Revenue cycle results, explained by the people who deliver them
A two-minute introduction from our revenue cycle leadership: where we typically find leakage, how an engagement starts, and the results our partners measure us on.
Revenue Cycle Management Services
Data-driven strategies customized to fit your unique challenges. Key results across our partnerships:
Leverage proven processes and a highly specialized team to recover aging revenue, work your legacy AR, resolve denials, and maximize your insurance payments.
See in DetailStreamline your business office functions — insurance eligibility verification, prior authorization, claims submission, and support — so your team can focus on critical operations.
See in DetailAccess world-class RCM expertise through hybrid staffing models, local market knowledge, and proven cost reduction strategies blending international and domestic resources.
See in DetailYour blueprint for financial success
End-to-end solutions across the revenue cycle
Complete revenue cycle management with optimized workflows to maximize revenue.
| RCM Stage | What It Covers | Services |
|---|---|---|
| Front-End | The point where patient and financial information is captured and verified before care is delivered, preventing denials before they start. | Financial Clearance · Financial Counseling · Orders & Referrals · Registration · Scheduling · Medicaid Eligibility · Case Management · Utilization Management |
| Mid-Cycle | The clinical documentation and coding stage where care delivered is translated into accurate, compliant billing charges. | Charge Capture · Charge Compliance · Coding · Coding Audits · Strategic Pricing · Charge Description Master (CDM) Optimization · Clinical Documentation (CDI) |
| Back-End | The collections and reporting stage where claims are submitted, followed up, and reconciled to close out the revenue cycle. | AR Management · Cash Posting · Claims Submission · Credits/Refunds · Denials Management · Collections Support · Management and Operational Reporting |
Proven results. Measurable impact.
Frequently asked questions
The questions health system leaders ask us most about RCM services.
What does a revenue cycle management company do?
A revenue cycle management company manages the financial process that runs from a patient’s first appointment through final payment. That includes registration, insurance verification, coding, claims submission, denials management, and collections. Healthrise handles this process end-to-end for hospitals and health systems, so care delivered turns into revenue collected without gaps or delays.
How much can RCM outsourcing reduce costs?
Healthrise clients achieve an average 35% cost reduction through RCM outsourcing. Alongside that, clients see a 10% improvement in collections and a 20% reduction in days in AR. These results come from combining proven processes, specialized staffing, and technology-enabled insights tailored to each organization’s specific challenges.
What’s included in end-to-end RCM services?
End-to-end RCM services cover three stages: front-end, mid-cycle, and back-end. Front-end includes financial clearance, registration, and scheduling. Mid-cycle covers charge capture, coding, and clinical documentation improvement. Back-end includes AR management, claims submission, denials management, and collections support. Healthrise manages all three stages as one connected system rather than isolated tasks.
How is Healthrise different from other RCM firms?
Healthrise is 100% focused on healthcare, with no other industry vertical diluting its expertise. The firm is 100% partner-recommended, has served 30+ health systems, and completed 400+ EHR implementations. Unlike firms that specialize in a single function, Healthrise provides end-to-end support spanning revenue cycle management, EHR services, consulting, and technology, so clients work with one accountable partner instead of coordinating multiple vendors.
