Revenue Cycle Management

The full revenue cycle, managed as one process.

Revenue cycle management is everything working together, not billing in isolation. We run your whole cycle from patient scheduling to final payment, and nothing falls between coding, claims, credentialing and collections.

The workflow we run

Nine stages. One owner.

From the first eligibility check to the final report, each stage is owned, not just touched.

  1. 01

    Eligibility verification

    Insurance surprises? Not on our watch. Coverage is verified before the patient even steps into your clinic.

  2. 02

    Prior authorization

    We deal with the red tape and chase the approvals. Think of us as your front desk officer handling the "please hold" music.

  3. 03

    Charge capture

    Every visit, procedure and modifier is captured correctly the first time. We really don't like redoing what could have been right.

  4. 04

    Claim submission

    Clean claims are our baseline, not a goal. Scrubbed, filed and submitted, with every code checked by an experienced coder.

  5. 05

    Payment processing

    Approval should mean payment. EOBs and ERAs are tracked and kept organized, so income doesn't get stuck.

  6. 06

    AR follow-up

    Old claims don't scare us. We follow up with payers, sort out delays, and keep the cycle moving when payers stall.

  7. 07

    Denial management

    Denials happen. Every one is investigated, corrected and resubmitted. We chase every penny.

  8. 08

    Patient collection

    Easy for patients to pay, painless for you to ask. Soft reminders and secure online portals keep it friendly and transparent.

  9. 09

    Reporting & analysis

    What's working, and what's leaking? Dashboards and actionable insight, so you can make decisions and hit revenue goals.

Build it or buy it

In-house vs outsourced revenue cycle management.

Managing billing internally

In-house RCM

  • Salaries, benefits, training and software add to operating costs.
  • Limited staff capacity can delay claims and increase billing errors.
  • Unpaid claims and patient balances require ongoing follow-up.
  • Credentialing and payer enrollment create additional administrative work.
  • Expanding the team as the practice grows can be costly and time-consuming.

A dedicated billing partner

Outsourced RCM with Torix

  • Reduce the need for additional in-house billing staff and related overhead.
  • Structured claim review, coding support and accurate charge entry.
  • Proactive follow-up on unpaid claims, denials and outstanding balances.
  • Credentialing and payer enrollment support to help providers join insurance networks.
  • Flexible operational support as your practice adds providers or locations.

How it works

Oversight that doesn't stop at the claim.

  • 01

    End-to-end cycle oversight

    Every stage from patient intake to final payment is managed under one system. Nothing gets lost in handoffs between departments.

  • 02

    Performance monitoring

    Days in AR, denial rate and net collection rate tracked continuously, not reviewed once a year.

  • 03

    Process optimization

    Recurring bottlenecks in your billing workflow found and fixed before they cost more revenue.

  • 04

    Compliance oversight

    Coding, billing and payer requirements kept current with evolving regulations, reducing audit and compliance risk.

  • 05

    Cross-functional coordination

    Billing, credentialing and AR work off the same data. A change in one area, like a payer contract, doesn't break another.

  • 06

    Ongoing reporting

    Regular visibility into practice financial health: the numbers, and what's driving them.

FAQ

Frequently asked questions

01What's the difference between Revenue Cycle Management and Medical Billing?

Medical Billing focuses on the claim path and performance insight around billing outcomes. Revenue Cycle Management is everything working together: from patient scheduling to final payment, coordinating coding, claims, credentialing, and collections so nothing falls between stages.

02What parts of the revenue cycle are included?

Intake through final payment under one system, including coordination across coding, claims, credentialing, AR, and collections. Exact scope is confirmed in writing before onboarding starts.

03Do I need to replace my current EHR or Practice Management system?

No. We work inside the system you already run. Our own software is available where it helps, but adopting it is optional and never a condition of the engagement.

04How is onboarding handled without disrupting operations?

Onboarding is phased. We review your current process, configure access alongside your staff, and run in parallel where needed so cash flow continues while ownership transfers stage by stage.

05How is pricing structured?

Pricing is quoted per practice after the assessment, based on volume, payer mix, specialty and which stages are in scope. The number and the scope go in writing before anything starts.

06Can I start with Medical Billing and later move to full RCM?

Yes. Many practices begin with Medical Billing and expand into full Revenue Cycle Management once claims are stable. The same named representative stays with the account as the scope grows.

Next step

Let's map your complete revenue cycle.

Bring your A/R ageing and a recent month of denials. We'll show you where the cash path breaks, whether or not you engage us.

Book a Consultation