REVENUE CYCLE MANAGEMENT
One partner accountable for the entire revenue cycle
From eligibility check to final payment posting, MBS runs the full cycle inside your existing systems — coding, claims, denials, A/R, and patient balances.
1-2 weeks
Typical setup before the parallel run begins.
90 days reviewed
Claims, denials, and aging in the audit.
One owner
Whole cycle, one scope document, one contact.
Introduction
One partner accountable for every dollar, from eligibility to zero balance
Most practices do not have a billing problem. They have an ownership problem. Eligibility lives at the front desk, coding sits with a contractor, claims go out through a vendor, and no one is answerable for the number at the bottom of the month. Work falls between the seams, and the seams are where cash disappears.
MBS runs the full cycle as a single engagement: verification, coding, submission, rejections, denials, appeals, A/R follow-up, patient balances, and reporting — in your EHR, on a written scope, with a named lead who joins a weekly working call.
Full-cycle RCM fits when the problem is ownership, not one broken step. If you only need coding, denials, or a backlog cleared, a narrower engagement costs less — and we will tell you so.
One scope
Every step named, owned, and in writing before go-live.
Weekly call
A named account lead reviewing your numbers with your team.
Your EHR
We work inside your system — no platform migration required.
Daily claims
Submission daily, clearinghouse rejections worked same day.
Your partner in the revenue cycle
You get real people who learn your practice — a dedicated account manager who knows your payers by name, a standing call to talk through what matters, and reporting that answers your questions before you ask. Never a ticket queue.
Practices with no single owner of revenue
Billing sits with a front-desk team, a coder, and a legacy vendor — and nobody can answer why collections dropped last month.
Groups outgrowing in-house billing
Volume, locations, or providers grew faster than the billing team, and backlog is now the constraint on cash.
Practices mid-transition
A new EHR, a new specialty line, or an acquisition created a gap between charges captured and dollars collected.
Anyone who wants one number to call
You want accountability for the whole cycle, not four vendors each responsible for one step of it.
Scope in writing
What's included — and what you can add
Scope gaps are where RCM engagements fail. Here is exactly what the core engagement covers, plus the services we can add when you need them — each scoped and priced separately, in writing.
Included in full-cycle RCM
- Insurance eligibility and benefit verification
- Charge capture review and coding (CPT, ICD-10, HCPCS, modifiers)
- Claim scrubbing and electronic submission
- Clearinghouse rejection work — same business day
- Payment posting and reconciliation to the deposit
- Denial management, corrected claims, and appeals
- A/R follow-up by aging bucket and payer
- Patient statements, balance calls, and payment plans
- Credit balance and refund review
- Payer contract and fee schedule loading
- Monthly reporting plus a live dashboard
- A named account lead and weekly working call
Available add-on services
- Credentialing and payer enrollmentProvider enrollment, re-credentialing, and CAQH upkeep, scoped and priced on its own.
- Clinical documentation supportDocumentation audits, coder queries, and provider education beyond routine review.
- Front-desk and scheduling supportEligibility, scheduling, and patient-intake coverage staffed by our team when you need it.
- Contract and fee-schedule reviewRate comparison and renegotiation support on the payers that matter most.
Add only what you need
Add-ons are quoted separately and can start at any point in the engagement — no bundled minimums, and nothing added to your invoice without written approval first.
Transition plan
How it works
A transition plan with dates, owners, and a parallel run — not a switch flipped on the first of the month.
Revenue audit
We pull 90 days of claims, denials, and aging, then map where dollars stall. You get the findings whether or not you engage us.
Scope and setup
System access, payer list, fee schedules, clearinghouse routing, and a written scope naming who owns each step.
Parallel run
We take new claims while your prior process winds down, so nothing drops in the handoff. Legacy A/R is worked in a separate queue.
Steady state
Daily submission, same-day rejection work, denial cycles on a fixed cadence, and A/R touched on a schedule by aging bucket.
Review and tune
Monthly numbers with commentary; quarterly we bring the root-cause list — the front-end and documentation fixes that stop denials from recurring.
Who owns what
Every step above has a named owner on both sides before go-live. You keep the front desk and the clinical note; we own everything from verification to zero balance.
See a sample transition plan
First 90 days
What actually changes in the first quarter
- Same-day work on clearinghouse rejections instead of a weekly sweep
- Denials grouped by reason code, with the top three assigned an owner
- Aged A/R worked in its own queue so legacy dollars are visible
- A written scope naming who owns eligibility, coding, and patient balances
- One monthly report with commentary — not a raw export
Reporting
What we report on
Your baseline is measured during the audit, and every number below is reported against that baseline. We publish your practice's figures — not industry averages.
Revenue Overview
Total Collections
$1,248,732
▲ 18.7%
Clean Claim Rate
98.2%
▲ 12.4%
Denial Rate
2.1%
▼ 38.6%
Days in A/R
28
▼ 19.3%
Collections Trend
Payer Mix
View all- Medicare42%
- Commercial36%
- Medicaid12%
- Other10%
Client results, Aug 2026. Trend line shows trailing 12 months. Results vary by practice.
Illustrative dashboard layout. Figures shown are sample values, replaced by your practice's data after the audit baseline is set.
Pricing
How pricing works
One model: a percentage of collections. Your rate follows the audit, because quoting before seeing your claims and A/R is guesswork.
Percentage of collections
We get paid when you get paid. That keeps the incentive on collected dollars rather than claim counts, and it means a slow month for you is a slow month for us.
- One percentage covers the full cycle — coding support, submission, denials, A/R, and patient balances.
- No per-claim fees, no per-seat fees, and no charge for the standard reporting package.
- Add-on services are quoted separately and only billed after written approval.
What sets your rate
- Monthly claim volume and average claim value
- Specialty complexity and modifier burden
- Payer mix, including Medicaid and workers' comp share
- Condition of existing A/R at takeover
- Whether patient billing and calls are in scope
- Number of tax IDs, locations, and EHR instances
FAQ
Questions we answer on every call
How long does the transition take?
Setup typically runs one to two weeks, with a parallel run through week four. We submit new claims while your current process finishes its open work, so there is no submission gap.
Do we have to change our EHR or clearinghouse?
No. We work inside your existing systems. If your setup is creating avoidable denials we will document it and recommend a change, but the recommendation is yours to accept.
What happens to our existing A/R?
It is worked in a separate queue with its own reporting so legacy recovery never gets blended into current-month performance. Aged A/R can also be scoped as a standalone project first.
Will our staff lose their jobs?
Most practices redeploy billing staff to front-end work — eligibility, authorizations, and patient balances — which is where clean claims actually start. We will tell you plainly what we cover and what still needs an internal owner.
Who do we talk to day to day?
A named account lead who knows your payers, plus a weekly working call. Escalations go to a defined second contact with a response commitment in the scope document.
How is coding handled?
Certified coders review charges before submission and query providers when documentation does not support the level billed. Coding can also be engaged on its own if you only need that layer.
Keep exploring
Related solutions
Medical Billing
Claim submission, posting, and follow-up as a standalone service when you keep coding in house.
View the pageDenial Management & Appeals
Work denials to root cause and recover what was previously written off.
View the page
A/R Recovery
A scoped cleanup of aged claims — the lowest-risk way to test how we work.
View the pageStart with the revenue cycle audit
Ninety days of claims, denials, and aging reviewed against your baseline. You keep the findings either way — including the fixes you can make without hiring anyone.
How does your A/R and denial rate compare?
Free benchmark tool — enter six numbers, see your bands against published industry sources, and download a branded PDF.