How Revenue Cycle Management Boosts Your Bottom Line

RCM is more than billing

Revenue cycle management covers every financial touchpoint from the moment a patient schedules an appointment to the day the final balance is paid. Scheduling, registration, eligibility, charge capture, coding, claim submission, payment posting, denial management, patient billing, and reporting are all links in one chain. A weak link anywhere reduces what you collect.

The metrics that matter

• Days in A/R: target under 35 days; over 50 signals follow-up problems

• First-pass acceptance rate: target above 95%; best-in-class exceeds 99%

• Net collection rate: target above 96% of contractually allowed amounts

• Denial rate: target below 5%

• Percentage of A/R over 90 days: target under 15%

Where revenue leaks

Common leaks include services rendered but never charged, undercoded visits, claims never submitted after a rejection, underpayments never contested, and patient balances never billed. Each leak is small on its own; together they typically represent 5% to 15% of potential revenue.

What a full RCM partner delivers

Simplify Billing Services manages the complete cycle: front-end verification, certified coding, daily submission, aggressive follow-up, out-of-network negotiation, patient statements, and real-time dashboards. Clients see revenue increases of 10% or more and full visibility into every dollar. Contact us to benchmark your current RCM performance.