End-to-end RCM. Owned by a senior partner, not a queue.
From registration to zero balance. Charge capture, coding, claim submission, payment posting, denials, AR follow-up. one accountable senior partner running the whole stack to written SLAs.
SLA-backed.
Eight functions. One P&L owner.
Most RCM vendors split the cycle across three or four offshore teams that don’t talk to each other. We run the entire revenue cycle as one operating function under a single senior partner who owns the back-office P&L. Below is the full scope, not a marketing list.
Patient access & eligibility
Real-time eligibility, benefits verification, prior-auth identification, and financial counseling at the front desk. before the visit happens. Coverage problems caught at registration cost a tenth of what they cost on the back end.
Charge capture & entry
Daily reconciliation of clinical activity to billed charges. Missing charges are caught against the schedule, not against last month’s collections. We look for what should have been billed, not just what was.
Coding & documentation review
CPC-, CCS-, and RHIA-credentialed coders, organized by specialty, not by client. Pre-bill audit on a stratified sample. CDI feedback loops back to the providers who need it. Quarterly external audits we publish to clients.
Claim scrubbing & submission
Payer-specific edits applied at submission, not after rejection. Clean-claim rate and first-pass yield are written into the SLA, with monthly trending against the contracted target.
Payment posting & reconciliation
ERA and EOB posting on the same day money lands. Three-way reconciliation between bank, lockbox, and PMS. Underpayment detection against payer contracts surfaces variances your CFO can recover.
Denial management & appeals
Denial root cause first, then the work-down. Each denial is taxonomized (clinical, eligibility, auth, coding, registration), with a written appeal pack for the high-dollar lanes. Appeals are senior-reviewed before submission.
AR follow-up & recovery
Dollar-weighted prioritization, not count-weighted. The biggest dollars get worked first, every cycle. Payer follow-ups are scripted by line of business and tracked to a written cadence.
Reporting & monthly QBR
A CFO-grade scorecard every month. The senior partner walks it line by line with your CFO. clean-claim, denial rate, days in AR, net collection rate, plus payer-specific trends. No vanity dashboards.
Day 1 to Day 90. Senior partner attends every step.
A predictable transition. Same senior partner from sales to steady state. the person who scopes the work is the person who runs it.
Discovery & baseline
Senior partner walks 90 days of denials, AR aging, and payer mix. Baseline KPIs locked in writing.
SLA & scope drafted
Clean-claim, denial rate, days in AR, NCR. turned into contractual targets. Reviewed with your CFO.
Stand-up & cutover
Pod assigned by specialty. EHR access provisioned. Edit library loaded. Parallel run on the first cycle.
Steady state & first scorecard
First monthly CFO scorecard. Variances explained line by line. Adjustments before contract Day 90.
SLA in force
Targets contractually binding. Quarterly business reviews with the senior partner attending in person or live.
Built for providers between $50M and $500M in net revenue.
Below $50M, you usually need pieces of the cycle, not all of it. talk to us about scoped engagements. Above $500M, we run the program with a multi-pod structure under a single senior partner.
Hospitals & health systems
Inpatient + outpatient + facility billing under one program lead. AR remediation, denial recovery, and payer-contract underpayment audit.
Multi-specialty physician groups
MSOs, IPAs, and growing groups. Specialty-aware coding benches, payer roster reconciliation, provider-level CDI feedback.
Outpatient networks
ASCs, urgent care, imaging, infusion. Schedule-driven charge reconciliation, time-of-service collections, payer-mix analytics.
Behavioral & ABA
Auth-heavy, modifier-sensitive specialties with state-Medicaid quirks. Dedicated specialty desk, not a general pool.
FQHC & community health
PPS billing, sliding-fee, wraparound, and 340B nuance. UDS-aware reporting and federal compliance.
SNF, LTC & home health
PDPM, PDGM, MDS-driven coding, and Medicare-audit defense. Triple-check workflow on PT/OT/ST units.
Five SLAs. Contractual. Reviewed every month.
Most RCM contracts measure activity (claims submitted, calls made). We measure outcomes. the metrics your CFO actually cares about. Below are the five that go into every ASP-RCM contract.
| METRIC | TYPICAL TARGET | HOW WE MEASURE IT |
|---|---|---|
| Clean-claim rate | 95%+ | % of claims accepted on first submission, by line of business. Tracked daily, reported monthly. |
| Initial denial rate | < 5% | % of submitted claims denied on first adjudication, by payer and root cause. Top-5 causes flagged in QBR. |
| Days in AR (dollar-weighted) | 35-42 days | Specialty-adjusted. Calculated weekly from PMS data, audited quarterly to bank deposits. |
| Net collection rate | 96-98% | Cash collected vs. allowable, against payer-contract terms. CFO-audited annually. |
| Cost-to-collect | 2.5-3.5% | All-in vendor cost as % of net collections. Reported in every monthly scorecard. |
The same person scopes, signs, and runs the work.
In most RCM relationships, the people you sold to disappear after Day 30 and you end up working with a queue manager who has 27 other accounts. We’re structured to make that impossible.
One senior partner. One P&L. One phone number.
The senior partner who scopes the engagement is the same person who signs the contract, attends the monthly QBR, and owns the SLA. Their compensation is tied to your outcomes, not to claim volume processed. They’re named on every page of the contract.
The handoff problem, removed.
- No sales-to-ops handoff. the partner who designs the SLA owns its delivery.
- No queue manager between you and the operator. one phone number, one inbox.
- One P&L owner, not three. coding, AR, and denials don’t live in different silos.
- Same person at every QBR. 12-month memory of your account, not a fresh face every quarter.
- SLAs tied to compensation. partner’s comp moves with your scorecard, in writing.
Four metrics. Reported every month.
Start with a free 30-min audit.
A senior partner reads your last 90 days of denials, AR aging, and payer mix, and walks you through a written 4-page gap report. No sales theater, no obligation.