Service · The full front-to-back system

Revenue Cycle Management Services

Q: What's the difference between revenue cycle management and medical billing?

Medical billing is the claims-to-cash core — coding, submitting, and getting paid. Revenue cycle management is the full front-to-back system around it: eligibility and credentialing at the front, denial management, A/R, posting, and reporting at the back. If you want the claims engine, see our medical billing services; if you want the whole cycle owned and reported as one system, that's this page.

Q: Which KPIs will you report on?

The three that matter most to leadership — first-pass clean-claim rate, days in accounts receivable, and net collection percentage — plus denial rate and denial categories, all on a live dashboard your account manager reviews with you. We target clean-claim near 99%, days in A/R under 25, and net collections around 99%.

Q: Do you work our existing aged A/R, or only new claims?

Both. We take on your aged accounts receivable and work it by payer cadence alongside new claims, so the revenue already stuck in the system gets recovered rather than written off during the transition.

Q: Do we have to move all eight stages at once?

No. Many practices start with the stages that hurt most — often eligibility and denial management — and expand to the full cycle as the numbers prove out. Because every stage links to a dedicated component service, you can scope the engagement to exactly what you need.

Q: Is our data secure?

Yes. Every workflow is HIPAA-compliant and runs under SOC 2 Type II controls, and we're an HBMA member firm with AAPC/AHIMA-certified coders. Security and compliance are built into the cycle, not bolted on.

Nobody owns the gaps between the stages. That's where the money goes.

247 Medical Billing Services delivers revenue cycle management services that connect every step from patient eligibility to final payment into one managed system — so more claims pay on the first pass, cash arrives faster, and your leadership sees the whole cycle on a single dashboard. You get a dedicated account manager, a free 360° reporting dashboard, and HIPAA- and SOC 2 Type II-compliant workflows run by a team that has managed healthcare revenue cycles since 2005.

Request a Revenue Review Call +1 888-502-0537

HIPAACompliant SOC 2Type II Since 2005Full cycles 360° DashboardFree

Eligibility to payment Cycle map · Live

Eight stagesone accountable team

01ELIGIBILITY

02CODING

03SUBMISSION

04DENIALS

05A/R

06POSTING

07ENROLMENT

08REPORTING

Run separately, the gaps between them belong to no one

~99%first-pass clean claims

<25days in A/R

~99%net collections

The three numbers a CFO actually cares about

Filed within 24 hoursReviewed with you monthly

What our revenue cycle management covers Eligibility & Benefits Coding & Charge Capture Denial Management A/R Follow-Up Executive Reporting

01One system, not a series of tasks

What full-cycle revenue cycle management actually means

Most practices don't have a revenue problem in one place — they have small losses scattered across a chain of handoffs. An eligibility check that never happened turns into a denial three weeks later. A charge that posts four days late pushes a claim past a filing window. A payment posted to the wrong contractual adjustment hides an underpayment that no one ever appeals. Each leak looks minor on its own, but strung together across a year they are the difference between a healthy margin and a cash-flow scramble.

The reason those leaks persist: no single desk owns the whole chain

Each desk fixes what it can see. What falls between them is nobody's job — and that is precisely where the revenue goes.

The front office sees

The patient in front of them
The schedule and the intake form
Whether the visit happened

Nobody owns

The eligibility check that never happened
The charge that posted four days late
The denial trend nobody fed back upstream
The underpayment buried in an adjustment code

The biller sees

The claim that came to them
The denial that came back
Whether it was resubmitted

Revenue cycle management is the discipline of treating the entire chain as one system rather than a series of disconnected tasks.

Eligibility feeds clean coding, coding feeds clean claims, claims feed disciplined denial work, denial trends feed back into the front end so the same mistake stops recurring, and every dollar is posted, reconciled, and reported. When 247 Medical Billing Services runs your revenue cycle, one accountable team owns all of it — measured against three numbers a CFO or practice owner actually cares about: first-pass clean-claim rate, days in accounts receivable, and net collection percentage. We hold a first-pass clean-claim rate around 99%, days in A/R under 25, and net collections near 99%, because the cycle is engineered end to end instead of patched task by task.

This page is the umbrella; each stage below links down to the specialized service that runs it. If you're comparing this to our broader medical billing services, think of billing as the claims-to-cash core and revenue cycle management as the full front-to-back system wrapped around it.

02A weak link upstream is lost cash downstream

Everything revenue cycle management covers — stage by stage

The revenue cycle is a sequence, and a weak link anywhere upstream shows up as lost cash downstream. We staff every stage with a specialized team and connect them on one record, so the handoffs that usually leak revenue become part of one continuous workflow:

01Verify
Eligibility & benefits
Coverage, plan, copay, deductible, and prior-auth flags verified before the visit — the top denial category stopped at the source.
02Code
Coding & charge capture
Diagnoses and procedures coded to full, defensible specificity by AAPC/AHIMA-credentialed coders; every charge captured.
03File
Claims submission
Scrubbed, clean claims filed within 24 hours and rejections worked the same day.
04Appeal
Denial management
Every denial worked to root cause and prevention rules fed back upstream, recovering roughly 90% of worked denials.
05Chase
A/R follow-up
Aged claims worked by payer cadence and aging bucket until they resolve, pulling days in A/R under 25.
06Post
Payment posting
ERA/EOB posting with contractual-adjustment accuracy and underpayment detection that surfaces silent shortfalls.
07Enrol
Provider enrollment
Clinicians paneled on the right payers and NPIs so claims are billable at all, and providers stay in-network.
08Report
Executive reporting
Clean-claim %, days in A/R, net collection %, and denial trends on a live dashboard your account manager reviews with you.

Cycle stage	What happens here	The 247MBS component service
1. Eligibility & benefits	Coverage, plan, copay, deductible, and prior-auth flags verified before the visit	Insurance eligibility verification — the top denial category stopped at the source
2. Coding & charge capture	Diagnoses and procedures coded to full, defensible specificity; every charge captured	Certified medical coding by AAPC/AHIMA-credentialed coders
3. Claims submission	Scrubbed, clean claims filed within 24 hours and rejections worked same day	Front-end edits and clearinghouse submission built into the cycle
4. Denial management	Every denial worked to root cause and prevention rules fed back upstream	Denial management program recovering roughly 90% of worked denials
5. A/R follow-up	Aged claims worked by payer cadence and aging bucket until they resolve	Accounts receivable follow-up that pulls days in A/R under 25
6. Payment posting	ERA/EOB posting with contractual-adjustment accuracy and underpayment detection	Payment posting & reconciliation that surfaces silent underpayments
7. Provider enrollment	Clinicians paneled on the right payers and NPIs so claims are billable at all	Insurance credentialing that keeps providers in-network
8. Reporting	Clean-claim %, days in A/R, net collection %, and denial trends on a live dashboard	Executive reporting your account manager reviews with you

Each row is a place where money quietly disappears when the stages are owned by different people or different vendors. Eligibility that isn't verified becomes the single largest source of avoidable denials. Charges that lag become claims that miss timely-filing windows. Denials that aren't trended keep repeating because the front end never learns why they happened. Payments posted carelessly bury underpayments that a contract says you're owed. Running these as one connected cycle — not eight separate tasks bought from four separate companies — is what turns a leaky revenue cycle into a predictable one.

Revenue review

Where is your cycle actually leaking?

We'll measure your clean-claim rate, days in A/R, and net collection percentage against where they should be, and put a dollar figure on the gap.

First-pass clean-claim rate, measured not estimated
Aged-A/R balance sized by bucket and payer
Denial categories ranked by what they cost you

HIPAA & SOC 2 Type II Back within one business day No long-term lock-in

Request a Revenue Review

Tell us about your practice.

An RCM specialist will reach out within one business day.

Thanks — we've got it.

An RCM specialist will reach out within one business day.

03Eight disciplines at once

Outsource revenue cycle management to one accountable team

The structural problem

There is a structural reason revenue cycle management is hard to run well in-house: it requires depth in eight different disciplines at once, and few practices can staff a specialist for each. The result is usually a small team of generalists doing all of it adequately and none of it expertly — the eligibility check is rushed because the same person is also posting payments, the denials pile up because A/R follow-up is whatever's left after the claims go out, and no one has time to trend why any of it is happening. When one of those people is out, the whole cycle stalls, because the knowledge and the bandwidth both live in the same few heads.

A team per stage

When you outsource revenue cycle management to 247 Medical Billing Services, each stage gets a team that does only that stage, all working the same record under one account manager. Outsourcing the cycle also converts a large fixed payroll — salaries, benefits, software seats, and the cost of turnover — into a predictable fee that scales with your volume, and it removes the single-point-of-failure risk entirely, because a bench never takes a vacation or resigns mid-month.

The honest trade

As a professional medical billing services company that has run full revenue cycles since 2005, we bring the eight-discipline depth that a general biller or a thin in-house desk simply cannot, and we make it accountable to the same three KPIs every month. For a practice weighing whether to keep patching the cycle internally, this is the honest trade: you stop paying for adequate coverage across every stage and start paying for expert coverage across all of them.

04A partner with a stake in the outcome

Why practices switch their revenue cycle to 247MBS

Bringing us on isn't hiring another biller who files claims and hopes. It's engaging a billing services company that owns the entire cycle and reports on it like a partner who has a stake in the outcome:

We manage the whole cycle, not a slice of itEligibility, coding, submission, denials, A/R, posting, credentialing, and reporting run as one connected process on one record — so the gaps between stages, where most revenue leaks, finally belong to someone.
We measure what leadership measuresYour clean-claim rate, days in A/R, and net collection percentage are tracked on a live dashboard, not buried in a spreadsheet you have to request. You see the cycle the way a CFO would.
We feed the back end into the front endEvery denial is trended to root cause and the fix is pushed upstream — so a payer's eligibility rule or a coding edit that cost you last month stops costing you next month. That closed loop is how denials fall by up to 40%.
We recover what's already stuckAged A/R gets worked by payer cadence until it resolves, underpayments get caught at posting and appealed, and roughly nine of ten worked denials are overturned — turning a work queue back into deposited cash.
You keep visibility and controlA named account manager owns your account, the dashboard is always on, and there's no long-term lock-in — we keep the work because the numbers hold, which is why our client-retention rate sits at 98%.

Engineered end to end, not patched task by task

What practices that move their revenue cycle to us typically see:

~0%

First-pass clean-claim rate

Days in accounts receivable

~0%

Net collection percentage

up to 0%

Fewer denials

0/10

Worked denials overturned

Client retention

05Preventing the denial, not just working it

247MBS vs. a general biller

A general biller files claims and works the denials that come back. Full-cycle revenue cycle management prevents the denial in the first place and reports on the whole system — and the difference shows up on every KPI:

Capability

General billing company

247MBS RCM

Eligibility verified before every visitThe largest source of avoidable denials.

Limited

Full front-end clearance

All eight cycle stages under one teamNot four vendors and a spreadsheet.

One connected system

Denial trends fed back to the front endSo the same mistake stops recurring.

Closed-loop prevention

Live clean-claim %, days in A/R, net collection %Not a spreadsheet you have to request.

Rarely

Executive dashboard

Underpayment detection at postingA contract says you're owed it.

Contract-checked posting

Credentialing kept current so claims stay billableOr the claim rejects on provider eligibility.

Add-on

Built into the cycle

Days in A/R targetRevenue aging in a queue is revenue at risk.

Often 40+

Under 25

Accountable to KPIs, not just claim volumeReviewed with you, on a cadence.

Reviewed monthly

06A defined transition, not a leap of faith

What switching looks like

Moving your revenue cycle to us is a defined transition, not a leap of faith.

We measure the starting line

The review reads your current clean-claim rate, days in A/R, aged-A/R balance, and denial categories, so you and we both know where you stand and the size of the opportunity.

We map, then run in parallel

We map your payer mix, fee schedules, EHR/PM system, and existing workflows, then run a parallel period where we take on the cycle without disrupting the cash you have in flight.

Your aged A/R comes with you

Existing A/R doesn't get abandoned — we work the aged claims alongside the new ones.

Within the first cycles you'll see the dashboard populate, the clean-claim rate climb, and days in A/R start to fall — and your account manager reviews the trend with you on a set cadence, so nothing is a surprise.

07Staffed by stage, not by client

Who we serve

We run revenue cycle management across Medicare, Medicaid, and commercial payers — and because the cycle is staffed by stage rather than by client, a small practice gets the same specialist depth at each step that a large group does. The difference is volume, not expertise.

Independent

Independent practices

Solo and small practices that need the whole back office run, not one task carved out of it.

What decides the moneyDepth they can't staff alone

Groups

Physician groups & multi-specialty clinics

Where eight coordinated disciplines have to hold consistently across many providers and payers.

What decides the moneyConsistency across providers

Facility-affiliated

Hospital-affiliated practices & ASCs

Professional-side cycles running alongside a facility operation, each billed to its own rules.

What decides the moneyProfessional and facility, in step

Overflow

Billing companies needing capacity

Overflow capacity across any of the eight stages, staffed by specialists rather than temps.

What decides the moneyCapacity without a hiring cycle

08Not a one-size fee

Pricing that fits your volume

Revenue cycle management is priced to match the size of your operation. There's no long-term lock-in, because the retention comes from the results.

Most engagements A percentage of collections

Which keeps our incentive aligned with yours — we're paid when you're paid. It scales with your actual volume rather than sitting on your payroll as fixed overhead.

Paid when you're paid

Higher volume or specialised needs A dedicated full-time-equivalent model

A named team costed as FTEs rather than as a share of collections, for operations whose volume or complexity makes that the better fit.

Costed as headcount

The revenue review is where pricing starts: once we've measured your current numbers and volume, we can show you what the engagement costs and — just as important — what recovering your clean-claim rate, days in A/R, and denial percentage is worth against that cost. Request a revenue review

What's the difference between revenue cycle management and medical billing?

Medical billing is the claims-to-cash core — coding, submitting, and getting paid. Revenue cycle management is the full front-to-back system around it: eligibility and credentialing at the front, denial management, A/R, posting, and reporting at the back. If you want the claims engine, see our medical billing services; if you want the whole cycle owned and reported as one system, that's this page.

Which KPIs will you report on?

The three that matter most to leadership — first-pass clean-claim rate, days in accounts receivable, and net collection percentage — plus denial rate and denial categories, all on a live dashboard your account manager reviews with you. We target clean-claim near 99%, days in A/R under 25, and net collections around 99%.

Do you work our existing aged A/R, or only new claims?

Both. We take on your aged accounts receivable and work it by payer cadence alongside new claims, so the revenue already stuck in the system gets recovered rather than written off during the transition.

Do we have to move all eight stages at once?

No. Many practices start with the stages that hurt most — often eligibility and denial management — and expand to the full cycle as the numbers prove out. Because every stage links to a dedicated component service, you can scope the engagement to exactly what you need.

Is our data secure?

Yes. Every workflow is HIPAA-compliant and runs under SOC 2 Type II controls, and we're an HBMA member firm with AAPC/AHIMA-certified coders. Security and compliance are built into the cycle, not bolted on.

clean-claim rate·days in A/R·net collection %

See exactly where your revenue cycle is leaking.

Eight stages run as one connected system, owned by one accountable team, and measured against the three numbers your leadership already tracks. Hand the cycle to a partner that reports on it like it has a stake in the outcome — and stop paying for adequate coverage across every stage when you could have expert coverage across all of them.