Revenue Cycle Management

RCM Core & Plus.

Two purpose-built products — same US-based expertise and 98% first-pass rate across both. Start with the complete Core billing cycle, or step up to Plus and add the front-end services your practice needs.

Foundation

RCM Core

The complete billing cycle — clean claims, accurate payments, worked denials, and the data to prove it.

  • Documentation Review
  • Charge Capture & Verification
  • Claim Error Resolution
  • Clean Claim Submission
  • Payment Posting & Allocation
  • Reimbursement & Follow Up
  • Denial Management & A/R Follow-Up
  • Data Analytics / Insight
  • Patient Statements
EXPANDED COVERAGE

Expanded coverage

RCM Plus

Everything in RCM Core, plus one or more of the front-end services below — configured to your workflow. Select any combination, pay only for what you need.

  • All RCM Core components
  • Patient Financial Responsibility
  • Verification of Benefits
  • Prior Authorization
  • Demographic & Eligibility Verification
  • Patient Scheduling & Registration
  • Medical Coding
Side-by-side

What's included in each product.

Every RCM Core service is included in RCM Plus — Plus adds any combination of front-end services on top of the full Core cycle.

Service componentRCM CoreRCM Plus
Included in Core — the complete billing cycle
Documentation Review
Charge Capture & Verification
Claim Error Resolution
Clean Claim Submission
Payment Posting & Allocation
Reimbursement & Follow Up
Denial Management & A/R Follow-Up
Data Analytics / Insight
Patient Statements
Plus add-ons — select one or more
Patient Financial ResponsibilityOptional
Verification of BenefitsOptional
Prior AuthorizationOptional
Demographic & Eligibility VerificationOptional
Patient Scheduling & RegistrationOptional
Medical CodingOptional
Onboarding

RCM implementation timeline — live in 45 days.

01Day 1

Project Planning

  • · Kick-off meeting
  • · Data-gathering forms sent
02Days 2–15

Setup

  • · Onboarding forms
  • · EHR / merchant / helpdesk
  • · EDI & interface setup
03Days 15–30

Monitoring

  • · Account-manager call
  • · Compliance review
  • · Insights setup
04Days 30–45

Execution

  • · Interface & EDI go-live
  • · First charge batch
  • · Leadership sign-off
05Day 45

Completion

  • · First month-end close
  • · Out of implementation
  • · Official go-live
Much more than software

Let's find what your practice is leaving on the table.

Start my revenue check-up
Next steps

See what your practice is leaving on the table.

Tell us about your practice. A senior revenue specialist will reach out within one business day to schedule a no-pressure check-up.

  • No software change required
  • Beat industry averages with our expertise

Speak with a specialist within 1 business day

hello@medusarcm.com

US-based teams · serving all 50 states

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Complimentary revenue check-up

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