Transform Healthcare Complexity Into Predictable Revenue.
End-to-end medical billing, certified specialty coding, and disciplined denial elimination designed specifically for private practices, clinics, and surgical centers nationwide.
How Much Revenue Is Your Practice Leaving on the Table?
Adjust the sliders below to estimate your practice’s potential cash-flow lift with UR RCM’s clean-claims scrubbing and denial elimination workflows.
Calculations are grounded in American Medical Association (AMA) and MGMA benchmark data comparing standard practice management against certified specialty RCM workflows.
Comprehensive Solutions for Every Stage of the Revenue Cycle.
Tailored services designed to reduce administrative friction, overturn denied claims, and accelerate cash flow across your practice.
Medical Billing
Professional billing support designed to improve workflow efficiency and help providers manage the entire claims lifecycle.
Medical Coding
Accurate coding support focused on appropriate documentation, coding practices, and payer requirements.
Claims Management
Support throughout the claim lifecycle, from preparation and submission to follow-up and resolution.
Denial Management
Identify denial patterns, investigate root causes, and support timely resolution of outstanding claims.
Accounts Receivable Management
Structured follow-up and A/R management designed to reduce aging and improve collection workflows.
Provider Credentialing
Support for provider enrollment, credentialing processes, payer applications, and related administrative requirements.
Eligibility & Benefits Verification
Help verify patient insurance eligibility and benefits before services are provided.
Prior Authorization Support
Administrative support for authorization workflows to help reduce avoidable delays and billing issues.
Patient Billing Support
Professional support for patient billing workflows and administrative communication.
Complete Revenue Cycle Management
Integrated revenue cycle support across multiple stages of the healthcare financial workflow.
Need a Custom Multi-Specialty Billing Setup?
We design specialized workflows tailored to your specific EHR, payer contracts, and patient volume.
How We Onboard and Optimize Your Revenue Cycle
A disciplined four-step deployment designed to minimize practice disruption, eliminate revenue leaks, and deliver immediate financial clarity.
DISCOVER
We conduct a thorough discovery audit of your current billing setup, EHR/PM workflows, clearinghouse connections, and specialty fee schedules.
ANALYZE
Our certified RCM auditors evaluate historical claims, denial trends (CARC/RARC codes), unbilled encounters, and current A/R aging buckets.
OPTIMIZE
We deploy structured scrub rules, establish electronic clearinghouse routes, align charge capture routines, and test 837/835 electronic transactions.
SUPPORT
Daily charge submission, real-time remittance posting, persistent aging follow-up, and executive monthly KPI reviews to ensure long-term health.
Visibility Changes the Way You Manage Revenue.
Experience an interface designed for clarity—turning high-volume claim flows and payer communications into structured, manageable operational insight.
Supporting Healthcare Organizations Across Specialties
Revenue cycle nuances vary dramatically between specialties. We align our workflows with your specific coding guidelines, modifier rules, and payer medical policies.
Primary Care & Family Medicine
High-volume encounter workflows requiring efficient E/M coding, preventive wellness checks, chronic care management, and rapid claim turnaround.
Internal Medicine
Complex multi-condition patient encounters, prolonged care services, diagnostic testing, and coordinated care billing across specialty referrals.
Mental & Behavioral Health
Individual psychotherapy, psychiatric evaluations, telehealth sessions, group therapy, and varying payer-specific behavioral health authorizations.
Cardiology
Diagnostic echocardiography, stress testing, cardiac catheterization, telemetry monitoring, and combined professional/technical component split billing.
Orthopedics & Sports Medicine
Surgical global periods, fracture care, joint injections, durable medical equipment (DME), and physical therapy crossover claims.
Dermatology & Dermatopathology
Biopsies, lesion removals, Mohs micrographic surgery, cosmetic vs. medical service separation, and pathology lab technical components.
Pediatrics
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services, complex state immunization registries, and commercial/Medicaid plans.
Radiology & Imaging Centers
High-volume diagnostic imaging reads, professional component billing for independent reading groups, and technical facility claims.
Physical & Occupational Therapy
Timed 15-minute therapy units (8-minute rule), plan of care re-evaluations, therapy cap thresholds, and specialized functional limitation reporting.
Clinical Laboratories & Pathology
Clinical CLIA lab panels, molecular diagnostics, toxicology screens, and pathology specimen interpretations with complex payer medical policies.
General & Ambulatory Surgery
Multiple procedure payment reductions, co-surgeon and assistant surgeon billing, operative note coding, and ASC facility fee coordination.
Multi-Specialty & Urgent Care Clinics
Fast-paced, walk-in environments requiring real-time patient eligibility, point-of-service collections, and diverse multi-provider billing.
Don’t see your specific sub-specialty listed?
We frequently design custom billing protocols for sub-specialties, ambulatory surgical centers, and multi-disciplinary clinics.
Built With Privacy and Security in Mind.
Healthcare financial management requires strict confidentiality. We engineer our operational pipelines to safeguard Protected Health Information (PHI) at every touchpoint.
HIPAA / BAA Enforced Protocols
Healthcare Data
Encrypted PHI at rest and in transit adhering to HIPAA Security Rule guidelines.
Claims
Secure 837P/835 EDI clearinghouse pipelines with cryptographic validation.
Billing
Role-based charge entry and financial segregation preventing unauthorized edits.
Provider Information
Guarded credentialing vaults for NPI, CAQH, state licenses, and DEA records.
Reporting
Confidential executive financial analytics with audit logging and permission gates.
Frequently Asked Questions
Common questions regarding our revenue cycle management, medical billing workflows, software integrations, and onboarding.
Revenue Cycle Management encompasses the entire financial lifecycle of healthcare encounters—from patient appointment scheduling, eligibility verification, and clinical coding, through claim generation, clearinghouse submission, payment posting, denial resolution, and accounts receivable follow-up.
Let’s Make Your Revenue Cycle Work Smarter.
Tell us where your current billing or revenue cycle process needs support. Our team will review your specialty requirements, workflow bottlenecks, and unbilled claims to outline a clear path forward.