Revenue Cycle Management · Be With The Change

We don’t process claims. We own revenue outcomes.

Most RCM vendors run claims through a queue. We run revenue through a named senior partner who owns the P&L of your back-office. with written SLAs in 90 days and a CFO scorecard every month.

Book a 30-min audit with ASP-RCM → See your recovery in $ → Watch the 3-min AI demo
Free gap analysis
No sales theater
Senior partner attends
How we work · what you get

A senior partner. A written SLA. A monthly scorecard.

Not a queue. Not a generic dashboard. A named operator on your business.

Senior
partner on every account
Written
SLAs in 90 days
Monthly
CFO scorecard
HIPAA
SOC 2 Type 2
Aparna Suresh, President & Founder of ASP-RCM Solutions Suresh Padmanabhan, Chief Executive Officer at ASP-RCM Solutions Edward Scott, Director of Sales & Client Services at ASP-RCM Solutions
Founder-led. Operators, not a queue.
Audits we pass. Memberships we hold.
CASP Business Affiliate ISO 27001 certified by DNV HIPAA Compliant (assessed by DNV) SOC 2 Type II with HITRUST readiness BPO Excellence Award 2023 Excellence in Customer Service Award 2024 Inc. 5000 Honoree, US Rank #961 / #38 Dallas; #90 in Business Products & Services / #106 Texas
The problem

U.S. providers leave $262 billion on the table every year.

Most of it is recoverable. Almost none of it gets recovered. The four leaks below are where it bleeds out, and where ASP-RCM has trained twenty years of RCM muscle to plug it.

11%
Denied on first pass
Industry average. 65% of denials never get reworked. They just become write-offs.
Source: AKASA 2024
52d
Avg days in AR
For mid-market hospitals. Best quartile is under 38 days.
Source: MGMA 2024
$118
Cost per rework
Per denied claim. Eats into margin before the dollar even arrives.
Source: Change Healthcare
3x
RCM staff turnover
Nationwide. Every backfill is a 90-day cash drag and an audit risk.
Source: AHA 2024
“

The reason most RCM outsourcing fails isn’t technology. It’s that nobody senior is accountable for the number on the CFO’s screen Monday morning. We rebuilt the model around that.

What we do, said simply

The ASP-RCM way: revenue cycle management for providers who want a partner, not a vendor.

If your AR is climbing, your denials are repeating, and your last vendor handed you a dashboard instead of a director, we should talk.

We don’t sell “AI­-driven” magic. We sell certified humans with twenty-five years of RCM scar tissue, who use technology where it actually moves the needle.
Aparna Suresh, CPB, President & Founder of ASP-RCM Solutions, 25 years in payor reimbursement
Aparna Suresh, CPBPresident & Founder · 25 yrs payor reimbursement

Senior partner accountable, by name.

One person owns your numbers. Cell phone, quarterly business review, written escalation tree. No queue, no offshore handoff to a stranger.

Written SLAs in 90 days.

Days in AR, clean-claim %, denial rate, cost-to-collect, cash posted. Targets you sign. Penalties if we miss. Reviewed monthly with your CFO.

Tech as a tool. Humans as the service.

Our AI suite supports eligibility, coding, and denial prediction. A certified coder reads every chart that matters. Technology where it moves the needle. Senior judgment where it matters.

Published commercial terms.

Percentage-of-collections, FTE, or hybrid. No long ramp fees, no “custom enterprise pricing.” You see what you’ll pay before the contract.

Specialty Expertise

Built around your billing rules, not ours.

ABA bills nothing like a hospital. Mental health bills nothing like a physician group. ASP-RCM staffs teams that have lived in your specialty. Not a generic queue that learned it last quarter.

ABA therapy billing, by people who’ve done it for 8 years.

Authorization sprawl, session-note compliance, BCBA vs RBT modifier rules, multi-payer concurrent treatment plans. ABA billing punishes generalists. We staff a dedicated ABA pod with credentialed billers who understand the clinical workflow.

  • Concurrent auth tracking across 50+ payers
  • BCBA/BCaBA/RBT credentialing & modifier audit
  • 97-series CPT mastery + place-of-service rules
  • Treatment plan re-auth workflow, never lapsed
  • Session note & supervision compliance
  • Funding source separation (Medicaid, commercial)
Concurrent
auth tracking, 50+ payers
Credentialed
BCBA / BCaBA / RBT auditors
Dedicated
ABA-only billing pod
See ABA service depth →
What's in the engagement

The ABA pod, by the role.

Each client gets a pod that has lived in ABA billing, not a generic queue picking up tickets across specialties. The roles below are dedicated to your account, not shared.

Pod composition
Senior ABA partnerNamed lead
Authorization specialistRe-auth workflow owner
CPC-credentialed coder97-series & modifier audit
Denial & appeals analystPattern-level resolution

Hospital billing, under one accountable roof.

UB-04, DRG validation, charge capture, payer contract loading, complex case mix. Hospital RCM is the deepest part of our bench. We staff for inpatient, outpatient, observation, and ED separately because the workflows are not interchangeable.

  • DRG validation + coding integrity reviews
  • Charge capture audit, by service line
  • Inpatient / outpatient / ED dedicated pods
  • Payer contract management & underpayment recovery
  • Transfer DRG audit + 3-day window compliance
  • HFMA-aligned KPI dashboards, weekly
Service-line
dedicated pods
Contract
underpayment recovery
HFMA
aligned KPI scorecard
See hospital service depth →
What's in the engagement

Hospital pods, by setting.

Inpatient, outpatient, observation, and ED workflows aren't interchangeable. Pods are staffed by setting, with a senior partner accountable to your CFO, not the queue.

Pod composition
Senior hospital partnerCFO-facing lead
DRG validation analystCoding integrity audit
Contract analystUnderpayment recovery
AR & denials teamBy service line

Mental & behavioral health billing.

90834 vs 90837 documentation rules. Med management vs psychotherapy. Telehealth modifier permutations. Substance use carve-outs. We’ve seen every payer’s behavioral health policy, including the ones they don’t publish.

  • Therapy timed-code documentation audit
  • Telehealth POS/modifier compliance, by state
  • SUD carve-out vendor coordination
  • Parity-violation appeals & recovery
  • Group practice + W-2 vs 1099 provider rules
  • Intensive outpatient & PHP rate optimization
Timed-code
documentation audit
Telehealth
POS & modifier compliance
Parity
violation appeals workflow
See behavioral health service depth →
What's in the engagement

Behavioral health pod.

90834 vs 90837 documentation, telehealth modifiers by state, SUD carve-outs, parity violation appeals. We've worked every payer's behavioral health policy, including the unpublished ones.

Pod composition
Senior BH partnerNamed lead
Documentation auditorTherapy timed-code review
Telehealth specialistBy-state compliance
Parity appeals analystRecovery workflow

Physician group billing, by E/M and specialty.

Multi-specialty groups need multi-specialty coders. Our pods specialize by E/M level, surgical specialty, and ancillary, so the person reading your chart actually understands the clinical picture, not just the codebook.

  • 2021 + 2023 E/M guideline compliance
  • Surgical, OB, cardiology, ortho dedicated pods
  • Modifier 25/59 audit (the costly ones)
  • Quality program (MIPS / HCC) optimization
  • Provider productivity & RVU reporting
  • Credentialing & payer enrollment included
E/M
2021/2023 guideline audit
Modifier
25/59 review · the costly ones
Credentialing
& payer enrollment included
See physician group service depth →
What's in the engagement

Physician pod, by specialty.

Multi-specialty groups need multi-specialty coders. Our pods specialize by E/M level, surgical specialty, and ancillary. The person reading your chart understands the clinical picture.

Pod composition
Senior physician partnerNamed lead
CPC coders by specialtySurgical / OB / cardio / ortho
Modifier audit team25/59 + bundling rules
Quality program leadMIPS & HCC reporting

And 16 more specialties. Staffed deep, not wide.

If you’re a specialty we don’t list, ask us. We’ll tell you honestly whether we’re the right fit. We don’t bid on work we can’t do better than the incumbent.

  • FQHC / RHC
  • SNF / LTC / Hospice
  • DME / HME / O&P
  • Home Health
  • Urgent Care
  • Radiology / Imaging
  • Pathology / Laboratory
  • Anesthesia
  • Cardiology
  • Orthopedics
  • OB/GYN & Fertility
  • Pain Management
  • Wound Care
  • Dental / Oral Surgery
  • Optometry / Ophthalmology
  • Chiropractic
See full specialty index →
How we staff

Pods, not pools.

Every client gets a dedicated pod with a senior lead, a credentialed coder, an AR specialist, and a denial analyst, assigned to your specialty. They don’t rotate. They don’t pick up tickets across specialties.

Average pod composition
Senior lead10+ yrs RCM
Certified codersCPC / CCS
Pod-to-client ratio1 pod : 1 client
Specialty rotationNone
Proof, by the numbers

Twelve months of ASP-RCM work. Numbers we can defend.

Audited quarterly by independent CPC-credentialed reviewers. Cited from production traffic, not pilots.

Senior
RCM partner on every account
Named, accountable, with a cell number you can call
Written
SLAs, signed in 90 days
Days in AR, clean-claim %, denial rate, cost-to-collect, cash posted, with penalties if we miss
Multi-EMR
platform fluency
Epic, Cerner, Athena, NextGen, eClinicalWorks, plus specialty platforms
Audited
SOC 2 Type 2 · ISO 27001 · HIPAA / HITECH
Independently certified. Reviewed annually.
Honest framing: we don't publish portfolio averages we can't independently audit, and we won't quote case-study numbers that aren't ours to share. Ask for a senior partner walk-through. We'll show you live client outcomes under NDA.
SOC 2 Type 2
ISO 27001
HIPAA · HITECH
Why we built this

Built by operators who have spent decades inside the system, not studying it, but solving it.

ASP-RCM was started by two senior healthcare operators who had spent their careers inside payor reimbursement, hospital billing, and DME order-to-cash. They had seen what the industry kept getting wrong, and decided to build a revenue-cycle partner that worked the way they always wished their own vendors had. The quotes below are theirs, in their words.

Aparna Suresh, President & Founder

We didn’t build ASP-RCM just to deliver services. We built it to create a culture where people take pride in solving meaningful problems, for providers, for patients, and for the system as a whole.

When you combine the right intent with the right expertise, results follow. That’s what we stand for, every day.

Aparna Suresh, CPB
President & Founder · 25+ years in payor reimbursement
Suresh Padmanabhan, Chief Executive Officer

We didn’t build ASP-RCM to be another service provider. We built it to solve real problems, the kind that impact providers, patients, and the future of healthcare.

Our commitment is simple: deliver results, take ownership, and never lose sight of why this work matters.

Suresh Padmanabhan
Chief Executive Officer · 25+ years in US healthcare
A 24-hour operation across Dallas, Manila and Chennai stands behind every account. Coding, billing, denials, QA, analytics and IT, organized into client pods that don’t rotate.
Meet the full team →
Fresh from the desk

Just published. From senior practitioners, not the marketing team.

A new hospital case study on a $222M+ rural CAH due diligence we delivered last week, plus two long reads on autonomous coding and the OHSU 70% denial-reduction number.

View all 14 articles →
● Just published Case Study · Hospital

The collection rate ceiling no other vendor would model.

A rural critical access hospital was being pitched a 15 percent GCR target. We audited their actual data, modeled a realistic 9.5 percent ceiling, and delivered three scenarios with the math behind each. Leadership picked the middle. Six months in, they are hitting the commit.

Read the case study → May 30, 2026 · 9 min read
9.5%
Realistic FY commit modeled
vs the 15% another vendor pitched
$222M+
Gross charges modeled
43
Slides delivered
$0
Cost to the client
New · May 31, 2026
Whitepaper · FQHC May 31, 2026 · 30 min
4streams
that beat blended GCR
Whitepaper · FQHC & Safety-Net

The PPS Distortion. A revenue cycle field guide for FQHCs and safety-net hospitals.

Why blended Gross Collection Rate misreads performance under PPS, the four payer streams that have to be split apart, the rate-letter keystone, internal versus external levers, and an anonymized 30-day diagnostic walkthrough on a behavioral-health-heavy FQHC.

FQHCPPSWrap-around340B
Read the whitepaper
New · May 30, 2026
Whitepaper · Credentialing May 30, 2026 · 75 min
33K
word field guide, California
Whitepaper · Credentialing

From Day One to In-Network. A payer credentialing field guide for new California physician groups.

Why credentialing is harder than it looks, the pipeline framework, the Medicare Part B keystone, a real case in point, what good execution looks like, and the revenue windows you can hit in year one. 33,000 words, source-cited, working reference.

CredentialingCaliforniaMedicare Part BMedi-Cal
Read the whitepaper
Live recovery calculator

What’s your revenue leak worth?

Three sliders. No email gate. The math is the same model ASP-RCM uses in our paid gap audit. You just won’t see the line items.

$80M
$500K$500M
11%
3%20%
52 days
25d90d
Year-one recovery, modeled

Estimated revenue you’re leaving on the table:

$2.4Min year one
Recovered denials$1.3M
AR days reduction (cash velocity)$0.4M
Underpayment recovery$0.4M
Coding accuracy uplift$0.3M

A senior partner walks your last 90 days of denials and AR aging. Free. 30 minutes. No NDA needed for the first conversation.

THE 90-DAY ARC

Onboarding without the chaos.

Most RCM transitions are nightmares because nobody has lived through enough of them. We’ve done it many times. Here’s what your first 90 days actually look like.

01
Day 0-14 · Diagnose

Full revenue cycle audit, on your data.

We pull your last 12 months of 835s, 837s, denials, and AR aging. Senior partner walks the floor. Output: a 14-page diagnostic with quantified recovery targets you sign off on.

835/837 audit Denial root-cause SLA proposal Recovery model
02
Day 15-45 · Stabilize

Stop the bleeding before we touch the floor.

Aged AR work-down, denial backlog clearance, eligibility cleanup, payer contract loading. Your existing team stays in place. We layer in. We don’t replace.

Aged AR work-down Backlog clearance Contract reload
03
Day 46-75 · Transition

Pod assigned. Workflows codified. Tech configured.

Your dedicated pod is named, trained, and operational. Eligibility AI, coding automation, and denial prediction are tuned to your payer mix. Daily standups with your director.

Dedicated pod Tech tuning Workflow SOPs Daily standups
04
Day 76-90 · Steady state

SLAs go live. CFO scorecard. Monthly business review.

Written SLAs are now binding. Your CFO gets a one-page scorecard every Monday. Senior partner reviews trends with you monthly, and is on your speed dial in between.

Binding SLAs CFO scorecard Monthly QBR Cell-phone access
The work, by the numbers

Quietly running RCM for specialty practices across the country.

Most of our clients are under NDA. they hired us specifically because they don’t want their billing operation to be a marketing case study. So we don’t name them. We do publish the volume.
$1.2B+
Annual claims processed
Across hospital, ABA, behavioral health, and physician-group accounts in the last 12 months.
40+
Active provider clients
From 2-clinician ABA practices to 400-bed regional hospitals. No two pods alike.
98%
Client retention, 3 yrs
The two clients we’ve lost in three years left because they were acquired. Both came back as references.
12+
Specialties served
Senior partners with documented prior-life experience in the specialty before they staff your pod.
Numbers reflect ASP-RCM Solutions trailing-12-month operating data as of the most recent quarter. We do not extrapolate, project, or include pilot engagements. Independent walk-through available under MNDA.
Request the reference list
Specialties & settings
ABA & autism services Behavioral health Hospital & health system Multi-specialty groups FQHC & community health Cardiology Orthopedics Radiology Anesthesia Pain management OB-GYN SNF & long-term care
What clients say

The conversation we want ASP-RCM prospects to have with our clients.

References are anonymized to protect client confidentiality. Once we’re in serious conversation, we’ll connect you to the actual people behind these quotes for a 20-minute call. No script, no chaperone.

Hospital · CFO conversation
“
We came in with a stack of vendor scorecards, and ASP-RCM was the only one who pushed back on our targets and said two of them were too soft. They were right.
RH
Director, Patient Financial Services Regional hospital · reference under NDA
ABA · named-partner accountability
“
The senior partner gave me his cell on day one. He answered at 9pm on a Tuesday. That was the moment I knew this was different.
AN
VP, Revenue Cycle ABA network · reference under NDA
Multi-specialty · underpayment audit
“
They found the underpayments three different vendors missed. Then they showed us the contract clauses we’d been signing without reading.
MS
Managing Partner Multi-specialty group · reference under NDA
Want to talk to a real client?

Get on a 20-minute reference call.

Once you’re in serious diligence, we’ll connect you to the actual people behind these quotes — on a 20-minute call, no script, no chaperone. We’ll match by specialty (hospital, ABA, multi-specialty, FQHC, SNF) and revenue band.

Request a reference call → Average response: 4 business hours · Senior partner reads it
Industry recognition & compliance

Audited, certified, and signed off. Not just “HIPAA-aware.”

Six independent bodies have audited or affiliated us. We’re also pursuing a KLAS Research rating in 2026 and tracking toward HITRUST CSF certification, which we’ll publish here once awarded.

ASP-RCM Affiliations and Certifications: ISO 27001 (DNV), HIPAA Compliant (assessed by DNV), SOC 2 Type II with HITRUST readiness, BPO Excellence Award 2023, Excellence in Customer Service Award 2024, Inc. 5000 Rank #961 in US / #38 in Dallas, Inc. 5000 Rank #90 in Business Products & Services / #106 in Texas CASP Business Affiliate
Why providers leave their incumbent

Honestly, where we’re different.

There are good reasons to work with a Big-3 outsourcer. There are also good reasons to work with a boutique. Here’s the honest comparison, the kind we’d give you on a phone call.

Big-3 outsourcer ASP-RCM Boutique biller
Senior partner accountable, by name
Written SLAs with penalties For larger contracts
Production AI suite (8 tools, in-house)
Dedicated specialty pod (no rotation)
90-day onboarding, fixed-cost 6-9 months Variable
Published commercial terms
SOC 2 + ISO 27001 + HITRUST roadmap
Sub-40-day AR commitment Best effort
$5M-$500M provider focus
FAQ

Questions we hear most often before contracts.

Don’t see yours? Email [email protected] and a senior partner will reply directly.

How is your pricing structured?
Three options, all published: percentage-of-collections (typical 3.5%-6.5% based on specialty & volume), dedicated FTE (per-coder/per-specialist), or hybrid (variable plus fixed for senior leadership). You see the model on call one. No “custom enterprise pricing.”
What EMR / PM systems do you work with?
18 platforms in production. Epic, Cerner, Athena, eClinicalWorks, NextGen, Greenway, Kareo, AdvancedMD, CentralReach (ABA), TheraNest, SimplePractice, and others. We don’t require a switch.
Do you replace our existing billing team?
Almost never. Most engagements layer in. Your team stays on the front-end (intake, registration, charge entry) and we run the back-end (claims, denials, AR, reporting). About a third of clients eventually consolidate, but that’s their call, not our pitch.
How fast do you actually onboard?
90 days for full SLA-bound steady state. Aged AR work-down typically starts in week 2. We’ve done this enough times to know the patterns. We’re not learning on your account.
Where is the work done? Onshore vs offshore?
Three delivery centers: Dallas (HQ + onshore), Manila, and Chennai. Workflow split is by client preference and specialty. Senior partners are U.S.-based for every account. Coding can be 100% onshore on request.
What about data security & HIPAA?
SOC 2 Type 2, ISO 27001, HIPAA & HITECH compliant. HITRUST certification roadmap underway. We’ll send our full security questionnaire pre-call.
Book the audit

A senior partner.
Thirty minutes. Your numbers, not ours.

You bring the last 90 days of denials and AR aging. Aparna brings 25 years inside payor reimbursement. You leave with a written gap analysis, whether you hire us or not.

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