Most organizations buy the revenue cycle in pieces: a clearinghouse here, a posting vendor there, an AR report nobody owns. Revenue Operations runs the daily work as one motion: authorizations pursued to a decision, clean claims out the door, remittances posted against your contracts, and every open account followed up by someone whose name is on it. Denials hand off to Claims Intelligence with the history attached. Run it with your own team, or hand the operation to ours.
Inside Revenue Operations
Every capability below exists because a practice asked for it. Nothing here is a roadmap item.
Charges reconciled
Every scheduled visit is matched to a signed note and a charge, so a visit that happened but never billed shows up the next morning instead of never.
AR worked by owner
Open accounts followed up by aging bucket and payer, each with a named owner and a next action. Nothing sits because it belongs to no one.
Authorization to a decision
Requests submitted and pursued until the plan answers, with payer turnaround tracked so nothing sits waiting on a fax machine.
Clean claims
Scrubbed, payer-specific claims submitted daily. Rejections are corrected the same day, not the following week.
Denials handed off, not dropped
A denied line moves to Claims Intelligence with the claim, the remittance, and the documentation already attached, so the appeal starts from the facts.
Posting and one monthly review
Remittances reconciled line by line against your contracted rates. A named analyst delivers a monthly review with peer benchmarks and recommendations sized in dollars, no dashboard to babysit.
Your organization, in one monthly review
Collections, denial rate, days in A/R, and no-show rate placed against de-identified peers in your specialty and region, with each recommendation priced. Figures shown here are an illustrative example.
| Patient | Payer / plan | Status | Patient owes | Action |
|---|---|---|---|---|
| M. Torres | UHC Choice Plus | Active | $40 copay | Collect at check-in |
| R. Chen | BCBS PPO | Deductible | $310 remaining | Discuss before visit |
| A. Gomez | Medicaid MCO | Terminated | — | New plan on file needed |
| D. Kapoor | Aetna · imaging | Auth open | — | Day four with the plan |
| P. Shah | Medicare + secondary | COB check | $0 est. | Confirm order of benefits |
| Metric | You | Peer median | Rank |
|---|---|---|---|
| Collections / visit | $142 | $118 | P82 |
| Denial rate | 3.6% | 5.1% | P74 |
| Days in A/R | 31.4 | 41.2 | P91 |
| No-show rate | 8.9% | 6.2% | P43 |
Illustrative example · not real patient data
From the schedule to the signed record
Assessment
We review your payer mix, fee schedules, denial history, and A/R before touching a claim.
Transition
Everything runs inside the systems you already use. No rip-and-replace, no migration project.
Operate
The daily work runs every day: authorizations, charge reconciliation, claims, posting, and AR follow-up.
Review and improve
Your analyst brings a monthly review with benchmarks and a prioritized list of fixes.
Facts, not promises.
These are properties of how Revenue Operations is built, not projected savings. Results in your practice depend on your payers, your panel, and your documentation.
Authorization, charges, claims, posting, and AR follow-up under one roof
A person who knows your organization, not a ticket queue
A signed monthly review with figures traceable to the claims behind them
Organizations that run on Revenue Operations
A good fit when…
- Organizations whose billing depends on one irreplaceable person
- Groups with rising denials and aging A/R nobody can explain
- Leaders who want the revenue cycle off their desk entirely
See Revenue Operations on your own workflow.
Tell us what your organization is fighting (open care gaps, documentation, denials, coverage) and we will walk you through the part of the platform that closes it.