Revenue Cycle Management Services
Slow Reimbursements Are Not Bad Luck. They Are a Process Problem.
Denied claims, aging A/R, and missed follow-ups do not happen randomly. They happen when the revenue cycle is not managed properly. GenMediTech handles your entire RCM process, from patient registration to final payment, so your practice collects every dollar it has earned.
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Our RCM specialists respond as quickly as possible.
98%
First Pass Clean Claim Rate
30 Days
Average A/R
15–30%
Revenue Improvement
95%+
Customer Retention
$50M+
Claims Processed
100%
HIPAA-Compliant
Where Your Revenue Is Slipping Through
Most practices do not lose revenue all at once. It happens in small breakdowns across the cycle every single day.
Each one costs money. Together they quietly drain your practice month after month.
Our RCM Services
Every part of the revenue cycle managed. No gaps, no hand-offs, no dropped claims.
Patient Registration and Eligibility Verification
Before a single claim goes out we confirm the patient's insurance coverage, co-pays, deductibles, and authorization requirements. Catching errors here prevents the majority of front-end denials before they ever happen.
Prior Authorization and Referral Support
When payer or specialty rules require prior authorization we manage the full submission and follow-up process. Services get billed on time without authorization-related delays holding up your revenue.
Coding and Charge Entry
Our CPC-certified coders assign accurate CPT, ICD-10-CM, and HCPCS codes directly from your clinical documentation. Every charge is entered correctly before a claim is created, no assumptions, no shortcuts.
Claims Scrubbing and Submission
Every claim goes through a completeness and compliance check before it leaves. Clean claims are submitted to payers within 24–48 hours, formatted to each payer's specific enrollment requirements.
Clearinghouse Denial Resolution
When claims are rejected at the clearinghouse level we identify the error, correct it, and resubmit immediately. Clearinghouse rejections do not sit, they get resolved the same day.
Payment Posting and Reconciliation
We post all ERAs and EOBs accurately and reconcile every payment against expected reimbursement amounts. Underpayments are flagged and pursued, not ignored.
Secondary Claim Filing
When multiple payers are involved we handle secondary claim filing to maximize reimbursement. No coordination of benefits issues. No revenue left uncollected.
Denial Management and Appeals
Every denial gets reviewed for root cause, coding error, missing modifier, authorization issue, or eligibility problem. We fix it and resubmit with proper documentation. We also track denial patterns so the same issue does not repeat.
Accounts Receivable Follow-Up
We work outstanding A/R on a structured follow-up cadence, prioritizing high-value aging buckets and payer-specific response patterns until every recoverable balance is resolved.
Patient Statements and Collections
We handle patient-facing billing clearly and professionally. Accurate statements, clear communication, and faster patient collections without damaging the provider-patient relationship.
RCM Reporting and Performance Visibility
Every month you receive a performance report covering clean claim rate, denial breakdown, A/R aging, and collection trends. You always know exactly where your revenue cycle stands.
Credentialing and Provider Enrollment
We manage the full provider credentialing and payer enrollment process, from initial applications to re-credentialing and updates. Providers get enrolled faster so billing can begin without delays.
Included FreeEvery service in your revenue cycle — handled from start to finish. No à la carte fees.
Get Free ConsultationHow We Manage Your Revenue Cycle
Seven structured steps. Front-end to final resolution. Every stage handled with the same rigor.
Patient Registration and Eligibility
Coverage, benefits, co-pays, and authorization requirements confirmed before the encounter. Front-end errors stopped before claims are created.
Front-End VerificationCoding and Charge Entry
CPC-certified coders review documentation and assign correct CPT, ICD-10-CM, and HCPCS codes. Every charge entered accurately before claim creation begins.
CPC-Certified CodersClaims Scrubbing and Submission
Every claim goes through a compliance and completeness review. Clean claims submitted within 24–48 hours.
24–48hr SubmissionPayment Posting
Insurance and patient payments posted accurately. Every ERA and EOB reconciled. Underpayments flagged immediately.
ERA/EOB ReconciledDenial Management
Root cause identified. Issue corrected. Claim resubmitted with documentation. Patterns tracked to prevent recurrence.
Root-Cause AppealsSecondary Filing and A/R Recovery
Secondary claims filed where applicable. Outstanding A/R worked consistently until every recoverable balance is resolved.
Full A/R RecoveryMonthly Reporting
Clear KPI report every month — clean claim rate, denial categories, A/R aging, and payer performance trends.
Monthly KPI ReportEHR And Billing Platforms We Work With
Our RCM workflows integrate with major EHR and practice management platforms without disrupting your existing setup.
Using a different platform? Ask us. We support 15+ EHR and practice management systems.
What's Inside Your Monthly KPI Report
You see exactly what is happening with your revenue every month. No black-box reporting. No surprises.
Clean Claims Rate
98%
First-pass accuracyDays in A/R
<30
4 days fasterDenial Overturn Rate
94%
Appeals wonNet Collection Rate
96%
Insurance + patient| KPI | What It Measures |
|---|---|
| Clean Claims Rate | First-pass submission accuracy |
| First-Pass Resolution Rate | Claims paid without rework |
| Days in A/R | How long claims take to get paid |
| Denial Rate | By payer and by reason code |
| Denial Overturn Rate | Appeals won versus filed |
| Net Collection Rate | Insurance and patient combined |
| Payer Turnaround Time | Speed by individual payer |
No black-box billing. You see exactly what is working and what needs attention — every single month.
Get a Free ConsultationIn-House vs Outsourced RCM
Many practices ask whether to keep RCM in-house or outsource it. Here is how the two compare across the metrics that matter most.
| Factor | In-House RCM | Outsourced RCM (GenMediTech) |
|---|---|---|
| Staffing cost | Full salaries, benefits, training | Included in service fee |
| Coding expertise | Limited to in-house knowledge | CPC-certified coders across specialties |
| Denial recovery | Often limited by capacity | Structured root-cause workflow |
| A/R follow-up | Frequently inconsistent | Structured cadence by aging bucket |
| Credentialing | Separate process and cost | Included free with billing |
| Reporting | Manual, often delayed | Monthly KPI report on schedule |
| Scaling with growth | Requires new hires | Capacity scales without delay |
| Compliance updates | Internal responsibility | Tracked across all payers |
Insurance Payers We Work With
We bill across all major payer types. Each one comes with its own rules, fee schedules, and denial triggers. We know them.
Government
- Medicare
- Medicare Advantage
- Medicaid
- TRICARE
- VA Community Care
Commercial
- UnitedHealthcare
- BCBS
- Aetna
- Cigna
- Humana
- ACA Marketplace Plans
Specialty
- Workers' Compensation
- No-Fault / Personal Injury
- Behavioral Health MCOs
- IPA / ACO / PHO Networks
Revenue Cycle Problems We Fix Every Day
These are the most common revenue cycle breakdowns we see — and exactly how we resolve them.
We audit denial patterns, identify root causes across coding, eligibility, and documentation, and implement fixes that stop denials before they happen.
Unworked receivables do not recover on their own. We follow up with a structured cadence until every recoverable balance is resolved.
We identify the error and correct it the same day. Clean claims go back out immediately.
Missed secondary filings mean missed reimbursements. We handle coordination of benefits correctly every time.
Monthly KPI reports show you exactly where revenue is gained or lost — denial breakdown, A/R trends, clean claim rate, and payer-specific performance.
Switching From Your Current Billing Company
Most practices that come to GenMediTech are leaving another billing partner. We have built the transition to protect your revenue during the handover.
7–14
Business Day
Handover
Claims in flight kept active so nothing falls through
Aged A/R from your previous billing company worked alongside new claims
EHR access and payer credentials confirmed before go-live
Workflow handover completed in 7 to 14 business days
No gaps in cash flow during transition
Your Transition Timeline
Day 1–3
Kickoff call, EHR access granted, fee schedule loaded
Day 4–7
Payer credentials confirmed, in-flight claims reviewed
Day 8–14
Workflow handover complete, live billing begins
Ongoing
Aged A/R recovery from prior company runs in parallel
Specialties We Support
Our RCM workflows are built around specialty-specific billing rules, payer contracts, and coding requirements.
Nationwide Coverage
GenMediTech provides RCM services to healthcare practices across all 50 U.S. states. HIPAA-compliant remote workflows support multi-state telehealth and group practices.
50
U.S. States
Geography is never a barrier to getting paid.
Whether you are a single-state practice or a multi-state telehealth provider, our HIPAA-compliant remote billing workflows cover every payer, in every state. No local office required — just compliant, consistent billing wherever you are licensed to practice.
Who We Work With
From solo practices to health systems — our RCM workflows are built around your size, specialty, and operational reality.
Small and Independent Practices
No in-house billing team? We handle your entire revenue cycle so your staff focuses on patients, not paperwork.
Multi-Provider Clinics
More providers means more claims, more codes, and more room for error. We manage everything with structured workflows and consistent reporting across every provider.
Hospitals and Health Systems
Large organizations need structured denial management, clean reporting, and consistent payer follow-up. We deliver all three without disruption.
Specialty Practices
Specialty billing comes with unique payer rules, prior authorization requirements, and coding complexity. We know your specialty and manage it accordingly.
Telehealth Providers
Virtual care billing has its own payer policies and multi-state reimbursement challenges. We stay current so your claims never fall behind.
Why GenMediTech for RCM
Six reasons healthcare practices trust GenMediTech with their entire revenue cycle.
Free Credentialing With Billing
Provider credentialing is included free when you partner with us for RCM. No separate contract. No hidden fee.
98% First Pass Clean Claim Rate
Fewer denials. Faster payments. Less back and forth with payers.
CPC-Certified Coders
Every chart coded accurately against current CPT and ICD-10-CM standards. No guesswork.
Complete Denial Visibility
Every denial comes with a root cause explanation and corrective action. The same denial does not come back twice.
Transparent Monthly Reporting
Full visibility into your revenue cycle every month. You see exactly what is working and what needs attention.
Full HIPAA Compliance
Every workflow encrypted, access-controlled, and fully compliant at every step.
Frequently Asked Questions
Common questions about our RCM services, credentialing, and revenue cycle process.
How is RCM different from medical billing?
Medical billing is one part of RCM. Revenue cycle management covers the full financial workflow, from patient registration and eligibility verification through coding, claims submission, denial management, A/R recovery, and patient collections.
How quickly do you submit claims?
Clean claims go out within 24–48 hours of receiving complete documentation.
Do you handle secondary claim filing?
Yes. When multiple payers are involved we manage the full coordination of benefits process and file secondary claims to maximize reimbursement.
What happens when a claim gets denied?
We identify the exact denial reason, correct the issue at the source, whether it is a coding error, missing modifier, or authorization problem, and resubmit with proper documentation.
How do you handle accounts receivable?
We work A/R on a structured follow-up cadence by aging bucket and payer response pattern until every recoverable balance is resolved.
Do you work with our EHR?
Yes. Our team works across all major EHR platforms including Epic, Athenahealth, eClinicalWorks, Oracle Cerner, NextGen, AdvancedMD, and 15+ others without disruption to your existing workflows.
Is credentialing really included free with RCM?
Yes. CAQH setup, payer enrollment, and ongoing revalidation are included when you sign up for RCM services with GenMediTech. No separate fee. No additional contract.
How long does onboarding take?
Most practices are fully onboarded in 7 to 14 business days. EHR access, payer enrollment confirmation, fee schedule loading, and workflow handover all happen within that window.
Is our patient data secure?
Yes. Every workflow at GenMediTech follows strict HIPAA protocols, encrypted data handling and controlled access at every step.
Every Day of Delayed Revenue Is Money You Have Already Earned.
Unworked denials and aging receivables do not fix themselves. Our RCM specialists are ready to recover what your practice is owed, starting now.
Book a Free Consultation
Our billing & revenue cycle specialists respond as quickly as possible.