Revenue Cycle
Management
Full-cycle RCM for healthcare providers of every size and specialty — from patient access and eligibility through coding, claim submission, denial management, and A/R recovery. No software required. No long-term contracts.
Clean Claims Rate
Avg Revenue Increase
Avg Days in A/R
Providers Served
What Is Revenue Cycle Management?
Revenue cycle management (RCM) is the financial process healthcare providers use to track patient care from registration to final payment. It covers insurance eligibility verification, medical coding, claim submission, denial management, and patient billing — every step between a clinical encounter and collected revenue.
Unlike a standard medical billing company, an RCM partner manages the entire revenue lifecycle. DrCare MSO covers front-end functions (eligibility, prior authorization), mid-cycle functions (coding, charge capture, claim scrubbing), and back-end functions (payment posting, denial appeals, A/R recovery) under a single service agreement — with one named account manager and a single performance dashboard for your entire operation.
The Complete RCM Lifecycle
Four integrated phases working together to maximize revenue capture and accelerate cash flow from the first claim cycle
Patient Access
Full Visibility Into Your Revenue Cycle
Your RCM dashboard tracks claim status, payment trends, denial rates by payer, and A/R aging in real time. Per MGMA's 2024 survey, practices with active KPI monitoring collect an average of 4–7% more revenue annually than those relying solely on end-of-month reports. DrCare MSO clients see this delta within the first two billing cycles.
A Dedicated Team, Not a Ticket Queue
Every DrCare MSO client is assigned a named account manager, a specialty-trained billing team, and a compliance coordinator. Monthly performance reviews cover your clean claims rate, denial trends, A/R aging, and coding accuracy — with specific action items, not just reports.
Why Practices Choose DrCare MSO for RCM
Six operational pillars that deliver industry-leading results — backed by published benchmarks, not marketing claims
Revenue Optimization
We identify and close revenue leakage at every stage — front-end, mid-cycle, and back-end — so every dollar owed reaches your bottom line. Per DrCare MSO's analysis of claims processed in 2024, practices switching from in-house billing recovered an average of 18% in previously uncollected revenue within 90 days.
Compliance Assurance
Our compliance monitoring tracks CMS rule changes, HIPAA requirements, and payer-specific policies in real time. When CMS updates coding rules or payer contracts change, your billing practices are updated before the next claim cycle — not after a denial wave.
Real-Time Analytics
Custom dashboards track the KPIs that matter: clean claims rate, days in A/R, denial rate by payer, and net collection ratio. Your assigned account manager reviews these with you monthly and flags variances before they become billing problems.
Faster Collections
The MGMA 2024 Physician Compensation and Production Survey benchmarks median days in A/R at 35–40 days for independent practices. DrCare MSO clients average 14 days — a difference that directly affects your operating cash flow every single week.
EHR System Integration
We connect directly with 50+ EHR and practice management systems including Epic, Cerner, Athenahealth, eClinicalWorks, NextGen, Allscripts, and Kareo. No new software purchase required, no disruption to your clinical workflow.
Scalable for Any Practice
From solo practitioners billing 200 claims per month to multi-location health systems processing 50,000+, our RCM infrastructure scales to your volume. Pricing stays percentage-based so our incentives stay aligned with yours at every growth stage.
DrCare MSO vs. Industry Benchmarks
Per DrCare MSO's analysis of claims processed in 2024 and published MGMA and HFMA benchmark data, here is how our client outcomes compare to national averages.
| Metric | Industry Average | DrCare MSO Clients |
|---|---|---|
| Days in A/RSource: MGMA 2024 | 35–40 days | 14 days |
| Clean Claims RateSource: HFMA 2024 | 75–85% | 98% |
| Denial RateSource: CMS data | 8–12% | Under 3% |
| Appeal Success RateSource: DrCare MSO analysis | 45–55% | 85% |
| Avg Collection RatioSource: MGMA 2024 | 92–94% | 96% |
| Revenue Uplift (6 mo)Source: DrCare MSO client data | N/A | Avg +35% |
Free — No Obligation
Request a Free Revenue Cycle Audit
We review your denial rate, A/R aging, and clean claims rate — then show you exactly where revenue is being left behind. Takes 15 minutes.
In-House Billing vs. Outsourced RCM
Per MGMA's 2024 Cost Survey, the average annual cost to staff a two-person in-house billing team — including salaries, benefits, software, and training — exceeds $140,000. Compare that with percentage-based outsourcing at 4–8% of collections, and the math favors outsourcing for most practices above 800 monthly claims.
| Factor | In-House Billing | DrCare MSO RCM |
|---|---|---|
| Staffing Cost | Salaries, benefits, PTO, turnover | Percentage of collections only |
| Coding Expertise | Generalist — 1–2 coders | Specialty-specific certified coders |
| Technology | Additional software licenses required | Included — no new software |
| Compliance Updates | Manual monitoring — gaps likely | Real-time CMS and payer rule tracking |
| Denial Management | Often reactive; limited capacity | 48-hr appeal turnaround; root-cause analysis |
| Reporting & Analytics | Basic EHR reports | Custom KPI dashboards + monthly reviews |
| Scalability | Must hire to grow | Scales instantly with your volume |
| Contract Commitment | Employment contracts, severance risk | Month-to-month, no termination fees |
What You Gain from Day One
Results measured from the first billing cycle.
RCM Built for Your Specialty
Every specialty has distinct CPT code patterns, payer behaviors, and prior authorization requirements. DrCare MSO assigns coders with direct training in your specialty — not generalists billing across 30 different fields simultaneously.
30+ specialties supported. Don't see yours? Ask our team.
What Our Clients Say
"DrCare MSO's RCM team increased our revenue by 42% in the first year. They understood our specialty coding requirements from day one and delivered results our previous in-house team never came close to."
Dr. Michael Torres
Chief Medical Officer, Pacific Medical Group
"We cut our days in A/R from 52 to 16 in under 90 days. The denial rate dropped below 3% and I finally stopped losing sleep over monthly collections. The reporting alone is worth the fee."
Dr. Sarah Okonkwo
Founder, Lakewood Internal Medicine Associates
Revenue Cycle Management: Frequently Asked Questions
Questions practices ask before transitioning their RCM operations to DrCare MSO.
Explore Related Services
RCM works best when every component is covered. Here are the services practices pair most often with full-cycle RCM.
Ready to See What Your Practice Is Actually Owed?
Our free RCM assessment reviews your current denial rate, A/R aging, and clean claims rate — then shows you exactly where revenue is being left behind. No obligation.
Have Questions?
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contact@drcaremso.com
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