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30% Faster Payments
Revenue Cycle Management

Complete RCM solutions covering patient intake, billing, payments, and financial reporting. We optimize every step of your revenue cycle to maximize profitability.

Service highlight

30% Faster Payments

Built for accuracy, speed, and clean reimbursement.

Average AR Days Reduction

40%

Net Collection Rate

>95%

Overview

What you get

Our comprehensive Revenue Cycle Management (RCM) service provides a holistic, end-to-end solution that oversees the entire financial lifecycle of your patient encounters. From the moment a patient schedules an appointment to the final reconciliation of payment, we manage it all. By integrating every step—from eligibility and authorization to coding, billing, and denial management—we eliminate silos, improve efficiency, and provide you with a clear, unobstructed view of your practice's financial health. Our goal is to accelerate your cash flow, reduce administrative costs, and ensure you capture every dollar you've earned.

Key Features

Built to prevent denials and speed up payments

Every feature is designed to reduce rework, improve compliance, and give you clear financial visibility.

Pre-Visit Eligibility & Authorization

Our team, aided by ELIXA and PRIA AI agents, proactively verifies patient insurance coverage and secures necessary prior authorizations before services are delivered, preventing claim rejections and surprise patient bills.

Charge Capture & Coding

We ensure all billable services and procedures are accurately captured and coded by our certified experts. CODIN AI assists by cross-referencing clinical documentation to suggest the most comprehensive and compliant codes.

Claims Management & Submission

Our CLAIR AI agent scrubs every claim for errors against thousands of complex and changing payer rules, ensuring a high first-pass acceptance rate and faster payments.

Payment Posting & Reconciliation

Insurance and patient payments are posted accurately and promptly. Our REMITA AI agent automatically reconciles these payments against expected amounts, instantly flagging discrepancies like underpayments or denials for follow-up.

Denial Management & Appeals

Our DEXA AI agent provides real-time analysis of all denials, categorizing them by root cause and auto-generating appeal letters. Our dedicated team then aggressively pursues these appeals to recover revenue.

Comprehensive AR Follow-Up

Our ARIS intelligent system tracks all outstanding claims, prioritizes accounts with the highest probability of recovery, and automates follow-up tasks to reduce aging accounts receivable and improve cash flow.

Automation

AI agents included

Purpose-built agents support daily billing work — scrubbing, denial intelligence, reconciliation, and follow-up.

PRIA - Prior Authorization AI Agent

Automates the detection of cases needing authorization and manages payer follow-ups with over 97% accuracy, using Predictive Risk Heatmaps to identify high-risk denials.

ARIS - Accounts Receivable Intelligent System

Intelligently tracks outstanding claims and auto-drafts appeals. Its predictive engine scores recovery probability to prioritize high-value accounts.

Process

How implementation works

A structured workflow that keeps your billing clean while minimizing disruption for your team.

1

Patient Registration & Insurance Verification

We verify patient demographics and insurance eligibility in real-time to ensure accurate billing from the start.

2

Charge Entry & Coding

Charges for services are captured and converted into accurate medical codes based on the clinical documentation.

3

Claim Submission

Clean, scrubbed claims are electronically transmitted to insurance payers.

4

Payment Posting

Remittances from payers are processed and payments are posted to the correct patient accounts.

5

Denial Management & Appeal

Rejected or denied claims are analyzed, corrected, and resubmitted or appealed.

6

Patient Billing & Collections

Statements are sent to patients for their financial responsibility, and payment collections are managed.

7

Reporting & Analysis

We provide regular, detailed reports on key financial metrics, giving you full visibility into your revenue cycle's performance.

Benefits

What improves after onboarding

Clear operational wins that show up in performance, cash flow, and team workload.

Faster payment cycles with optimized workflows from start to finish

Reduction in days in Accounts Receivable (DAR)

Increased net collection rates

Lower overall administrative costs

Improved financial transparency with real-time reporting dashboards

Enhanced patient satisfaction through clearer financial communication

FAQ

Frequently Asked Questions

Got questions? We've got answers

Revenue cycle partners you can trust

Ready to transform your revenue cycle?

Join 500+ healthcare providers who've optimized collections, reduced denials, and gained predictable cash flow with MIMedCare. Get a free consultation and a tailored roadmap for your practice.

  • Dedicated account specialists for every specialty
  • Transparent KPIs with monthly performance reviews
  • HIPAA-ready workflows and secure reporting
Get Started TodaySchedule a Call
info@mimedcarellc.com(279) 207-3379

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