Revenue cycle management · document 01

Billing, run to spec. Get paid more, faster.

RCMGo runs the entire revenue cycle for independent practices — and stops denials before they happen. One flat price. Never a percentage of your revenue.

Free 90-day audit · no obligation · about 15 minutes to request

Rate
$2 / claim
Minimum
$300 / mo
Percent of revenue
0% — ever
Eligibility & benefits verified in real time s.01 Coding & charge entry current CPT/ICD-10, audit-ready s.02 Scrubbing engine multi-layer checks per claim s.03 NCCI edits MUE limits payer edits live eligibility Same-day submission higher first-pass rate s.04 Payer adjudication tracked claim by claim s.05 Paid — posted & reconciled ERA + manual posting s.06 denied? appeal → resubmit
Claim lifecycle · scrubbed before submission · every denial root-caused, appealed and resubmitted — included in the flat rate.

Two ways to engage

Run the billing — or recover what you're already owed.

Most practices start with the free audit, then pick one of two engagements. Both are priced so we only do well when you do.

Offer A / ongoinglead engagement

Full revenue cycle management

Your entire billing operation, end to end — run by our team inside your existing systems.

$2 per claim

$300/mo minimum per provider · all-inclusive

Flat rate. Never a percentage of revenue. No setup fee. No long-term lock-in. No hidden fees.

  • Eligibility, coding, claim scrubbing & submission
  • Payment posting, A/R follow-up, patient statements
  • Denial management & appeals — included, never billed extra
  • Monthly reporting on every dollar

Start with the free audit

Offer B / usually one-timecontingency

A/R recovery

Old, denied and underpaid claims re-worked, corrected and appealed — money you've already earned, collected at last.

Pay as we collect

you pay only from what we actually recover

No recovery, no fee. It begins with the free audit.

  • Denied claims corrected and appealed
  • Underpayments identified and pursued
  • Aging A/R worked line by line

See what's recoverable

Scope of work

Every function of the revenue cycle. One team.

Nine functions, front desk to final payment — all covered by the same flat rate.

Eligibility & Benefits Verification

Real-time coverage checks before the visit — so problems surface before the claim, not after.

Charge Entry & Demographics

Clean, complete patient and charge data at the front of every claim.

Medical Coding

Current CPT and ICD-10 coding, kept audit-ready.

Claim Scrubbing & Submission

Multi-layer edits applied before submission — a higher first-pass rate, fewer reworks.

Payment Posting

ERA and manual posting, fully reconciled against every remit.

Denial Management & Appeals

Every denial worked, root-caused and appealed.

Included — never billed extra

A/R Follow-up & Recovery

Aging claims pursued until they resolve — not parked in a report.

Credentialing & Enrollment

Payer credentialing and enrollment handled, including for new providers.

Patient Billing & Support

Statements sent and patient billing questions answered.

How denials get stopped

A validation engine in front of every claim.

Our proprietary multi-layer claim-validation and scrubbing engine checks every claim before it goes out the door — the point where denials are cheapest to prevent. Clean claims leave same-day.

System-agnostic by design. Our team works inside your existing PMS/EHR. Nothing to switch, nothing to install, nothing new for your staff to learn.

Billing specialist reviewing claims at a workstation
Every claim reviewed before submission
Layer 01

NCCI edits — code-pair conflicts caught before the payer sees them.

Layer 02

MUE limits — unit counts checked against published maximums.

Layer 03

Fee schedules — charges checked against the amounts payers actually allow.

Layer 04

Payer-specific edits — each payer's own quirks applied per claim.

Layer 05

Live eligibility — coverage confirmed against the payer in real time.

Output

Same-day submission of scrubbed claims — a higher first-pass rate.

See what it would have caught — get my free 90-day audit →

Coverage

Multi-specialty. Deepest in eye care.

We bill across the practice spectrum — with one flagship specialty where our depth is hardest to match.

  • Optometry & Ophthalmology flagship
  • Cardiology
  • Primary Care
  • Orthopedics
  • Dermatology
  • OB/GYN
  • Pediatrics
  • Internal Medicine
  • Urgent Care
  • Physical Therapy
  • Gastroenterology
  • ENT & Podiatry

Don't see your specialty? Ask us — [email protected]

Deep dive · eye care

One visit. Two insurance systems. That's where the money leaks.

A single eye-care visit can split across two insurance systems — medical and vision — and it's exactly where practices quietly lose money. We route every visit correctly, every time.

One eye-care visit routed line by line Medical insurance OCT · fundus · testing Vision plan refraction · routine exam
Optometrist examining a patient's eyes with clinical equipment
  • Medical-vs-vision routing handled correctly on every visit.
  • Refraction balances captured and collected — not written off.
  • OCT, fundus and testing coded so they're paid, not underpaid.

Eye-care practice? Start with the free audit →

Who we help

Sized for independent practices.

Solo practitioners

A complete billing operation without hiring one — every claim handled, every denial worked.

Group practices

Consistent process across providers, with monthly reporting on every dollar.

Multi-location & MSOs

One revenue-cycle standard across all locations and tax IDs.

New & growing practices

Credentialing and payer enrollment handled from day one, so revenue starts when you do.

Rate sheet

One flat rate. Zero percent of your revenue.

Percentage billing means your biller's fee grows every time you do better. Ours doesn't.

RCMGo / full RCMflat rate

$2 / claim

$300/mo minimum per provider · all-inclusive
never a percentage of revenue

SPEC 06-B · your fee, itemized

claim processed$2.00
denial appeal$0.00
setup$0.00
patient statements$0.00
monthly reporting$0.00
% of your revenuenever
  • Denial management & appeals included — never billed extra
  • No long-term lock-in — leave whenever you like
  • Eligibility checks, patient statements and monthly reporting — all included
Get my free audit

Typical billing companypercentage

4–8% of everything you collect

Typical billing companies charge a percentage of collections — so the more your practice earns, the more you hand over, for the same work.

the fee grows with your revenue — not with the work

5–10%

Most practices leak 5–10% of their earnings to preventable denials, missed charges and unworked claims. The free audit shows where yours is going.

Find my leak

Primary next step

The free 90-day A/R audit.

See what you're owed — before you commit to anything. Free, no obligation, about 15 minutes to request.

We review your last 90 days of denials and aging A/R, then hand you a line-by-line list of recoverable dollars — ranked by how fast each one can be collected.

  1. Request the audit

    About 15 minutes with the form on this page. No cost, no obligation.

  2. We review 90 days

    Denials plus aging A/R — worked on de-identified data, so PHI stays protected.

  3. You get the numbers

    Recoverable dollars, line by line, ranked by speed of collection. What you do next is up to you.

Free · no obligation · ~15 minutes. You get a line-by-line list of recoverable dollars — what you do next is entirely up to you.

de-identified data only · PHI stays protected · prefer email? [email protected]

Security & compliance

Your data, handled like the regulated asset it is.

HIPAA-compliant, with a signed BAA for every client. Our controls are mapped to the HIPAA Security Rule — not to marketing copy.

Access follows least privilege: named-user logins, multi-factor authentication, and a full audit trail retained for six years.

U.S. data residency: all patient data is stored and processed on U.S.-based servers and never downloaded or stored on any outside device.
Encryption

AES-256 at rest and in transit.

Residency

All patient data stored and processed on U.S.-based servers — never downloaded or stored on any outside device.

Access

Least-privilege access · named-user logins · multi-factor authentication.

Audit trail

Full audit trail retained 6 years.

Agreements

Signed BAA with every client · controls mapped to the HIPAA Security Rule.

Common questions

Asked before every engagement.

A flat $2 per claim, with a $300/month minimum per provider. It's all-inclusive — denial management and appeals are part of the rate, never billed extra. We never charge a percentage of your revenue, and there are no setup fees or hidden fees.

Full RCM is the ongoing engagement at $2 per claim — we run your entire billing operation day to day. A/R recovery is usually a one-time project on old, denied and underpaid claims, priced on contingency: you pay only from what we actually recover. Most practices start with the free audit and decide from there.

No. We work inside your existing PMS/EHR. There's nothing to switch, nothing to install, and nothing new for your staff to learn.

We're multi-specialty — cardiology, primary care, orthopedics, dermatology, OB/GYN, pediatrics, internal medicine, urgent care, physical therapy, gastroenterology, ENT, podiatry and more. Our deepest bench is in optometry and ophthalmology, where visits split across medical and vision insurance. If you don't see your specialty listed, just ask.

All patient data is stored and processed on U.S.-based servers and never downloaded or stored on any outside device.

Everything is encrypted with AES-256 at rest and in transit, access is least-privilege with named-user logins and multi-factor authentication, and a full audit trail is retained for six years. We sign a BAA with every client.

A no-cost review of your last 90 days of denials and aging A/R, performed on de-identified data so PHI stays protected. You get a line-by-line list of recoverable dollars, ranked by how fast each can be collected. It takes about 15 minutes to request and carries no obligation.

Audit → agreement → we connect to your systems → payer enrollment if needed → a supervised start → full speed. There's no long-term lock-in at any point.

Closing entry

Find out what you're owed. Then decide.

The free 90-day audit puts a number on your recoverable A/R — line by line, ranked by speed of collection, on de-identified data. No cost. No obligation.

Get my free 90-day A/R audit [email protected]

flat $2 / claim · $300 / mo minimum · never a % of revenue