Complete revenue cycle management for US healthcare practices
You already earned it.
Let's get it paid.
RCMHUB360 helps independent and growing US practices collect what insurance companies owe them. We work your claims, denials, aging AR and credentialing as one coordinated service, so money you earned stops sitting unpaid. People lead the work, and technology keeps it visible.
- Specialty-focused workflows
- Transparent reporting approach
- Tailored onboarding
Claim lifecycle
Illustrative demo — synthetic data
- Eligibility verified270 / 271Coverage active, behavioral health benefit confirmed
- Coded from documentationCPT · ICD-10-CMPsychotherapy, 53 min documented
- ScrubbedPre-submission editsPlace of service and modifier checked
- Submitted837PSent through clearinghouse
- Accepted999 · 277CAClearinghouse and payer acknowledgment
- Paid and posted835 ERAPayment and patient responsibility posted
Allowed
$148.20
Paid by plan
$118.20
Patient copay
$30.00
Today's work queue
- Authorization: 2 approved visits leftRenewal requested
- 277CA rejection — subscriber ID mismatchCorrected, resubmitted
- Paid below fee scheduleUnderpayment review
Built for the way your specialty actually bills
Revenue leaks in different places for a counseling group than for a PT clinic. Start with the page for your specialty — each one covers the bottlenecks, coding nuance and payer rules that matter to you.
- Behavioral healthBehavioral health and counselingGroup therapy practices, LMHC, LCSW, LMFT and psychologists — recurring sessions, many payers.Clinician credentialingSession-time codingAuthorization limitsHow we handle behavioral health billing
- Behavioral healthPsychiatry and PMHNP practicesPsychiatrists and psychiatric nurse practitioners — E/M, psychotherapy add-ons and telehealth.E/M + psychotherapy add-onsPMHNP enrollmentMulti-state telehealthHow we handle psychiatry billing
- Therapy & rehabPhysical therapyOutpatient PT clinics — timed units, therapy modifiers, plans of care and visit limits.Timed unitsGP / KX / CQ modifiersPlan of care datesHow we handle physical therapy billing
- Physician & outpatientChiropracticChiropractic clinics — medical necessity, active vs maintenance care and coverage limits.Active vs maintenanceAT / GA modifiersVisit capsHow we handle chiropractic billing
Every revenue cycle function, under one accountable team
Use the full cycle or the parts you need. Either way, one team owns the handoffs between them.
Get set up correctly
Before the first claim can be paid.
- Credentialing, payer enrollment and contractingCAQH, NPPES, PECOS, Medicaid and commercial payer enrollment, revalidation and roster updates.
- EDI, EFT and ERA setupClearinghouse connections and 270/271, 837, 999/277CA, 276/277 and 835 transaction setup.
- Practice launch and onboardingRevenue-cycle readiness, payer strategy, enrollment and go-live support for new practices.
Get claims right the first time
Front-end accuracy that prevents denials.
- Eligibility, benefits and prior authorizationCoverage checks, benefit summaries and authorization tracking before the visit.
- Medical coding and coding qualitySpecialty-appropriate ICD-10-CM, CPT and HCPCS coding with reviews and documentation queries.
- End-to-end medical billingCharge entry through payment — claims built, scrubbed, submitted and followed until resolved.
Get paid and stay current
Every dollar followed to a resolution.
- Payment posting and reconciliationERA and EOB posting, adjustments, refunds and deposit reconciliation.
- Accounts receivable managementAging analysis, claim follow-up, timely filing protection, underpayments and appeals.
- Denial prevention and appealsFront-end checks, denial categorization, appeals and trend reporting to stop repeat denials.
- Patient billing helpdeskPatients get clear answers about statements and balances — no clinical advice, ever.
The revenue cycle, end to end
Eight stages, one owner. Each stage has a check that stops a problem from becoming a denial in the next one.
- 1
Eligibility
Coverage, benefits and authorization needs confirmed before the visit.
- 2
Documentation and coding
Codes assigned from signed documentation, with provider queries when unclear.
- 3
Clean claim
Edits, modifiers and payer rules checked before submission.
- 4
Payer response
Acknowledgments and rejections watched daily, fixed the same cycle.
- 5
Payment posting
ERAs and EOBs posted line by line and reconciled to deposits.
- 6
Denial follow-up
Denials categorized, corrected or appealed, with root causes fed back.
- 7
Patient resolution
Clear statements and respectful answers to billing questions.
- 8
Analytics
Monthly reporting on what moved, what's stuck and what to fix next.
Why practices choose a connected partner
- Specialty pathways, not one generic process
- A therapy group's session limits, a psychiatrist's add-on codes and a PT clinic's units each get their own checks. We say plainly which specialties we support today.
- One team across the cycle
- Credentialing, billing, AR and denials sit with the same team, so an enrollment problem isn't discovered three months later as a stack of denials.
- Work you can see
- Open work queues, appeal status and enrollment trackers are shared with you, not summarized away.
- Reporting defined before we start
- We agree what is measured and how, so month-one numbers are a real baseline rather than a sales slide.
- Onboarding with a readiness check
- System access, payer enrollment, fee schedules and open AR are reviewed before go-live, and the handoff from your current setup is planned.
- People decide; technology assists
- Coding, appeals, adjustments and payer disputes are always reviewed by a person. Technology helps prioritize and spot patterns.
Technology that supports people — not the other way round
Our team uses technology-enabled workflows to prioritize work, spot patterns and keep reporting current. Every decision that affects a claim, a payment or a patient balance is made by a person.
- Role-based, minimum-necessary access
- Human review
- Audit trails
- Vendor risk review
| Task | Manual process | Technology-assisted, human-reviewed |
|---|---|---|
| Finding claims that need work | Staff scroll aging reports and work oldest first. | Work queues are sorted by filing deadline, value and likelihood of a quick fix, then worked by a person. |
| Understanding denials | Denials are read one at a time; patterns surface months later, if at all. | Denials are grouped by reason, payer and provider so recurring causes are visible within the month. |
| Scrubbing claims | Billers rely on memory of each payer's rules. | Payer-specific edits flag likely problems before submission; a biller decides the fix. |
| Payer correspondence | Every appeal and letter is drafted from scratch. | Structured drafts are prepared from claim data; a person reviews, edits and approves every letter. |
What we measure, and what each number tells you
We don't quote industry benchmarks or other clients' results. We measure your baseline in the first reporting cycle and show the trend from there.
| Metric | What it tells you | How it's reported |
|---|---|---|
| Clean claim rate | How often claims are paid on first submission without correction. | Monthly, by payer |
| Days in AR | How long it takes, on average, to collect a dollar you've billed. | Monthly trend |
| Initial denial rate | How many claims a payer denies the first time — and why. | By reason, payer and provider |
| AR over 90 days | How much of what you're owed is aging past the point where it gets harder to collect. | Aging buckets |
| Charge lag | How quickly visits become claims. | Days from service to charge |
| Net collection rate | How much of the collectible amount was actually collected after contractual adjustments. | Monthly, once baseline is set |
| Payer mix | Where revenue comes from and which payers create the most work. | Quarterly |
Getting started, in four steps
Timelines depend on your systems, payers and current backlog, so we set them together during the assessment rather than promise them up front.
- 1
Discovery call
20–30 minutes on your specialty, payers, systems and where revenue gets stuck.
- 2
Assessment
With your permission, a structured look at workflows, AR and enrollment status — through secure access, never this website.
- 3
Tailored proposal
Written scope, what's included and excluded, responsibilities on both sides and pricing based on your volume.
- 4
Implementation and reporting
Access, workflows and handoff planned and executed; monthly reporting starts from an agreed baseline.
Who's behind the work
Built on hands-on US healthcare revenue cycle experience.
On your discovery call you'll meet the people who would run your account, and we'll share their experience and credentials directly — rather than list claims on a website you can't verify.
If we aren't the right fit for your specialty or volume, we'll say so on that call.
What you can expect from us in writing
- A scope of work listing what's included and excluded
- Defined reporting: which metrics, how often, from which baseline
- Who on your team we need, and for what
- How access to your systems is granted and removed
Questions practices ask before switching
How does switching from our current billing company work?
We plan the transition with you: system access, open claims and who works which balances during the handoff. Existing AR can be included as a defined clean-up project or left with your current vendor to finish, so ownership is never unclear.
Do we need to change our EHR or practice management system?
No. We work in the systems you already use where user access can be provisioned for our team. If a system cannot support an outside billing team, we'll tell you during the assessment.
What exactly is included in the contract?
The proposal lists every service in scope, what is excluded, what we need from your team and how results are reported. You choose which services to include — full-cycle billing or specific functions such as credentialing or AR.
Who does the coding?
Coding is done by people on our team, from your providers' documentation. We query the provider when documentation is unclear and never code what isn't documented. We'll introduce the team assigned to your account during the consultation.
How do you handle HIPAA?
RCM work involves protected health information, so we discuss a business associate agreement (BAA) as part of contracting and work through access you control. This website itself never asks for PHI. A website alone isn't proof of compliance; ask us about our safeguards on the call.
Will you talk to our patients?
Only if you choose the patient billing helpdesk service. Conversations are limited to billing questions; anything clinical is routed back to your practice.
How much does it cost?
Pricing is custom and depends on specialty, claim volume, payer mix and scope. Common models include a percentage of collections, a per-claim fee or a flat monthly fee. We'll explain which fits your practice and put it in writing — no surprises.
Can you guarantee higher collections?
No — and you should be cautious of anyone who does. What we commit to is a defined process, transparent reporting and accountability for the work in scope. Results depend on your payers, documentation and starting point.
Talk through your revenue cycle with a specialist
Tell us where payments are getting stuck. In 20 to 30 minutes we'll show you what we'd check first, and tell you plainly if we can help.
Prefer to message? WhatsApp us. Please do not send patient information.