Core service areas
The full revenue cycle, handled end to end
Take the whole cycle or just the part that is bleeding. Most practices start with denials and aged A/R, because that is where money already earned is sitting — then expand once they can see what we do with it.
Where each service sits in the cycle
Revenue cycle work fails at the seams between stages. These four areas are how we divide the work, but they are run by one team against one set of numbers.
Front of cycle
Eligibility & Verification
Coverage confirmed, benefits checked and authorizations tracked before the visit — so the claim starts clean and the patient is not surprised by a bill.
Learn moreMid cycle
Claims Management
Charge capture, coding review, scrubbing, submission and follow-up. Claims are tracked to payment, not filed and forgotten in a worklist nobody opens.
Learn moreBack of cycle
Denial Resolution
Denials categorized, appealed and traced to root cause, so the same failure stops repeating next month instead of becoming a permanent line item.
Learn moreAcross the cycle
Revenue Optimization
Underpayments, fee schedule gaps, missed charges and payer contract performance — the money that never shows up in a denial report because it was never billed.
Learn moreHow the work runs
One team, one rhythm, one set of numbers
Everything starts with the front end
Roughly half of denials originate before a claim is ever submitted — eligibility errors, registration data, missing authorization. Incomplete or inaccurate patient registration data alone accounted for 32% of denials in a 2025 provider survey (Experian Health). Fixing the front end is cheaper than appealing the back end.
Claims are worked, not just submitted
Submission is the easy part. The work is in the follow-up: knowing which payer sits on which claim type, which edits predict a denial, and when silence means a problem.
Denials get an owner and a deadline
Every denial is categorized and assigned. Most appealed denials are ultimately paid — hospitals recovered roughly 70% of the denials they pursued (Premier Inc., 2025). The money is lost when nobody pursues them.
Patterns feed back upstream
A denial worked once is revenue. A denial pattern fixed at the source is revenue every month after. That loop is the difference between a billing service and a revenue cycle partner.
Also included
The parts nobody advertises but everybody needs
Credentialing & payer enrollment
Primary-source verification and getting providers loaded with payers so claims can actually be paid. Slow credentialing is silent lost revenue.
Patient billing & support
Statements in plain English, online payment, payment plans, and a US-based team answering billing calls. You set the collections posture, not us.
Reporting & A/R review
A/R aging by payer and denial reason, available any day of the month, plus a standing review call so the numbers get discussed and not just delivered.
A note on scope: services listed here reflect UnifiedRCM’s capabilities as described during planning. Final service descriptions, inclusions and any credentialing or patient-billing terms should be confirmed by UnifiedRCM before launch.
Common questions
What practices ask us about this
Can we start with just one service?
Yes. Most practices start with denial resolution and aged A/R because that is where money already earned is sitting, then expand once they can see the results. There is no requirement to hand over the whole cycle on day one.
Do you replace our billing staff?
Not necessarily. Some practices hand over the full cycle; others keep front-desk and charge entry in house and use us for claims, denials and A/R. We will tell you honestly which split makes sense for your volume rather than pushing the largest engagement.
Do you do coding as well as billing?
Coding review is part of claims management. Scope, certification levels and whether full coding is included should be confirmed with UnifiedRCM based on your specialty and volume.
What systems do you work in?
Yours. We operate inside your existing EHR and practice management system rather than requiring a platform change.
How long before we see a difference?
Transition typically runs 30 to 60 days, with measurable movement in the following 60 to 90 days. Aged A/R often moves first because those claims only needed someone to work them.
Find out what your revenue cycle is actually leaving behind.
Request a consultation and a revenue cycle specialist will walk through your denial patterns, A/R aging and payer mix with you. No obligation, and no software to install.