Revenue cycle management with one accountable team
When different people own different pieces of billing, problems fall through the gaps. With revenue cycle management from Optima Care Billing, one team manages the whole cycle, from eligibility to the final payment, and reports back to you every month.
- Front end to back end
- Monthly review calls
- One point of contact
The problems we hear about most
Before practices come to us for revenue cycle management, these are the issues that keep coming up.
Nobody owns the whole picture
The front desk checks eligibility, a coder codes, a biller submits. When a claim fails, it's hard to say where it went wrong.
Problems surface too late
Front-end mistakes become back-end denials weeks later, when they're harder and slower to fix.
No clear view of performance
Without consistent reporting, it's hard to know if collections are improving or quietly slipping.
Everything included in our Revenue Cycle Management service
Certified billing and coding professionals handle every part of it, with HIPAA-compliant processes throughout.
Front end
Eligibility, benefits, and prior authorization checks before each visit.
Mid-cycle
Accurate coding, charge capture, and claim scrubbing.
Claims
Daily electronic submission with acknowledgment and status tracking.
Payments
ERA and EOB posting, reconciliation, and patient statements.
Follow-up
Denial management and prioritized A/R follow-up until claims are resolved.
Reporting
Monthly reports and a review call on collections, denials, and A/R.
How revenue cycle management works with Optima
First, we set up a clear process from day one. That way, your claims keep moving while we get started.
Free billing audit
We review your claims, denials, and A/R to find where the cycle is breaking down.
Plan the transition
We map your workflows, sign a BAA, and set a go-live date that keeps claims moving.
Run the cycle
Our team takes over the daily work across every stage of the revenue cycle.
Review together
Each month we walk through results and agree on what to improve next.
Is revenue cycle management right for your practice?
Tap anything that sounds like your practice today.
Let's see if we're a fit
Select the statements that describe your practice to see whether Revenue Cycle Management would help.
What revenue cycle management changes for your practice
Steadier cash flow
Fixing problems at the front end means fewer surprises and more predictable payments.
Clear accountability
One team owns every step, so issues get fixed where they start.
Real visibility
Monthly reports show what's outstanding, why, and what's being done about it.
Revenue cycle management for 30+ specialties
Our team works by specialty, so they know the codes, modifiers, and payer rules that apply to yours.
Services that work well together
Revenue cycle management covers every step between scheduling a patient and collecting the final payment: eligibility, coding, claims, payment posting, denials, and follow-up. An RCM partner manages all of these together.
Medical billing focuses on creating, submitting, and posting claims. RCM includes billing plus the front-end and back-end work around it, like eligibility checks, denial management, and A/R follow-up.
Full RCM is usually priced as a percentage of collections, which ties our fee to your results. We'll share a clear quote after your free audit.
Many practices are fully transitioned within a few weeks, depending on system access and payer enrollments. We plan the handover so claims keep moving.
See what revenue cycle management could change. Start with a free audit.
First, we'll review a sample of your claims, denials, and A/R. Then we'll show you where your revenue cycle needs attention.