The Revenue Cycle Problem Costing Health Systems the Most
Most hospitals are losing revenue not because they lack qualified billing staff, but because the complexity of modern payer contracts has outpaced what internal teams can efficiently manage. Denials pile up. Underpayments go unchallenged. Staff turnover disrupts continuity. The result is a revenue leak that compounds quietly over time.
Our RCM partner specializes in complex claims management for hospitals, specialty practices, and health systems. They bring dedicated coding expertise, a disciplined denial management process, and a 98% initial claim acceptance rate that reflects genuine upstream quality control, not just aggressive resubmission.
What the Program Includes
- Full-service claims management from charge capture through payment posting
- Dedicated coding and billing specialists assigned to your account
- 98% initial claim acceptance rate through pre-submission quality control
- Denial management, appeal support, and payer follow-up
- Underpayment identification and contract compliance review
- Transparent reporting and performance dashboards
Who This Is For
This program is designed for hospitals, health systems, and large specialty practices that are experiencing one or more of the following:
- Denial rates above 5%
- Days in AR consistently above 40
- Staff turnover disrupting billing continuity
- Underpayments going unchallenged due to limited internal resources
- New service line launches requiring specialized coding expertise
How It Works
We begin with a no-cost assessment of your current billing performance, denial patterns, and payer contract terms. From there, we identify where the largest revenue gaps exist and develop a transition plan that minimizes disruption to your existing workflow. Most programs are fully operational within 30 days.
There is no fee to Recovered Revenue for placing this program. Our compensation comes from the RCM partner directly. Your cost is the partner’s standard fee structure, which is typically a percentage of collections — meaning they only earn when you collect.
Ready to Talk About Your RCM Performance?
We start with a free, no-obligation assessment of your current billing setup. If there’s a fit, we make the introduction. If not, we’ll tell you straight.
Schedule a Conversation