Revenue Cycle Management (RCM)

The end-to-end financial process a healthcare practice uses to capture, manage and collect revenue for the care it delivers.

RCM spans everything from scheduling and eligibility, through coding and claims, to payment posting, denials and patient collections. A healthy revenue cycle gets clean claims out quickly and collects what's owed with minimal rework.

Because it's a chain, a problem in one stage (like a missed eligibility check) usually shows up as lost revenue in a later stage (a denial).

AI Agents for Healthcare RCM