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RCaaS — 3.0

Revenue Cycle Management as a Service

Eleven connected capability areas that cover the revenue cycle from the moment an appointment is booked to the moment the last dollar is collected — delivered as a managed service, integrated with the systems you already run.

How it fits together

One cycle, five stages, no gaps between them

Most revenue is lost in the handoffs. RCaaS 3.0 owns the whole sequence, so nothing falls between two teams.

STAGE 01

Access

Registration, eligibility, and prior authorisation

STAGE 02

Capture

Coding, charge entry, and documentation quality

STAGE 03

Submit

Scrubbing, electronic submission, and payer follow-up

STAGE 04

Resolve

Denials, appeals, AR recovery, and payment posting

STAGE 05

Improve

Analytics, benchmarking, and process optimisation

Capability map

Everything included in RCaaS 3.0

11 capability areas, 53 services. Take the full stack or only the parts you need.

01

Patient Access & Registration

Everything that has to be right before the patient is seen — so the claim is clean from the start.

  • Patient Registration
  • Insurance Eligibility & Benefits Verification
  • Prior Authorization & Referral Management
  • Patient Demographics Validation
  • Appointment Scheduling Support
02

Medical Coding & Charge Capture

Accurate, compliant coding and complete charge capture, with audits to keep it that way.

  • Medical Coding (ICD-10, CPT, HCPCS)
  • Charge Entry & Charge Capture
  • Coding Audits & Compliance Reviews
  • Documentation Improvement (CDI)
03

Medical Billing

Claims prepared, scrubbed, and submitted electronically to primary, secondary, and tertiary payers.

  • Claims Preparation & Submission
  • Electronic Claims Processing
  • Claims Scrubbing & Validation
  • Secondary & Tertiary Billing
04

Claims Management

Active tracking of every claim, with rejections and denials worked rather than written off.

  • Claims Tracking
  • Rejected & Denied Claims Management
  • Appeals & Resubmissions
  • Payment Posting
  • Claims Status Follow-up
05

Accounts Receivable (AR) Management

Disciplined follow-up on aged balances across both insurance and patient responsibility.

  • AR Follow-up
  • Aging Analysis
  • Outstanding Balance Recovery
  • Insurance Follow-up
  • Patient Balance Collections
06

Denial Management

Root-cause analysis that stops the same denial recurring next month.

  • Root Cause Analysis
  • Denial Prevention Strategies
  • Appeal Management
  • Denial Trend Reporting
07

Patient Financial Services

A billing experience patients can understand, with support when they cannot.

  • Patient Billing
  • Payment Plans
  • Online Payment Support
  • Patient Statements
  • Customer Support & Billing Inquiries
08

Revenue Analytics & Reporting

Dashboards and KPIs that show where revenue is being earned and where it is leaking.

  • Financial Dashboards
  • KPI Monitoring
  • Revenue Leakage Analysis
  • Collection Reports
  • Custom Performance Reports
09

Compliance & Quality

HIPAA, regulatory, and audit readiness maintained as an ongoing discipline.

  • HIPAA Compliance
  • Revenue Cycle Audits
  • Regulatory Compliance
  • Risk Assessment
  • Process Optimization
10

Technology & Automation

Integrations, automation, and AI-assisted review that remove repetitive work.

  • EHR/EMR Integration
  • Practice Management System Support
  • Clearinghouse Integration
  • Workflow Automation
  • AI-Assisted Coding & Claims Review
  • RPA (Robotic Process Automation)
11

Consulting & Optimization

Assessment, benchmarking, and training that keep improving the cycle over time.

  • Revenue Cycle Assessment
  • Workflow Optimization
  • Staff Training
  • Performance Benchmarking
  • Continuous Process Improvement
Why a service, not a vendor

Technology and people, accountable to the same number

Software alone does not collect money and staffing alone does not scale. RCaaS 3.0 pairs a trained revenue cycle team with workflow automation, AI-assisted coding and claims review, and RPA on the repetitive work — all reporting into the same set of KPIs you see.

Because we also work as an EHR/EMR advisory practice, the service plugs into your existing platform, practice management system, and clearinghouse rather than asking you to replace them.

  • Integrates with your current EHR and PM system
  • HIPAA compliance and audit readiness throughout
  • Denial prevention, not just denial rework
  • Transparent dashboards and custom reporting
  • AI-assisted coding and claims review
  • Scale up or down without hiring cycles

What we report on

The metrics we hold ourselves to, visible to you on the same dashboard.

  • Clean claim rate and first-pass resolution
  • Days in AR and aging distribution
  • Denial rate by payer, reason, and provider
  • Net collection rate and revenue leakage
  • Patient balance recovery and payment plan uptake
Next step

Find out what your revenue cycle is leaving on the table

Send us your specialty, monthly claim volume, and current pain points. We will come back with where the recoverable revenue most likely sits.

Get in touch

Talk to a specialist about your practice

Reach our support desk directly, or send us the details of what you need and we will route it to the right team.

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(406) 545-2997
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+1 (406) 416-7273
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