Credentialing & Enrollment
Enrolling providers with payers and keeping CAQH profiles and recredentialing current so they can bill as participating providers.
Medical Services
Revenue Cycle Management Services for Healthcare Practices
All State RCM supports physician, specialty, and multi-provider practices across the revenue cycle, from eligibility and coding to claims, payment posting, denials, A/R follow-up, credentialing, and reporting. Choose selected functions or a broader scope, agreed in writing before work begins.
8core services
From eligibility and credentialing through claims, denials, payment follow-up, and reporting.
RCM, explained
What is revenue cycle management?
Revenue cycle management (RCM) is the administrative and financial work that connects a patient visit to the final payment. It starts before the appointment with coverage and patient information, continues through coding and claims, and ends only when each balance is paid, adjusted, or resolved.
Healthcare revenue cycle management services organize that work so each step has a clear owner. When one step slips, such as a missed eligibility check or a code that does not match the documentation, the effect usually appears later as a rejection, a denial, or an aging balance.
Medical billing
One part of the cycle
Medical billing covers preparing and submitting claims, correcting rejections, posting payments, and following up on what payers and patients owe. Our medical billing services page covers that workflow in detail.
Revenue cycle management
The full cycle, end to end
RCM includes billing plus the work around it: credentialing and eligibility before the visit, coding review, denial analysis, A/R follow-up, and reporting that shows where revenue is delayed. Medical billing and revenue cycle management overlap, but RCM looks at how each stage affects the next.
The revenue cycle
How the revenue cycle fits together.
Each stage feeds the next. A practice can hand off one of these functions or several, and the included tasks are listed in the written scope. Not every engagement covers every stage.
Eligibility & Patient Access
Verifying coverage and benefits, following up on authorizations, and supporting front-desk tasks before the visit.
Medical Coding
Checking diagnosis, procedure, and modifier codes against the clinical documentation before submission.
Charge Entry & Claims
Entering charges, preparing and submitting claims, and fixing clearinghouse or payer rejections.
Payment Posting
Posting payer and patient payments and reconciling them against remittance advice.
Denial Management
Reviewing why claims were denied, correcting or appealing where the record supports it, and tracking repeat causes.
A/R Follow-Up
Working aging balances by age, payer, and filing deadline, with a documented next step for each account.
Reporting & Audit
Status, aging, and workflow reports at a cadence agreed with the practice, plus audits when included.
Choose the right scope
Focused help or coordinated RCM support.
A practice may need help with a single queue, several connected workflows, or a broader revenue-cycle operation. The service mix should follow the actual workload rather than a one-size-fits-all package.
Before onboarding, confirm included tasks, practice responsibilities, authorized systems, information access, escalation paths, reporting cadence, and the people responsible for clinical or payer-dependent decisions.
As a revenue cycle management company, All State RCM can work alongside an internal billing or front-desk team: we take on the functions you hand off, and your staff keeps the rest. If you are comparing RCM companies, ask each one for that split in writing, along with how pricing is determined.
Explore each RCM service in detail.
Medical Billing Services
Medical billing services for U.S. practices covering eligibility, coding review, claims, posting, denials, A/R follow-up, and agreed reporting.
Explore serviceProvider Credentialing
Provider credentialing services for applications, CAQH maintenance, payer enrollment, recredentialing, demographic updates, and electronic enrollment support.
Explore servicePatient Help Desk
Virtual medical front desk services for agreed scheduling, patient calls, intake, eligibility support, authorization follow-up, and issue routing.
Explore serviceRemote Patient Monitoring Administrative Support
Non-clinical administrative support for remote patient monitoring enrollment, outreach, device coordination, documentation routing, billing, and reporting.
Explore serviceMedical Coding Services
Medical coding services supporting documented ICD-10, CPT, HCPCS, modifier, chart-review, and coding-quality workflows for healthcare practices.
Explore serviceDenial Management
Denial management services covering reason analysis, prioritization, corrections, payer follow-up, appeals support, trend reporting, and prevention feedback.
Explore serviceAccounts Receivable Services
Medical accounts receivable services for aging analysis, claim prioritization, payer follow-up, underpayment review, next-action tracking, and reporting.
Explore serviceMedical Billing Audit & Reporting
Medical billing audit and reporting support for aging, workflow, claim-status, KPI, and operational reviews using available practice data and agreed scope.
Explore serviceClarify scope, responsibilities, and reporting before onboarding.
A useful RCM plan begins with a shared definition of the work and the information each side must provide.
01 What is revenue cycle management?
Revenue cycle management is the administrative and financial work that takes a patient encounter from registration and eligibility through coding, claims, payment posting, and denial follow-up to the collection or resolution of the remaining balance.
02 What do revenue cycle management services cover?
The agreed scope may include front-end eligibility support, medical billing, coding review, claim submission, payment posting, denial follow-up, accounts receivable work, credentialing, and operational reporting. Included tasks are confirmed before onboarding.
03 What is the difference between medical billing and RCM?
Medical billing focuses on preparing and submitting claims, correcting rejections, posting payments, and following up on balances. Revenue cycle management is broader: it also covers the work before and after billing, such as credentialing, eligibility, coding review, denial analysis, A/R follow-up, and reporting.
04 Can we outsource only part of our revenue cycle?
Yes. A practice can hand off one function, such as denial management or A/R follow-up, or several connected functions while its internal team keeps the rest. The right model depends on current staffing, systems, volume, priorities, and the responsibilities the practice plans to retain.
05 How are denials and aging A/R handled?
Denied claims are reviewed for their cause, then corrected, resubmitted, or appealed where the documentation supports it. Aging balances are worked by age, value, payer, and filing deadline, with a recorded next action for each account. Payer decisions and account facts determine what can be recovered.
06 What remains the practice’s responsibility?
The practice remains responsible for complete clinical documentation, clinical decisions, accurate patient and insurance information, timely provider input, and any other duties assigned to it in the service agreement.
07 How is RCM performance reviewed?
Available reports, definitions, status information, review cadence, escalation paths, and responsible contacts are agreed for the engagement. Results still depend on factors such as payer decisions, filing limits, documentation, and account recoverability.
08 How is RCM pricing determined?
Pricing depends on the services included, practice needs, workload, and agreed scope. The applicable pricing structure is confirmed in the written proposal before work begins.
Start a conversation
Let’s strengthen your revenue cycle.
Tell us where your billing workflow needs attention. We’ll discuss your practice, priorities, and the support that may fit.