RCM

✦ End-to-End RCM — All 50 States

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Your Practice Earns It. Our RCM Services Make Sure You Keep It.

Revenue cycle management is the backbone of a financially healthy practice. From the moment a patient books an appointment to the day the last dollar clears — every step in between affects your bottom line. Theiatrics manages the full cycle so nothing slips through.

Full Cycle Coverage

Eligibility Check

Before every visit

🔢

Charge Entry

24–48 hr turnaround

🏷️

ICD-10 Coding

AAPC-certified coders

📤

Claims Submission

Clean claims, first time

🔄

Denial Management

Appealed & resolved fast

📞

AR Follow-Up

No balance left behind

💳

Payment Posting

ERA & manual EOBs

📊

Reporting

Transparent dashboards

Optimize Operations for Maximum Efficiency

Contact us to explore how our consulting can position your business as a frontrunner.

Credentialing Section
UNDERSTANDING THE PROCESS

RCM Is More Than Billing. It's Every Dollar Your Practice Touches.

Most people hear "revenue cycle management" and think it just means submitting insurance claims. It's actually the entire financial journey of a patient encounter — from verifying their insurance before they arrive to resolving the last unpaid balance months later.

Every step in that journey is a place where money can be gained or lost. A missed eligibility check leads to a denial. An under-coded visit means you're reimbursed less than you earned. An unpursued AR balance becomes write-off revenue. Multiply those losses across hundreds of encounters and the gap between what you earn and what you actually collect gets wide fast.

At Theiatrics, we manage each stage of the revenue cycle with dedicated specialists — not a generalist who does everything passably. The result is a tighter, faster, more complete collection process that leaves less money on the table.

Optimize Operations for Maximum Efficiency

Contact us to explore how our consulting can position your business as a frontrunner.

The RCM Lifecycle — Theiatrics Manages All 8 Stages

1

Insurance Eligibility Verification

Confirmed before every appointment — not after the claim gets rejected.

2

Charge Capture & Entry

Every service documented and entered accurately within 24–48 hours.

3

Medical Coding (ICD-10 / CPT)

Certified coders ensure proper codes, modifiers, and documentation compliance.

4

Claims Submission

Clean claims go to payers electronically — reviewed before they leave our desk.

5

Payment Posting

ERA and manual EOBs posted quickly so AR stays accurate and current.

6

Denial Management

Every denial reviewed, categorized, and appealed. No balance left unworked.

7

AR Follow-Up

Outstanding claims tracked and pursued until resolved — not aged out.

8

Reporting & Analytics

Clear performance data so you can see exactly how your revenue cycle is working.

⚠️

U.S. healthcare providers lose an estimated $125 billion annually to claim denials, billing errors, and uncollected AR. A well-managed RCM process is the most direct way to recover that revenue.

97%
First-Pass Clean Claim Rate
<30
Days in AR (avg. client)
21+
Specialties Supported
50
States Served

Our RCM Services

Everything in the Revenue Cycle, Handled for You

Each service below is managed by a specialist — not shuffled between generalists. That's what drives the numbers practices actually care about.

01

Eligibility & Benefits Verification

We verify each patient's insurance coverage, co-pays, deductibles, and authorization requirements before the visit happens. Catching issues upfront eliminates the single biggest cause of preventable denials.

Learn more →
🔢 02

Charge Entry & Capture

Missed charges are missed revenue. Our team reviews encounter documentation and ensures every billable service is captured, entered correctly, and ready to code — typically within 24 to 48 hours of the visit.

Learn more →
🏷️ 03

Medical Coding (ICD-10 & CPT)

Our AAPC-certified coders assign the right ICD-10 diagnosis codes, CPT procedure codes, and modifiers for every claim. Correct coding means appropriate reimbursement and far fewer payer audits or downcoding issues.

Learn more →
📤 04

Claims Submission & Scrubbing

Before any claim goes to a payer, it goes through our pre-submission review. We scrub for errors, missing fields, mismatched codes, and payer-specific formatting requirements so the claim has the best chance of clearing on the first pass.

Learn more →
💳 05

Payment Posting

We post payments from electronic remittances and paper EOBs accurately and promptly. Proper payment posting keeps your AR current, surfaces underpayments immediately, and gives your practice an accurate picture of outstanding balances at all times.

Learn more →
🔄 06

Denial Management & Appeals

When a payer denies a claim, the work isn't over — it's just beginning. Our denial management team reviews every rejection, identifies the root cause, and files a well-supported appeal. We track denial trends to help reduce future rejections at the source.

Learn more →
📞 07

AR Follow-Up

Outstanding balances don't resolve themselves. Our AR team works aging reports methodically — contacting payers, resolving holds, and escalating stalled claims. We set a priority on balances by age and dollar value so the most impactful items get attention first.

Learn more →
📋 08

Patient Billing & Statements

Patient responsibility balances need to be communicated clearly and collected efficiently. We handle patient statements, payment plan coordination, and billing inquiries with the kind of professionalism that protects your patient relationships while improving collections.

Learn more →
📊 09

Reporting & Performance Analytics

You can't improve what you can't see. We provide regular reporting on key RCM metrics — net collection rate, days in AR, denial rate, clean claim rate, and more — so you always have a clear view of where your revenue cycle stands and where it's heading.

Learn more →

How a Claim Flows

From Patient Visit to Paid — Every Step Managed

A clean claim follows a predictable path. We manage every handoff so nothing stalls, falls through, or gets left behind.

🩺

Patient Visit

Eligibility pre-verified

🔢

Charge Entry

24–48 hrs

🏷️

Coding

ICD-10 + CPT

🔍

Claim Scrub

Pre-submission QA

📤

Submission

Electronic to payer

💳

Payment

Posted same day

Resolved

Balance cleared

Denials at any stage loop back to our denial management and AR team — not to your front desk.

WHY THEIATRICS

What Makes Our RCM Different

There is no shortage of RCM vendors. What separates Theiatrics is a model built around accountability, transparency, and specialty-specific expertise — not volume processing.
🎯
Specialty-Specific Expertise
Billing rules vary dramatically by specialty. A cardiologist’s claim looks nothing like an anesthesiologist’s. Our teams are trained in the nuances of your specialty — not just general billing principles.
🤝
We Work in Your System
You don’t need to change your EHR or practice management software. Our team adapts to your current setup, which means no downtime, no retraining, and no disruption to your clinical workflow.
👁️
Full Transparency, Always
You’ll receive regular performance reports covering all the metrics that matter — clean claim rates, denial trends, days in AR, and net collections. No mystery. No vague promises. Just clear data.
Fast Onboarding, Immediate Impact
Most practices are fully operational with our team within two weeks. We move quickly through setup so the improvement to your cash flow starts as soon as possible — not months from now.
🛡️
HIPAA-Compliant at Every Step
Every piece of patient data we handle is processed under strict HIPAA compliance standards. Our team is trained, our systems are secure, and our processes are built to keep your practice protected.

What Practices See After Switching

These are the performance improvements Theiatrics clients typically experience in the first 90 days — compared to their previous in-house billing or vendor.

Net Collection Rate+12–18%
Denial Rate ReductionUp to 40%
Days in ARReduced to <30
First-Pass Clean Claim Rate97%+
Admin Time Saved per Week10–20 hrs

Figures represent typical client outcomes. Actual results vary by specialty, payer mix, and prior billing conditions.

See What’s Possible for Your Practice
SIDE-BY-SIDE COMPARISON

In-House Billing Vs. Outsourcing To Theiatrics

Thinking about whether outsourcing is right for your practice? Here's an honest look at how the two approaches typically compare.
WHAT WE’RE COMPARING
IN-HOUSE BILLING
THEIATRICS RCM
Coding Accuracy
Variable — depends on staff training
✓ AAPC-certified coders, specialty-specific
Staff Turnover Risk
✕ High — billing disrupted when staff leave
✓ Zero — team continuity guaranteed
Denial Follow-Up
Often inconsistent or delayed
✓ Every denial reviewed and appealed
AR Aging Control
Depends on staff bandwidth
✓ Dedicated AR specialists, systematic follow-up
Performance Reporting
✕ Often limited or manual
✓ Regular KPI reports on all key metrics
Payer Knowledge
Limited to familiar payers
✓ Medicare, Medicaid, and all major commercial
Scalability
✕ Requires additional hires to grow
✓ Scales with your practice automatically
Compliance Oversight
Requires ongoing internal training
✓ Built-in HIPAA and payer compliance
21+ SPECIALTIES
We Work Across All Major Medical Specialties
Billing and coding rules are not one-size-fits-all. Our teams are trained in the payer policies, code sets, and documentation requirements specific to each specialty we serve.
Discuss Your Specialty →
Can’t find your specialty listed? We almost certainly cover it. We’ve billed for over 30 distinct specialties. Call us and we’ll tell you exactly what our experience in your space looks like. 📞 +1 713-281-4490
🩺
Gastroenterology
❤️
Cardiology
💉
Anesthesia
Pain Management
🧬
Oncology
🧠
Neurology
🦴
Orthopedics
🩻
Radiology
🌿
Dermatology
👨‍⚕️
Family Medicine
🤰
OB/GYN
🧘
Mental Health
💧
Urology
🦶
Podiatry
🩹
Wound Care
🏥
Internal Medicine
🏩
Skilled Nursing
🏨
ASC
🏠
Home Health
💬
Behavioral Health
📦
DME

Stop Leaving Revenue in the Claim Queue

Your practice works hard for every encounter. Theiatrics makes sure the revenue cycle keeps up — so every service you provide turns into a payment you actually receive.

Get Your Free RCM Audit
COMMON QUESTIONS

Everything You Should Know About Professional RCM Services

Questions we hear often from practice managers, physicians, and billing staff — answered plainly.

Have a specific question? Our specialists respond within 4 hours. You'll speak with someone who does RCM daily — not a generalist support team.

📞 Call Our Team
What is Revenue cycle management in healthcare?
+
Revenue cycle management (RCM) is the full financial process of a healthcare encounter — from verifying insurance coverage before a patient arrives to collecting the final payment after the visit. It covers eligibility checks, charge entry, coding, claims submission, payment posting, denial management, and AR follow-up.
what's the difference between medical billing and RCM?
+
Medical billing is one part of RCM — specifically, submitting and following up on claims with insurance companies. Revenue cycle management is the bigger picture that includes billing plus every other financial touchpoint: eligibility verification, coding, payment posting, denial resolution, patient collections, and reporting.
Why Should a practice outsource RCM instead it in house?
+
Outsourcing RCM gives practices access to specialists for each stage of the cycle rather than relying on generalist staff to do everything. It eliminates the risk of revenue disruption from staff turnover, reduces coding errors, accelerates collections, and frees your clinical team from administrative burden. Most practices see improved net collections within 60 to 90 days of outsourcing.
How long does it take to see result after switching to Theiatrics?
+
Most practices notice faster cash flow within the first 30 to 60 days. The full impact on denial rates, AR aging, and net collection rates becomes clear in the first 90 days as new claims flow through the improved process and existing backlog is addressed by our team.
Does Theiatrics work with my current EHR or practice management system?
+
Yes. Theiatrics has experience with most major EHR and practice management platforms. During onboarding, we assess your existing setup and integrate with it directly. You don't need to switch systems or change your clinical workflow.
How does Theiatrics handle denied claims?
+
Every denied claim is reviewed by our denial management team to identify the root cause. We then file a well-documented appeal with supporting clinical notes and payer-specific documentation. We also track denial patterns over time to address recurring issues at the front end — reducing future denials before they happen.
Is Theiatrics HIPAA Compliant?
+
Yes. All of our RCM processes — from data handling and claims transmission to communication and reporting — are fully HIPAA compliant. Staff are trained on compliance requirements and our systems are built to safeguard patient information at every step.
FREE CHARGE AUDIT

Find Lost Revenue Before Claims Are Filed

We review recent encounters, identify missed or undercoded charges, and show exact revenue impact — before you commit to anything.

🔍
Missed charge scan
90 days of encounters reviewed
⚖️
E/M validation
Codes matched with documentation
💰
Revenue impact
Exact dollar value identified
24-hour results
From certified specialists
🧾
No cost, no commitment
100% risk-free audit
📞
Talk to a specialist (+1) 713-281-4490
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