Revenue Cycle Management Built Around Every Dollar You're Owed
Our RCM service generates and collects the payments your practice has earned — a complete, end-to-end solution covering patient registration, insurance verification, medical coding, billing, and collections, built to optimize your revenue cycle and financial performance.
Why RCM Is Crucial to Your Practice's Finances
Managing a practice's finances gets harder every year as regulations and payer policies keep shifting. Our RCM specialists prevent revenue leakage, secure payer contracts, and continuously optimize collections — so your practice keeps more of what it earns.
Medical Practices Who Can Use Our RCM Services
Whether you're a solo provider just getting started or a multi-location group, our team scales to fit how your practice actually operates.
- Solo Physicians
- Independent Practice Groups
- Medical Clinics
- Physician Groups
- Hospital-Owned Practices
- Urgent Care Centers
- In-Home Health Providers
- Laboratories
- Freestanding ER Centers
- Hospitals
- Non-Emergency Medical Transport
- New & Growing Practices
The ClearClaim Engine
Billing sits at the core of our RCM. Before a claim ever leaves our hands, our ClearClaim engine cross-checks coding and clinical documentation against payer rules — which is how our clients see first-time acceptance rates upwards of 98%.
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Coding That Finds the Value Others Miss
Our CPC-certified coders review every chart for high-value codes and optimization opportunities that a rushed pass would miss — pairing technology with human judgment so nothing billable slips through.
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Audits That Prescribe, Not Just Diagnose
Our Revenue Integrity process analyzes your entire revenue cycle end to end and prescribes targeted, practice-specific fixes — not a generic checklist, but a plan built around how your practice actually bills.
Talk to an ExpertOur Medical Billing Process
A clear, repeatable process from intake to payment. The steps below outline how this service runs day to day — other CoreStone services follow their own version of this same process.
Practice Audit & Assessment
We start with a free trial-base audit of recent claims and reports to pinpoint exactly where your practice is losing revenue.
Enrollment & Credentialing
We confirm payer enrollment status and handle any outstanding credentialing before your first claim goes out.
Data Entry & Charge Capture
Patient encounters and superbills are entered into our system quickly and accurately, saving your staff hours of manual work.
Certified Coding & Billing
Certified coders and billers scrub, code, and submit every claim — compliant, accurate, and up to date with current payer policy.
Full-Lifecycle RCM Coverage
From the first charge to the final collected dollar, every stage of your revenue cycle is monitored and managed.
Charge Entry
- Claim creation, validation & transmission
- Entering valid superbill information
- Claim approval confirmation & status tracking
Remittance Processing
- Processing payments from payers
- Processing adjustments & denials
- Reconciling payments to provider claims
Insurance Follow-Up
- Following up on unpaid & underpaid claims
- Contacting payers on your behalf
- Negotiating & resolving claim disputes
KPI Reporting & Analytics
- Monitors key performance indicators
- Analyzes days in A/R, denial & collection rate
- Customizable reports with data visualization
Patient Collections
- Collecting patient payments
- Managing initial statement & final notice
- Clean bills, reminders & convenient payment options
A/R Management
- Reduces aging of outstanding A/R
- A/R workflow optimization
- Collecting from both payers & patients
A Reporting Layer Built for Multi-Specialty Practices
Data Insights Dashboard
See the key metrics and trends of your billing process in one interactive dashboard, benchmarked against industry norms.
Integrated Chat Support
Reach our RCM specialists directly through an integrated chat — ask questions, share feedback, resolve issues in real time.
Granular Custom Reports
Filter, sort, and export your billing data however you need it — built around your practice's reporting preferences.
We Work Within The Software You Already Use
No need to switch systems — our billing team plugs directly into the EHR and practice management platform you're already running.
98%
First-Time Claim Acceptance RateUp to 30%
Revenue Increase Post-Enrollment1:1
Dedicated Account ManagementCollection-Based Pricing vs. Typical Industry Rates
Most RCM companies charge a flat percentage no matter your practice size. CoreStone scales down as your collections scale up.
Frequently Asked Questions
RCM is the process of managing the financial aspects of a healthcare provider's operations — billing, coding, collecting, and reconciling payments from patients and insurance companies.
RCM services improve cash flow, reduce administrative costs, increase patient satisfaction, and help you comply with regulatory requirements.
We proactively monitor denial reasons, correct and resubmit claims, follow up with payers, and negotiate reimbursement until every claim is resolved.
We charge based on a percentage of your collections — you only pay us when you get paid. No upfront fees, no hidden fees, no long-term contracts.
We comply with HIPAA and other relevant regulations, using encryption and access controls to protect patient and practice data at every step.
We track days in accounts receivable (DAR), claim acceptance rate, denial rate, collection rate, and net collection ratio (NCR) — then act on what the data shows.
Through accurate claim coding, real-time claim tracking, timely payment posting, patient account management, and transparent financial reporting across your entire revenue cycle.
Request Your Free Billing Quote
Tell us about your practice and one of our billing specialists will follow up within one business day.
CoreStone Medical Billing Services
Serving healthcare providers across all 50 states with accurate, compliant, and technology-enabled medical billing.