Maximize Your Practice Revenue with Our Premium RCM Services
99% claim accuracy powered by RPA automation
Insurance payments processed within 26 days
Free provider credentialing with preferred payors
Boost revenue by 20% through faster collections
Ensure steady cash flow with proactive A/R follow-ups
How Our Revenue Cycle Services Work
Emrys Billing Solutions employs a thorough strategy in Revenue Cycle Management (RCM) services, optimizing every stage of the patient process to maximize revenue opportunities. We begin with accurate patient registration and eligibility verification, ensuring up-to-date information capture to minimize claim denials.
Our experienced coders provide precise coding and charge capture, maximizing reimbursements while reducing compliance risks. By leveraging advanced technology and industry best practices, we enable efficient real-time claims monitoring, proactively addressing issues to minimize denials and ensure timely payments.
Our RCM experts focus on overturning denied claims and recovering revenue that might otherwise be lost. With timely and accurate payment posting, we help maintain a healthy revenue cycle. With Emrys Billing Solutions’ RCM services, you can expect stronger cash flow, fewer errors, and a streamlined financial process.
Securing Your Data: A HIPAA-Compliant Approach
At Emrys Billing Solutions, your data’s security is our highest priority. We strictly adhere to HIPAA standards and go beyond compliance by implementing proactive safeguards at every stage of the revenue cycle. Our advanced security framework ensures that your healthcare information remains protected, confidential, and accessible only to authorized personnel.
Uptime Assurance
We ensure uninterrupted RCM services by maintaining an impressive 99.9% uptime
Disaster Recovery
Ensure data accessibility with strong, reliable disaster recovery measures.
HIPAA Compliance
Rigorous measures are in place to meet and exceed HIPAA regulations.
SOC-1 & SOC-2
We strictly adhere to SOC-1 and SOC-2 standards to ensure maximum security.
Our Achievements in Numbers
Fully trained on your EMR/EHR
Our medical billing specialists know the workarounds of all the EHRs. We help you submit clean claims no matter which EHR you use.
The 6 Core Benefits of Full-Scope RCM Outsourcing
Full-scope Revenue Cycle Management goes far beyond basic billing — it transforms your clinical operations into a high-efficiency financial engine.
1. Accelerated Cash Flow
Reduce Days in A/R down to under 22 days with 24-hour electronic claim batch filing and automated clearinghouse status tracking.
2. Undercoding Elimination
AAPC/AHIMA coders review chart documentation to ensure proper E/M levels, specialty modifiers, and HCC risk score capture.
3. 100% Denial Appeals
Every denied claim is immediately analyzed, corrected, and appealed with clinical documentation — zero claims written off without rework.
4. Reduced Overhead
Eliminate billing staff salaries, benefits, software licensing fees, and turnover risks while gaining an entire team of RCM experts.
5. Total Compliance Security
Full HIPAA, OIG, SOC-2 Type II, and HITRUST compliance with annual risk audits and AES-256 data encryption.
6. 24/7 Real-Time Dashboards
Complete transparency with live KPI reporting on clean claim rates, denial trends, aging A/R, and net collection ratios.
The 3 Core Phases of Revenue Cycle Management
Emrys Billing Solutions manages every stage of your revenue cycle — from patient scheduling before the visit to final payment posting after adjudication.
Patient Access & Intake
Catching errors before the patient walks through the door to eliminate front-end rejections.
- Patient registration & demographic scrubbing
- Real-time insurance eligibility (270/271)
- Prior authorization & referral management
- Point-of-service copay/deductible estimate
Clinical Documentation & Coding
Transforming clinical charts into clean, compliant electronic claim batches within 24 hours.
- AAPC/AHIMA certified CPT & ICD-10 coding
- Modifier application (25, 59, XE/XS, KX)
- CCI edit & Medically Unlikely Units scrubbing
- 24-hour electronic claim submission (837P/837I)
Adjudication & Recovery
Reconciling payments, appealing denied claims, and recovering uncollected patient balances.
- ERA/EOB auto-posting (835) & deposit audit
- Immediate denial root-cause appeal filing
- Aggressive aging A/R recovery (30, 60, 90, 120+ days)
- Patient statements & payment portal integration
The 10-Step Revenue Cycle Management Process
From initial patient scheduling to final bank deposit, here is how Emrys Billing Solutions optimizes every step of your revenue cycle.
Patient Appointment & Scheduling Audit
Capturing complete patient demographics, guarantor information, primary/secondary insurance cards, and contact details during scheduling.
Real-Time Eligibility & Benefits Verification
Performing 270/271 electronic transactions to confirm active coverage, copays, deductibles, coinsurance, and out-of-pocket maximums pre-visit.
Prior Authorization & Pre-Certification
Securing prior authorizations for diagnostic imaging, surgeries, specialty visits, and procedures to prevent non-covered service denials.
Clinical Documentation & Certified Coding
AAPC/AHIMA coders review physician charts to assign highest-specificity ICD-10-CM diagnosis codes, CPT procedure codes, and E/M levels.
Pre-Submission Charge Scrubbing
Running automated CCI edit rules, verifying specialty modifiers (25, 59, XE/XS, KX), and checking MUV limits before transmission.
24-Hour Electronic Claim Filing (837P / 837I)
Transmitting electronic claim batches via ANSI 837P and 837I formats to commercial and government clearinghouses within 24 hours of encounter.
ERA / EOB Payment Posting & Contract Audit
Auto-posting 835 ERA files down to line-item detail, reconciling bank deposits against posted amounts, and auditing payments vs contracted fee schedules.
Denial Root-Cause Resolution & Appeals
Categorizing denials by CARC/RARC codes, resolving clearinghouse rejections same-day, and submitting formal written appeals with medical necessity notes.
Aggressive Aging A/R Account Recovery
Dedicated A/R phone calls to payer reps for claims older than 30, 60, 90, and 120+ days to reduce practice Days in A/R under 22 days.
Patient Statements & Payment Portal Integration
Generating clear, itemized monthly patient statements with digital credit card / ACH portal links and empathetic patient billing support hotline.
Industry Average vs. EBS Revenue Cycle Performance
See how Emrys Billing Solutions outperforms standard MGMA practice benchmarks across every key financial metric.
| Key RCM Performance Metric | Industry Average (MGMA Benchmark) | Emrys Billing Solutions (EBS) |
|---|---|---|
| Clean Claim First-Pass Rate | 82% – 88% | 98.7% (Guaranteed AAPC Scrubbing) |
| Average Days in A/R | 35 – 55 Days | < 22 Days |
| Initial Claim Denial Rate | 9% – 15% | < 2.5% |
| Net Collection Ratio | 91% – 94% | 98.2% |
| A/R Older Than 90 Days | 18% – 25% of total A/R | < 8% of total A/R |
| Denial Rework & Appeal Rate | 35% – 50% written off without rework | 100% Aggressive Denial Appeal Rate |
| Claim Electronic Filing Lag | 3 – 7 Days post-encounter | < 24 Hours post-encounter |
| Overall Cost to Collect | 8% – 12% of net revenue | 4% – 7% (Performance-Based) |
Calculate Your Practice's RCM Revenue Opportunity
Use our interactive calculator to estimate how much additional annual revenue your practice could gain by optimizing your revenue cycle with EBS.
Enter Practice Parameters
Estimated Financial Uplift with EBS
Integrated with 50+ Leading EHR & PM Systems
Zero software migration fees. Our RCM team connects directly with your existing Electronic Health Record and Practice Management systems via secure API or direct remote access.
Epic Systems
Full Cadence & Resolute RCM Integration
Athenahealth
AthenaCollector & Billing API Integration
Kareo (Tebra)
Kareo Billing & Clinical Integration
eClinicalWorks (eCW)
eCW RCM & Clearinghouse Bridge
AdvancedMD
AdvancedMD PM Suite Integration
DrChrono
DrChrono EHR & Medical Billing API
Practice Fusion
Practice Fusion Billing Partner Setup
NextGen Healthcare
NextGen Ambulatory EHR Integration
Frequently Asked Questions About Revenue Cycle Management
Have questions about switching to full-scope RCM services with EBS? Here are direct answers to common practice manager inquiries.
Ready to Optimize Your Revenue Cycle?
Stop letting administrative inefficiencies, claim rejections, and aging A/R drain your practice revenue. Partner with Emrys Billing Solutions for end-to-end RCM excellence.
Get our complimentary 30-Point RCM Practice Audit & Strategy Session — zero obligation.
End-to-End Revenue Cycle Management
Optimize every touchpoint of your practice's financial lifecycle. From patient scheduling to final payment posting, we align your operational workflows to maximize profitability.
What is Revenue Cycle Management (RCM)?
While standard medical billing focuses strictly on submitting claims, Revenue Cycle Management (RCM) encompasses the entire lifecycle of a patient account. It begins the moment a patient schedules an appointment and ends only when the balance on their account is fully resolved.
At Emrys Billing Solutions, our RCM framework is designed to eliminate front-end bottlenecks, prevent back-end denials, and accelerate your cash flow. By utilizing expert billing practices and advanced analytics, we transform your revenue cycle from a stressful burden into a streamlined, profit-generating machine.
The Emrys RCM Framework
A holistic, proactive approach to capturing every dollar your practice rightfully earns.
Patient Registration
Capturing accurate demographic data upfront prevents the majority of downstream claim denials. We audit registration workflows to ensure data integrity from day one.
Eligibility Verification
Our systems verify patient insurance coverage, co-pays, and deductibles prior to the visit, allowing your front desk to collect patient responsibility at the time of service.
Charge Capture & Coding
Accurate medical coding ensures clinical services are translated into billable charges efficiently, adhering strictly to complex ICD-10 and CPT guidelines.
Claim Submission
Before leaving our system, claims are scrubbed against millions of payer rules. Clean claims are immediately transmitted to clearinghouses for rapid processing.
Payment Posting (ERA)
We rapidly post Electronic Remittance Advice (ERA) files and manual EOBs, ensuring your practice management system reflects real-time financial accuracy.
Analytics & Reporting
Gain total transparency. We provide custom dashboards detailing your Days in AR, Net Collection Rate, and Denial Rates so you can track our performance.
Seamless EMR Integration
Emrys Billing Solutions is entirely technology-agnostic. Whether your practice utilizes Epic, Cerner, Athenahealth, eClinicalWorks, AdvancedMD, or any other major EMR platform, our specialists integrate seamlessly into your existing environment.
We don't force you to change software. Instead, we optimize how you use it.
Furthermore, an optimized revenue cycle requires healthy payer contracts. Our dedicated Provider Credentialing team ensures your physicians are actively enrolled and in-network with all major carriers, preventing costly out-of-network claim rejections.
Speak With an RCM Expert
RCM Frequently Asked Questions
Insights into how we manage and optimize your revenue lifecycle.
What is the difference between RCM and Medical Billing?
Medical billing is a subset of Revenue Cycle Management. While billing specifically deals with coding, submitting claims, and posting payments, RCM covers the entire patient journey—from scheduling and pre-authorization to billing and final collections reporting.
How do you improve Days in A/R (Accounts Receivable)?
We reduce Days in A/R by submitting "clean claims" that pass clearinghouse scrubbing on the first try. For older, existing claims, our dedicated A/R follow-up team relentlessly pursues payers, files appeals within strict time limits, and ensures no claim is left unworked.
Can you handle billing for my specific specialty?
Yes. Our certified coders and billing experts are experienced in a wide range of fields, including Cardiology, Pediatrics, Internal Medicine, and many more. We understand the specific modifiers and coding rules unique to each specialty.
Take Control of Your Revenue Cycle Today
Stop worrying about cash flow and administrative burdens. Partner with Emrys Billing Solutions to experience total financial transparency and growth.