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Revenue cycle management services

We run the whole cycle, so nothing falls through it.

Twelve stages sit between a booked appointment and money in your account. Curify Solutions owns all twelve — eligibility, coding, submission, denials, appeals and collections — and reports on every one of them.

Why practices lose revenue

The money is rarely lost where you think it is.

When collections drop, most practices look at the billing team. Usually the problem started somewhere else entirely.

A claim denied for eligibility was lost at registration, weeks before anyone submitted it. A claim denied for medical necessity was lost when nobody obtained authorisation. A claim that expired in the 120-day bucket was lost because no single person owned the follow-up.

Revenue cycle management fixes this by making one team accountable for the entire chain instead of one link in it. That is the difference between outsourcing your billing and outsourcing your revenue cycle.

Curious how AI fits into this? See how we implement AI in the revenue cycle →

What we handle

Twelve stages, end to end.

Take all of it, or hand us the stages that are costing you the most.

STAGE 01

Appointment Scheduling

Slots filled, reminders sent, no-shows followed up. An empty chair is the one form of lost revenue no billing team can recover later.

STAGE 02

Patient Registration

Demographics and insurance captured accurately at intake. Most denials that surface at stage nine were actually created here, by a mistyped member ID or an outdated policy.

STAGE 03

Eligibility & Benefits Verification

Active coverage, plan type, copay, deductible and remaining benefit confirmed before the visit, so you are never treating a patient whose plan lapsed last month.

STAGE 04

Utilization Review

Services checked against payer medical necessity policy in advance, so the claim is not denied later on grounds you could have addressed beforehand.

STAGE 05

Coding and Billing

Certified coders assign CPT, ICD-10 and HCPCS codes that match the clinical documentation, with modifiers applied correctly so the claim survives payer review.

STAGE 06

Charge Posting

Charges posted against the encounter and reconciled against the schedule, so services that were performed but never billed get caught the same week.

STAGE 07

Claim Submission

Claims scrubbed against payer-specific edits, then submitted through the clearinghouse. Rejections are corrected and resubmitted the same day, not at month end.

STAGE 08

Payment Posting

Electronic remittance advice and patient payments posted line by line, with contractual adjustments applied correctly so your ledger reconciles to your bank.

STAGE 09

Denial Management

Every denial worked back to root cause and categorised, so the same error is not repeated next month. Nothing is written off by default.

STAGE 10

Accounts Receivable

Aging buckets worked oldest first, with documented payer contact. Claims are not allowed to sit quietly past ninety days and age out of appeal.

STAGE 11

Appeal Procedure

Appeals filed inside payer deadlines with the documentation that actually reverses decisions, and tracked until there is a written determination.

STAGE 12

Patient Billing and Collections

Statements patients can understand, with follow-up that recovers balances without damaging the relationship your front desk has built.

How we are measured

Four numbers that tell you whether it is working.

We report on these every month. You see the same figures we work from, including the ones going the wrong way.

Metric 01

Days in A/R

How long your money sits with payers before it reaches you. The single clearest signal of cash flow health.

Metric 02

Clean claim rate

The share of claims accepted on first submission. Every rework cycle costs you roughly two weeks.

Metric 03

Net collection rate

What you actually collected against what you were contractually owed. The gap is your leakage.

Metric 04

Denial rate by reason

Broken down by payer and denial code, so patterns get fixed at source instead of reworked forever.

Getting started

Live in two to four weeks.

Claims keep going out during the handover. There is no gap in submission and no pause in cash flow.

WEEK 01

Free practice audit

Send us one month of claims data. We return a written breakdown of denial patterns, A/R aging and the revenue that should already be in your account.

WEEK 01–02

Access and setup

We get credentialed users in your EHR and clearinghouse, confirm payer enrolments and map your existing workflow before changing anything.

WEEK 02–03

Parallel run

We begin submitting new claims while reviewing your legacy A/R, prioritising older claims still inside timely filing windows.

WEEK 03–04

Full handover

We take the full cycle, with a named point of contact and your first monthly report scheduled.

Who we work with

Built for practices of any size.

  • Independent practices and solo providers
  • Multi-provider and multi-location groups
  • Hospitals and health systems
  • Labs and diagnostic centers
  • Urgent care facilities
  • Emergency rooms
  • Nursing homes and long-term care
  • Home health agencies

Compatible with 100+ EHR, EMR and PM systems. You keep the software you already use. There is no migration and nothing new for your staff to learn.

Common questions

What practices ask us first.

What is revenue cycle management in medical billing?

Revenue cycle management is the full financial process of a patient encounter, from scheduling and insurance verification through coding, claim submission, payment posting, denial appeals and final collection.

Put simply, it covers every step between booking the appointment and the money reaching your account. Billing is one part of it. RCM is the whole chain.

How is RCM different from medical billing?

Medical billing is one stage inside the revenue cycle: preparing and submitting claims to payers. Revenue cycle management covers the whole sequence around it.

That difference matters because most lost revenue does not come from the billing stage. It comes from eligibility that was never checked, authorisation that was never obtained, or a denial nobody worked. A billing service submits claims. An RCM partner owns the outcome.

Do you work inside our existing EHR or practice management system?

Yes. We work inside the systems you already use, and we are compatible with over 100 EHR, EMR and practice management platforms.

You keep your software, your data and your workflows. There is no migration and no new system for your staff to learn.

How long does it take to switch RCM providers?

Most practices are live within two to four weeks. The timeline depends on how quickly we get system access, the state of your payer enrolments, and how much open accounts receivable needs to be transitioned.

Claims keep going out during the handover. There is no gap in submission.

Will you work our old accounts receivable?

Yes. Legacy A/R is reviewed during onboarding and worked alongside new claims.

We prioritise older claims that are still inside payer timely filing and appeal windows, because those are the ones that expire first. Money sitting in 120-day buckets is often still recoverable, but not for much longer.

What reporting do we get?

Monthly reporting on days in accounts receivable, clean claim rate, net collection rate, denial rate broken down by payer and denial reason, and aging by bucket.

You see the same numbers we work from. If a metric moves in the wrong direction, you find out from us before you find out from your bank balance.

Start with a free audit

Send us one month of claims. We will tell you what you are losing.

No cost and no obligation. You get a written breakdown of denial patterns, accounts receivable aging and the revenue that should already be in your account.

Request your practice audit

We reply within one business day.

Or call 720-316-0093 and speak to someone today.