Revenue CycleManagement
Complete end-to-end revenue cycle management designed specifically for behavioral health practices. From patient registration to final payment collection, we optimize every step to maximize your revenue and reduce administrative burden.
Why Choose Our RCM Services?
15-25% Revenue Increase
Guaranteed revenue improvement within 90 days
30% Faster Collections
Reduce A/R days from 45 to 30 days average
98% Clean Claim Rate
Industry-leading accuracy guarantee
Complete Cost Transparency
No hidden fees, pay only when you collect
Complete Revenue Cycle Management
Our comprehensive RCM solution covers every aspect of your revenue cycle, from patient registration to final payment collection, with specialized expertise in behavioral health billing.
Patient Registration & Eligibility
Comprehensive patient intake and insurance verification process
- Real-time insurance eligibility verification
- Patient demographic data collection
- Prior authorization identification
- Benefit verification and copay collection
Claims Processing & Submission
Expert coding and timely claim submission with behavioral health expertise
- Accurate CPT and ICD-10 coding
- Claims scrubbing and validation
- Electronic claim submission
- Real-time claim status tracking
Payment Posting & Reconciliation
Accurate payment processing and account reconciliation
- Electronic remittance advice processing
- Payment posting and allocation
- Denial and adjustment tracking
- Account reconciliation and reporting
A/R Management & Collections
Proactive accounts receivable management and collection strategies
- Aging report analysis and follow-up
- Insurance follow-up and appeals
- Patient billing and collections
- Bad debt management and write-offs
What's Included in Our RCM Service
Comprehensive support and resources to ensure your revenue cycle operates at peak efficiency
Our Performance vs. Industry Standards
See how our specialized RCM services outperform industry averages
| Performance Metric | Our Target | Industry Average | Improvement |
|---|---|---|---|
| Clean Claim Rate | 98%+ | 85% | +13% |
| Days in A/R | < 30 days | 45 days | -33% |
| Collection Rate | 95%+ | 80% | +15% |
| First Pass Resolution | 92%+ | 75% | +17% |
Our RCM Implementation Process
A proven 4-step process to seamlessly transition your revenue cycle management with minimal disruption to your practice operations.
Assessment & Planning
Comprehensive analysis of your current revenue cycle and customized implementation plan
Key Activities:
- Current RCM process audit
- System integration assessment
- Staff workflow analysis
- Performance baseline establishment
- Custom implementation roadmap
System Setup & Integration
Technical setup and integration with your existing practice management systems
Key Activities:
- EHR/PM system integration
- Data migration and validation
- Workflow configuration
- User access setup
- Testing and quality assurance
Go-Live & Training
Smooth transition to our RCM services with comprehensive staff training
Key Activities:
- Phased go-live implementation
- Staff training sessions
- Process documentation
- Initial support period
- Performance monitoring
Optimization & Reporting
Continuous monitoring, optimization, and detailed performance reporting
Key Activities:
- Daily performance monitoring
- Monthly reporting and reviews
- Process optimization
- Staff support and training
- Compliance monitoring
Complete RCM Workflow
Our comprehensive workflow ensures every aspect of your revenue cycle is optimized for maximum efficiency and revenue capture
Pre-Service
- Patient registration and demographics
- Insurance eligibility verification
- Prior authorization requests
- Benefit verification and copay collection
Service Delivery
- Real-time charge capture
- Clinical documentation review
- Coding accuracy validation
- Compliance checking
Post-Service
- Claims preparation and scrubbing
- Electronic claim submission
- Payment posting and reconciliation
- Denial management and appeals
Follow-Up
- A/R aging analysis
- Insurance follow-up
- Patient billing and collections
- Performance reporting
Transform Your Practice with Professional RCM
Experience the benefits of partnering with RCM specialists who understand the unique challenges of behavioral health billing.
Increased Revenue
Average 15-25% revenue increase within 90 days
- Improved clean claim rates reduce denials
- Faster claim processing and payment
- Better payer contract negotiations
- Reduced revenue leakage
Reduced Administrative Burden
Free up 15-20 hours per week for patient care
- Eliminate billing staff overhead
- No more insurance follow-ups
- Automated payment posting
- Streamlined patient collections
Improved Cash Flow
Faster collections and reduced A/R days
- 30-day average A/R days
- Weekly payment posting
- Proactive denial management
- Optimized collection strategies
Compliance Assurance
Stay compliant with all healthcare regulations
- HIPAA compliance monitoring
- Regular compliance audits
- Updated coding practices
- Regulatory change management
Expert Support Team
Dedicated team of billing specialists
- Certified medical coders
- Behavioral health specialists
- Dedicated account manager
- 24/7 system monitoring
Detailed Reporting
Comprehensive analytics and insights
- Real-time dashboard access
- Monthly performance reports
- KPI tracking and analysis
- Custom reporting options
Before vs. After: Real Performance Improvements
See the measurable improvements our clients experience when they partner with us for RCM services
| Performance Metric | Before (Typical) | After (With Us) | Improvement | Business Impact |
|---|---|---|---|---|
| Clean Claim Rate | 75-85% | 98%+ | +15-20% | Fewer denials and faster payments |
| Days in A/R | 45-60 days | 25-30 days | -30-50% | Improved cash flow and working capital |
| Collection Rate | 80-85% | 95%+ | +10-15% | Higher revenue capture from services |
| Administrative Time | 20+ hrs/week | 2-3 hrs/week | -85% | More time for patient care and growth |
| Billing Costs | $8-12/claim | $4-6/claim | -50% | Lower operational costs |
Risk Mitigation & Performance Guarantees
We don't just promise results – we guarantee them with specific performance commitments
Risk: Claim Denials
Solution: Advanced claim scrubbing and validation
Risk: Compliance Issues
Solution: Regular audits and compliance monitoring
Risk: Cash Flow Problems
Solution: Proactive A/R management and collections
Risk: Revenue Leakage
Solution: Comprehensive revenue cycle optimization
Our Commitment to Your Success
We're so confident in our RCM services that we offer performance guarantees. If we don't meet our commitments, we'll work for free until we do.
RCM Service Pricing
Transparent, performance-based pricing that scales with your practice. Pay only when we successfully collect payments for you.
No Upfront Costs
Zero setup fees, implementation costs, or monthly minimums
Performance-Based
You only pay when we successfully collect payments for you
Transparent Pricing
Simple percentage-based pricing with no hidden fees or surprises
Starter RCM
Perfect for small practices getting started
- Patient registration & eligibility
- Claims processing & submission
- Payment posting & reconciliation
- Basic A/R management
- Monthly reporting
- Email support
Professional RCM
Comprehensive RCM for growing practices
- Complete RCM services
- Dedicated account manager
- Advanced denial management
- Patient billing & collections
- Real-time reporting dashboard
- Phone & email support
- Compliance monitoring
- Performance guarantees
Enterprise RCM
Full-service RCM for large practices
- Complete outsourced RCM
- Dedicated support team
- Custom reporting & analytics
- Advanced compliance monitoring
- Priority support
- Custom integrations
- Performance optimization
- Strategic consulting
What's Included in All RCM Plans
Every RCM plan includes comprehensive revenue cycle management services with no hidden fees or additional charges
Calculate Your RCM ROI
See exactly how much revenue you could gain and costs you could save with our RCM services. Get a personalized ROI analysis for your practice.
Free consultation • No obligation • Custom pricing available
Ready to Transform Your Revenue Cycle?
Join hundreds of behavioral health practices that have increased their revenue and reduced administrative burden with our specialized RCM services.
Free consultation • No obligation • Performance guarantees
Getting Started is Simple
Our proven onboarding process ensures a smooth transition to professional RCM services
Free Consultation
30-minute assessment of your current RCM processes
Custom Proposal
Detailed RCM plan with pricing and performance projections
Implementation
Seamless transition with minimal disruption to operations
Our Performance Guarantees
We stand behind our RCM services with measurable performance commitments
98% Clean Claim Rate
Industry-leading accuracy guarantee
30-Day A/R Improvement
Faster collections guaranteed
100% HIPAA Compliance
Complete regulatory compliance
Money-Back Guarantee
If we don't meet our performance commitments within 90 days, we'll work for free until we do or refund your investment.
What Our Clients Say
"Vertex transformed our revenue cycle. We saw a 28% increase in collections within 60 days and reduced our A/R from 52 days to 28 days. The team is professional, responsive, and truly understands behavioral health billing."