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Full-service RCM

Revenue Cycle Management Services for Physician Groups and Hospitals

End-to-end RCM, or precisely the piece you need most. We complement your existing operations or run the full cycle on your behalf.

1,500+

Trained RCM professionals across our US and India teams

30+

Medical specialties supported by certified coders

30-day

Structured onboarding plan with a parallel run

4 stages

Outsource one stage or the complete revenue cycle

AICPA SOC 2 Type IIISO/IEC 27001ISO 9001HIPAA compliantAAPC & AHIMA certified codersBAA with every client

01

Patient Access

Front-end

02

Coding & HIM

Mid-cycle

03

Charge Entry

Mid-cycle

04

A/R & Denials

Back-office

05

Transformation

Advisory

📄

Patient Access

Prior auth, insurance verification, demographic capture, and eligibility — preventing denials before they happen.

✓ Insurance verification & eligibility
✓ Prior authorization management
✓ Referral coordination

🗂️

Medical Coding & HIM

AAPC and AHIMA-certified coders across 25+ specialties with CDI and query management.

✓ Inpatient & outpatient coding
✓ CDI & physician query
✓ Coding audits & compliance

📉

A/R & Denial Management

Aged AR recovery, denial root-cause analysis, and systematic prevention to maximize net collection rate.

✓ Aged AR recovery (90+, 180+ days)
✓ Denial prevention & appeals
✓ Payment posting & reconciliation

🧭

RCM Transformation & Advisory

Process redesign, technology integration, and interim RCM leadership for practices in transition or scaling rapidly.

✓ RCM assessment & road mapping
✓ Technology & EHR integration
✓ Interim management

End-to-End Revenue Cycle Management, Built Around Your Practice

MBW RCM manages the revenue cycle for independent physician practices, MSOs and multi-specialty groups, hospitals and health systems and private equity-backed platforms. Our US teams and our Chennai operations center work inside your EHR and practice management systems, so you can outsource the full revenue cycle or only the stages where you need the most help.

What Each Stage of Our Revenue Cycle Service Covers

Every stage can be outsourced on its own or as part of end-to-end RCM:

How to Evaluate a Revenue Cycle Management Company

When you compare RCM vendors, ask each one to show you:

  • Specialty experience: coders and billers who already work in your specialties. We support more than 30 medical specialties.
  • Security and compliance: MBW RCM holds AICPA SOC 2 Type II, ISO/IEC 27001 and ISO 9001 certifications and signs a business associate agreement with every client.
  • Reporting: regular visibility into clean claim rate, days in A/R, denial trends and net collections.
  • Systems: experience in the EHR and practice management systems you already use.
  • Engagement model: full outsourcing, support for specific functions, or dedicated team members alongside your staff.
  • Transition plan: how existing A/R, open denials and payer enrollment are handled during the switch.

How it works

How an RCM Engagement With MBW RCM Works

Switching revenue cycle partners should not interrupt cash flow. Every engagement follows the same four steps, whether you outsource one function or the full cycle.

1

Revenue cycle assessment

We review your denials, A/R aging, collections and workflows to find where revenue is slipping and which stages to outsource first.

2

30-day onboarding

System access, workflow mapping, payer setup and a parallel run, so claims keep moving while responsibilities transfer.

3

Day-to-day operations

Our teams work inside your EHR and practice management system, handling the stages you hand over with specialty-trained staff.

4

Reporting and improvement

Regular reporting on clean claim rate, days in A/R, denial trends and net collections, with fixes for recurring issues.

+28%

Increase in collections, with no new staff hired

Featured case study · Orthopedics

How an Orthopedic Practice Grew Collections 28% Without Adding Staff

Coding errors, NCCI edit issues and an unstructured A/R workflow were holding back reimbursement. MBW RCM corrected coding, resolved NCCI problems and rebuilt A/R follow-up across the revenue cycle.

Read the full case study →

FAQs

Revenue Cycle Management Services FAQs

What do revenue cycle management services include?

Revenue cycle management services cover every step from patient access to final payment: eligibility and benefits verification, prior authorization, medical coding, charge entry, claims submission, payment posting, A/R follow-up, denial management and reporting. MBW RCM also offers transformation services such as HCC coding, credentialing and revenue cycle analytics.

Can we outsource only part of our revenue cycle?

Yes. Each stage can be outsourced on its own. Many groups start with A/R follow-up, denial management or coding, then add other stages later. Others hand over the full revenue cycle from day one.

How is an RCM company different from a medical billing company?

A medical billing company usually focuses on submitting claims and posting payments. An RCM company manages the full cycle, including front-end eligibility and authorization, coding and documentation, denial prevention and performance reporting, so problems are fixed at the source rather than after a claim is denied.

How do you measure revenue cycle performance?

We track the metrics that show financial health: clean claim rate, days in A/R, denial rate and trends, and net collection rate. You receive regular reporting on each, along with the actions taken on recurring issues.

Which specialties do your RCM services support?

MBW RCM supports more than 30 medical specialties, including orthopedics, cardiology, ophthalmology, gastroenterology, radiology, anesthesia and behavioral health, with coders and billers trained in each specialty's payer and documentation rules.

Not sure where to start?

We'll assess your current RCM and identify your highest-value opportunities in 30 minutes.

Request an RCM assessment →
Schedule a free demo Receive a customized quote built around your specialty, volume and payer mix. A revenue cycle specialist will respond as soon as possible.