Revenue Cycle Management
End-to-end medical billing and revenue cycle services for independent practices. We handle every step from charge capture to final payment, so your team can focus on care.
What we do, and why it matters
Most independent practices lose 10 to 20 percent of collectible revenue to billing errors, missed follow-up, and slow denial resolution. Our RCM service is designed to recover that revenue and keep it recovered, month after month.
We are not a clearinghouse. We are not a software platform. We are a team of experienced billing professionals who work your accounts the way you would want them worked: thoroughly, promptly, and with a clear understanding of your specialty.
Because our fees are based on net collections, our success is directly tied to yours. We do not get paid unless you get paid.
How it works
A complete revenue cycle process, managed end to end. Here is what we do and in what order.
Practice Setup & Onboarding
We configure your practice management system, establish EDI and ERA enrollments with all payors, and build the workflows your team will use from day one. A clean setup prevents the downstream problems that plague most billing operations.
Charge Capture & Claim Submission
Every encounter is reviewed for payor reimbursement policy accuracy, modifier application, and completeness before submission. Our 98% clean claims rate means the vast majority of claims are paid on the first pass, without delays or rework.
Payment Posting & Reconciliation
We post all payments, contractual adjustments, and patient responsibility balances accurately and promptly. ERA automation handles the volume; our team reviews exceptions and ensures your books reflect reality.
Denial Management & AR Follow-Up
Denials are worked within 24 to 48 hours of receipt. We track denial patterns by payor and root cause, and we use that data to prevent recurrence. AR is segmented by age and payor, and every dollar is pursued systematically.
Patient Statements & Collections
Patient responsibility balances are billed clearly and promptly. We coordinate with patients to resolve balances and manage the collections agency referral process when needed. Patient satisfaction scores are tracked and reported to you monthly so you always know how your patients experience the billing process.
Reporting & Analytics
You receive regular reporting on collections, denial rates, AR aging, and payor performance. We benchmark your practice against industry standards and flag trends before they become problems.
What's included
Our RCM service is comprehensive. The following are included as standard, not add-ons.
Specialty expertise
Generic billing companies apply generic workflows. We know the procedure codes, modifier rules, and payor quirks specific to your specialty. That knowledge is the difference between a 75% and a 98% clean claims rate.
Frequently asked questions
Common questions about revenue cycle management and Uptick Health's approach.
Ready to see what better billing looks like?
Most practices see measurable improvement in clean claims rate and days in AR within the first 90 days. Let's talk about what that could mean for your practice.
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