End-to-End Revenue Cycle Management

Automation-driven RCM for modern healthcare practices.

From insurance eligibility to payment posting, RPM CCM Billing Solutions handles every step of your revenue cycle with precision-built automation and expert human oversight. Your team focuses on patients. We handle the revenue.

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// Revenue Cycle Pipeline
Provider Credentialing✓
Insurance Eligibility Verification✓
Prior Authorization✓
Claim Submission✓
AR and Denial Management✓
Payment Posting✓
98.2%
Clean claim rate
<24hrs
Claim turnaround
30day
Average AR days
4.2x
Average ROI
55+
CPT codes managed
98%
First-pass claim acceptance
900+
Payers connected
30d
Average AR days
24h
Claim turnaround

Our Services

Complete revenue cycle coverage, start to finish.

Every service in your revenue cycle handled by our automation-driven team. Specialized in RPM, CCM, RTM, and Telehealth billing.

Provider Credentialing
Complete credentialing and re-credentialing with Medicare, Medicaid, and commercial payers. Every expiration tracked automatically.
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Insurance Eligibility Verification
Daily automated eligibility checks across 900+ payers. Coverage, co-pays, deductibles, and RPM/CCM benefit status verified before every billing cycle.
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Prior Authorization
End-to-end PA management from submission to appeals. Expiry alerts 30 days in advance so care is never interrupted.
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Claim Submission
Clean claim submission within 24 hours of service. CPT code validation and payer-specific rule checks applied automatically before every submission.
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AR and Denial Management
Proactive AR follow-up and same-day denial appeals. Every outstanding claim tracked, denial patterns identified, revenue recovered.
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Payment Posting
Accurate, timely posting of EOBs, ERAs, and patient payments. Automated ERA processing with exception-based human review keeps your books current.
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Why Automation Matters

Human expertise, automated precision.

Manual RCM processes create gaps. A missed eligibility check leads to a denied claim. A lapsed PA delays care. An unworked AR bucket erodes revenue over months.

Our automation-driven model eliminates those gaps. Routine tasks run on schedule without human intervention. Our specialists focus only where judgment matters.

  • Daily eligibility checks run every morning before your team arrives
  • Claim edits and scrubbing happen automatically before every submission
  • ERA posting processed within hours, not days
  • Prior auth expirations flagged 30 days before they lapse
99%
Eligibility accuracy rate
<3s
Real-time eligibility response
87%
First-pass PA approval rate
94%
Denial appeal success rate
24hr
Claim submission turnaround
$0
Setup fees

Who We Work With

Built for the practices driving remote care.

We specialize in the client types that operate RPM, CCM, RTM, and Telehealth programs at scale.

Physician Practices
Independent and group practices running CCM and RPM programs for chronic patients.
RPM Vendors
Device companies and digital health platforms needing volume billing and eligibility services.
ACOs and Health Systems
Large organizations with complex payer mixes and high-volume claim submissions.
Home Health Agencies
Agencies managing post-acute care, transitional care management, and chronic care coordination.
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Ready to see what your practice is leaving on the table?

Request a no-cost revenue audit. We review your current billing setup and show you exactly where revenue is being lost.

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