From eligibility and charge entry to claim submission, payment posting, and denial recovery — RCMGo runs your practice's complete revenue cycle. Cleaner claims, fewer denials, and recovery of the revenue your current biller wrote off.
First-pass claims rate
Denial rate vs 12% industry avg
Average time to first recovery
Claims audited, not sampled
A broken revenue cycle bleeds money front to back — eligibility errors at check-in, claims that go out wrong, denials nobody appeals, underpayments nobody catches, and aged A/R nobody works. The national denial rate hit 12% in 2025, and less than 1% of denials are ever appealed.
Average claim denial rate across all payers
Of denied claims are ever formally appealed
In initial claim denials issued by payers annually
Of appealed denials are overturned in the provider's favor
Most billing companies just push claims out the door — they don't verify eligibility up front, don't appeal denials, and never catch underpayments. The work falls through the cracks between the front desk and the payer.
RCMGo runs the complete cycle: clean claims submitted right the first time, every denial worked, every underpayment disputed, payments posted and reconciled — plus recovery of the aged A/R your last biller gave up on.
Start with a free auditFrom the front desk to the final payment, we run every stage of the revenue cycle — so your team can focus on patient care instead of chasing claims.
Insurance eligibility verification before every visit. We confirm active coverage, benefits, copays, deductibles, and prior authorization requirements — stopping front-end denials before claims are ever submitted.
Charge entry, claim scrubbing, electronic submission, payment posting, patient statements, and follow-up. The complete billing workflow from encounter to final payment — across all payers and specialties.
We route every denied claim through the highest-yield recovery path — corrected resubmission, payer reconsideration, or formal appeal — based on the CARC/RARC codes. 44–80% of appealed denials are overturned.
We compare every payment against your payer contracts and the Medicare Physician Fee Schedule to identify variance. Underpayments are disputed through reconsideration or formal appeal — recovering revenue most billers never catch.
We status-check old claims, confirm timely-filing and appeal windows, then rework every recoverable balance. Typical recovery: 15–40% of outstanding aged A/R value, with first results in 30–60 days.
Real-time visibility into collections, denial rates, payer performance, and aging buckets. Actionable dashboards — not just data — so you know exactly where your revenue stands at any given time.
Getting started takes less than a week. We handle the heavy lifting — you keep seeing patients.
Send your aging report and recent remits under a BAA. We analyze every claim and deliver a report showing exactly how much recoverable revenue is sitting in your A/R.
We set up clearinghouse connectivity, enroll for electronic remittances with each payer, and configure your practice management system. Typical setup: 5–10 business days.
We run your day-to-day billing — eligibility, scrubbing, submission, posting — while working every denial, underpayment, and aged balance on a 15–30 day cycle.
Payments post to your account. You receive detailed reports on collections, recovery activity, and payer performance. No surprises, full transparency.
Cleaner claims, fewer denials, and recovered revenue — across the full cycle. These are the results our clients see.
Recovered from aged A/R
A 6-provider behavioral health group had $380K in 90+ day receivables. We recovered 37% within 90 days through systematic appeals and corrected resubmissions.
Increase in net collections
An orthopedic practice was leaving underpayments on the table across three major commercial payers. Contract-to-payment variance analysis recovered the difference.
Reduction in denial rate
A multi-location PT clinic running at 14% denial rate. Front-end eligibility checks and claim scrubbing brought it down to 5.8% within the first quarter.
No setup fees. No long-term contracts. Straightforward, performance-based pricing aligned with your results.
Your entire revenue cycle, managed
Billed on what we actually collect — no setup fees
Standalone — denials, aged A/R, underpayments
Contingency — you pay nothing unless we collect
Enter your practice details to see an estimate of what we could recover from your aged A/R and denied claims.
We meet or exceed every compliance standard required for handling protected health information.
Full administrative, physical, and technical safeguards per 45 CFR Parts 160 and 164
Business Associate Agreement with HITECH subcontractor flow-down executed before any data exchange
256-bit TLS encryption in transit, AES-256 at rest. Zero-trust access controls with no local PHI storage
All PHI is processed within US-based infrastructure. No protected data is stored or accessed offshore
We'll analyze your aged receivables and denied claims to show you exactly how much revenue is recoverable — at no cost and with no obligation.