPT and HCPCS codes assigned from the documentation and reviewed for accuracy.
Charge Entry & Claims
Charges entered from superbills, claims validated and submitted, and status tracked to payment.
Payment Posting
Insurance and patient payments posted accurately and reconciled against what was billed.
Denial Management
Denied claims analyzed, corrected or appealed, with causes fixed to prevent repeats.
A/R Follow-Up
Unpaid claims worked by age and payer, so balances do not sit and age out.
Patient Billing
Clear statements and balance follow-up so patient responsibility is collected.
Credentialing & Enrollment
Provider enrollment with payers, so providers can bill in network.
Reporting & Audits
Regular reports plus chart and claim audits that show where revenue is leaking.
How We Get Started
A simple onboarding path from first call to a steady, reported process.
1Consultation
We learn your specialties, volume, payers and where revenue is slipping today.
2Workflow review
We review how charges, claims, payments and denials are handled now and agree the scope of work.
3Setup & access
We set up secure access to your systems, payer information and reporting, and assign your account manager.
4Claims & coding
Charges are coded, checked and submitted, and claim status is tracked until payment.
5Payments & follow-up
Payments are posted, denials are worked and unpaid claims are followed up by age and payer.
6Report & improve
You get regular reports on collections, denials and A/R, and we recommend fixes where revenue is leaking.
Timelines depend on your systems, volume and the services you choose. We agree them with you up front.
Metrics We Track
- Days in A/R and A/R aging by payer
- Clean claim rate and first-pass acceptance
- Denial rate and top denial reasons
- Net collection rate
- Charges and payments by provider
- Patient balances outstanding
Where Revenue Leaks
Most practices lose money in a few predictable places:
- Eligibility and registration errors
- Charges that were never captured
- Coding errors and missing modifiers
- Denials that were never appealed
- Aged A/R nobody is working
- Underpayments the payer never corrected
Why Practices Outsource RCM
Running billing in-house means hiring, training and managing a team, while payer rules keep changing. Outsourcing puts the whole cycle in the hands of one team. Our medical billing, coding and denial management work together, so problems are fixed where they start.
- One accountable team across the whole cycle
- A dedicated account manager as your point of contact
- No need to hire and train an in-house billing team
- Fewer denials and less aged A/R
- More predictable cash flow
- Transparent reporting you can check yourself
Who We Work With
RCM for independent practices, groups and facilities across specialties.
See the specialties we support.
Revenue Cycle Management FAQs
Straight answers to the questions practices ask us most.
Revenue cycle management is the process of tracking a patient’s care financially, from registration and insurance verification through coding, billing, payment and follow-up, until the balance is paid. Managing it well means getting paid correctly and on time.
Registration and eligibility support, medical coding, charge entry and claim submission, payment posting, denial management, A/R follow-up, patient billing, credentialing and enrollment, and reporting and audits. You can use the full cycle or choose the parts you need.
Outsourcing replaces an in-house billing team with a dedicated external one, so you avoid hiring and training, keep up with payer changes and get consistent follow-up on claims and denials. It also lets your staff focus on patients.
Our medical billing service is priced at 3.5% of collections. Pricing for the wider RCM scope, such as coding, audits and credentialing, depends on what you need, so we quote it with you. See our pricing page or use the form above.
We find the reason for each denial, correct and resubmit or appeal it, and track it against the payer’s deadline. We also look for patterns so the cause is fixed. Learn more about our denial management service.
Tell us which practice management system, EHR and clearinghouse you use and we will confirm how we would work with it during your consultation.
We track metrics such as days in A/R, clean claim rate, denial rate and net collection rate, and share regular reports so you can see what is being collected and where problems are.
We follow HIPAA privacy and security requirements when handling protected health information. Ask us about the specific safeguards that apply to your account and we will walk you through them.
Explore Related Services
Medical Billing
Claims, payment posting and follow-up handled by one team.
Medical Coding
Accurate ICD-10-CM, CPT and HCPCS coding for every setting.
Denial Management
Fix denials, appeal what is owed and prevent repeats.
Medical Audit
Chart and claim reviews that find errors and missed revenue.