End-to-end RCM · RCM outsourcing

End-to-end revenue cycle management with one accountable team

PhysiAssist Health runs your whole revenue cycle: eligibility, prior authorization and credentialing, coding and claims, payment posting, denials and patient billing. One team does all of it, and you see every claim and its owner live in RevCore. You pay one rate of 2.8% to 5% of net collections, and most practices switch in 2 to 4 weeks.

Estimate your rate2.8% to 5% of net

One visit, every stage, one owner. Click any step →

Visit 24-11027 · Rheumatology · owner R. MehtaScheduled
  1. 1Front end: verifiedEligibility and benefits checked, infusion authorization on file before the visit.
  2. 2Credentialing: in networkThe new rheumatologist's enrollment with this payer was completed last month.
  3. 3Mid cycle: coded and sentJ1745 units and 96413 approved by a certified coder, scrubbed and submitted the next day.
  4. 4Back end: paid and postedPayment matched to the claim; the underpaid line was flagged against the contract.
  5. 5Patient balance: closedA clear statement went out and our team answered the patient's billing call.

Illustrative example with sample data

  • 2 to 4 weeksfrom signed agreement to claims going out
  • 2.8% to 5%of net collections, one rate in writing
  • 24 days fastercash for an orthopedic group: AR from 59 to 35 days
  • One ownerper claim, visible to your team in RevCore

The basics

What is end-to-end revenue cycle management?

End-to-end revenue cycle management (RCM) means one partner runs every step between scheduling a patient and collecting the last dollar: eligibility and benefits, prior authorization, credentialing, coding, charge entry, claim submission, payment posting, denial management, AR follow-up, patient billing and reporting. Outsourcing the whole cycle to one team removes the handoffs where claims get lost between vendors and in-house staff.

What's included

Four stages, one team

Everything below is part of the service. The 2.8% to 5% rate covers coding, claims, posting, denials and AR; front desk, prior authorization, the reporting dashboard, patient statements and credentialing are quoted separately. See what the rate covers →

BEFORE THE VISIT

Front end

Eligibility and benefits checks · Prior authorization · Registration review

Front-desk voice agent

Prior authorization →

IN NETWORK

Credentialing

Payer enrollment for new providers · Re-credentialing · CAQH upkeep

RevCore tracker

Included in the rate

DURING AND AFTER

Mid cycle

Medical coding · Charge entry · Claim scrubbing and submission

AI codingRegimenIQ

Medical coding →

CLAIM TO CASH

Back end and patients

Payment posting · Denials and AR follow-up · Patient statements and billing calls · Reporting

RevCoreAR voice agent

Denial management →

Why one partner

Split vendors versus one accountable team

Several vendors or a partial outsourcePhysiAssist end-to-end RCM
AccountabilityEach vendor owns one step; a denial can be everyone's and no one's problemOne named owner per claim, from scheduling to the last patient dollar
Fixing root causesThe team working denials cannot change registration or codingThe team that sees the denial fixes the step that caused it
VisibilitySeparate reports from each vendor, on different schedulesOne live view of every claim and KPI in RevCore
PriceSeveral contracts and fee structuresOne rate: 2.8% to 5% of net collections

Live KPI dashboard

Every KPI, live, with the next action already written

Your team logs into the same dashboard ours works from: fifteen revenue KPIs, the claims pipeline, aging by bucket, and recommended actions that point to the exact worklist. No waiting for a monthly PDF.

Revenue performanceMTD30d90dYTDAll payersAll locations

Collections

$1.42M▲ 8.1%

Clean claim rate

96.1%▲ 4.2 pts

Denial rate

4.6%▼ 2.3 pts

Days in AR

34▼ 11 days

Net collection rate

97.3%▲ 3.0 pts

First-pass resolution

91.4%▲ 5.6 pts

Auth approval rate

94.2%▲ 2.1 pts

Revenue leakage

$18.2Kexpected − actual

Recommended actions

14% of AR sits at 61–90 daysWork this bucket before it ages past 90.Open the 61–90 day worklist →
Two payers cause 61% of auth denialsAdd an authorization check at scheduling for both.Review the auth rules →
96413 paid $4,210 under contractOne payer, 23 claims, same variance.Start the underpayment dispute →

Claims pipeline this month

Created2,318
Submitted2,271
Accepted2,203
Adjudicated1,877
Paid1,716
Live for your team from week one

Illustrative view with sample data. The live dashboard shows your own claims and KPIs. How the revenue cycle dashboard works →

Pricing

How much does RCM outsourcing cost? Estimate your rate.

Our rate is 2.8% to 5% of net collections. Five things decide where you land. Answer them to see your likely range; your exact rate comes in writing after the assessment.

Monthly collections
Specialty
Scope
Share of AR over 90 days
Payer mix

Your likely rate

3.0% – 4.0%

of net collections

Mid-size practice with full RCM. Collections volume and specialty move this range the most.

An estimate, not a quote. Your rate is confirmed in writing before you sign.

Switching

Switch in 2 to 4 weeks, without a gap in cash

Your existing AR keeps getting worked while new claims start going out.

  1. Days 1–5

    Kickoff

    Business associate agreement, system access, payer and provider list, fee schedules.

  2. Days 6–14

    Set up

    Scrubber rules by payer, coding guidelines by specialty, enrollment checks, RevCore access for your team.

  3. Weeks 2–4

    Claims go out

    New claims are coded and submitted by our team. Daily huddles until the queue is steady.

  4. In parallel

    Old AR worked down

    Open balances from your previous setup are worked by age bucket, so cash flow does not stop.

Free assessment

A free revenue cycle assessment, in writing

Send us your AR aging and a recent denial summary. A specialist in your field reviews them and sends a written report you keep, whether or not you work with us.

Revenue cycle assessment · contents
  • Days in AR and AR over 90 days, against where they should be for your specialty
  • Denial rate by payer and by root cause
  • Revenue held in old AR and how much is still collectible
  • Coding and front-end issues behind repeat denials
  • Your rate within 2.8% to 5%, in writing

Specialties and systems we run

The systems we work in every day

Already fluent in the tools your practice runs on

35+EHRs
6clearinghouses
8auth portals
EHRs we have masteredWe work inside yours
and more

We log in to your system; nothing about it changes for your team.

ClearinghousesClaims, rejections, ERAs

Claims, rejections and remittances worked through your clearinghouse.

Prior auth portalsSubmit, track, renew
and more

Submissions, status checks and renewals in each payer's own portal.

Results

End-to-end results, with the baseline shown

BEHAVIORAL HEALTH CLINIC

Before
90+
After
<40

$1M recovered in 75 days

Targeted denial management and automated claim workflows on an AR backlog.

Read the case study →

End-to-end RCM questions

What does end-to-end RCM include?

Eligibility and benefits checks, prior authorization, registration review, credentialing, medical coding, charge entry, claim scrubbing and submission, payment posting, denial management, AR follow-up, patient statements and billing calls, and reporting in RevCore.

How much does RCM outsourcing cost?

PhysiAssist charges 2.8% to 5% of net collections. Where a practice lands depends on monthly collections, specialty, the scope of services, and the AR backlog and payer mix. The estimator on this page gives a likely range; the exact rate is confirmed in writing before you sign.

How long does it take to switch RCM companies?

Most practices go from a signed agreement to claims going out in 2 to 4 weeks. Existing AR is worked in parallel, so cash flow does not stop during the move.

What is the difference between end-to-end RCM and medical billing?

Medical billing usually means charge entry, claim submission and payment posting. End-to-end RCM adds everything around it: eligibility, authorization, credentialing, coding, denials, AR follow-up, patient billing and reporting, run by one team.

Will we still see our data?

Yes. Your team gets live access to RevCore, with every claim, its status, its owner and your KPIs, and all work happens in your own EHR and practice management system.

Which EHRs do you work in?

Epic, athenahealth, eClinicalWorks, NextGen, OncoEMR, iKnowMed, ARIA, MOSAIQ, AdvancedMD, Valant, TherapyNotes, SimplePractice, Dentrix, CharmHealth, Elation and others.

Is outsourced RCM HIPAA compliant?

Yes. We sign a business associate agreement with every client, are ISO 27001 certified, and log every access to patient data.

What is in the free revenue cycle assessment?

A written review of your AR aging, denial rate by payer and root cause, collectible old AR, the coding and front-end issues behind repeat denials, and your rate within 2.8% to 5%.

Explore each stage

One team for your whole revenue cycle, live in 2 to 4 weeks

Start with a free revenue cycle assessment and your rate in writing.

Estimate your rate2.8% to 5% of net
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