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Revenue Cycle Management

Revenue cycle management
for independent practices.

PatientMD takes over the billing cycle for your practice: we verify coverage before the visit, send clean claims, work denials, and follow up on patient balances. We report your own numbers every month.

Eligibility
Eligibility checked before the visit
Denials
Every denial tracked to an answer
Reports
A monthly report you can read
Cleaner claims the first time
We check the patient's coverage and the claim's accuracy before it ever leaves your office.
Denials worked, not ignored
Every denial gets categorized, appealed, and tracked — until you're paid or there's an honest answer why not.
Easy patient payments
Text, email, payment plans and HSA/FSA cards, so patients can pay without a phone call.
Revenue leaks

Where revenue leaks, and what we work

How A/R aging buckets are shown

Illustration of the report layout; not practice data.

0-30 31-60 61-90 91-120 120+
Earlier month (illustration) Later month (illustration)

What practices keep leaving on the table.

These are common, fixable problems in an independent practice. Here is what we work on for each one.

Source of leakageWhat we work
Eligibility-related denialsCoverage checked before the visit
Coding under-capture (E/M, modifiers)Coding review by trained coders
Missing RPM / BHI care-time claimsCare time tracked and queued at month close
Aged patient balances written offAged-balance follow-up
Underpayments vs contractPayments reconciled to the visit
Failed prior-auth follow-throughCategorized and tracked to an answer
Inside the workflow

From the moment the patient books, to the moment your account posts.

PatientMD handles every step — your team just sees patients and signs notes.

1

Before visit

Coverage confirmed; issues flagged to your front desk.

2

During visit

Codes suggested for your review.

3

After visit

Clean claims sent; deposits go to your bank.

4

If denied

We categorize, appeal, and track — or tell you why we can't.

5

Patient pays

Text-to-pay, plans, HSA/FSA — collections is a last resort.

What's included

Everything your billing team would do — handled by ours.

  • Insurance verification before every visit
  • Coding review by trained coders
  • Electronic claim submission to the payers your practice bills
  • Payments posted automatically, reconciled to the visit
  • Denials categorized, appealed, and tracked
  • Patient statements, text-to-pay, and payment plans
  • Aged-balance follow-up — gently, professionally
  • A monthly report so you always know how the practice is doing
Before vs after

The day-to-day, side by side.

WorkflowBefore PatientMDWith PatientMD
Insurance verificationFront desk hand-keys eligibility check, often skips it.Eligibility checked electronically before the visit.
Claim codingCoders catch errors after the claim's already gone.Codes suggested during charting; scrubbed before submission.
Denials workA pile in someone's inbox. Some get appealed. Most don't.Every denial categorized; appeal templates pre-filled; tracked to resolution.
Patient billingPaper statement mailed once. Most never paid.Text, email, payment plans and HSA/FSA cards, so patients can pay without a phone call.
Care-time billing (RPM/BHI)Forgotten 99457/99492 claims.Generated at month close from tracked time; queued automatically.
Visibility into the practiceA quarterly report from your old billing service. Maybe.Live dashboard — Days in A/R, denial rate, top payers, every day.

Curious where your practice is leaving money on the table?

Send us a recent sample of denials and aged balances. We'll come back with an honest, no-commitment read on where the gaps are — and what fixing them could be worth to you.

Get in touch