Revenue Cycle Management

Smart Care 360 has a full revenue cycle management component that fully tracks patient revenue. Receive expert support to navigate the complexities of medical billing reimbursement and maximize profitability.
Revenue Cycle Management is the process used by healthcare systems in the United States to track their patient revenue from their initial appointment or encounter with the healthcare system to their final payment of balance. The cycle can be defined as “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue.” It is a cycle that describes and explains the life cycle of a patient (and subsequent revenue and payments) through a typical healthcare encounter from admission (registration) to final payment (or adjustment off of accounts receivables).

Verification

Coding & Compliance

Billing

Claim Submission

Collections & Appeals

Payment Posting

Billing & Coding Audits

Our independent, outside coding audits demonstrate that reasonable steps have been taken to ensure compliance.

Credentialing

Credentialing is the process of obtaining and reviewing documentation to determine participation status in a health plan. The documentation may include, but not be limited to, the applicant’s education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Generally, the terms credentialing and recredentialing include the review of the information and documentation collected, as well as verification that the information is accurate and complete.

Reliable, consistent bookkeeping and compliance

Decision-ready financial reports

Proven controls to help reduce fraud

Integrated technology and support from industry specialists

Team-Based Care Approach

We cover the full spectrum of qualified healthcare professionals to meet your patient population’s needs ALL in one platform.

Common RCM Mistakes and How to Avoid Them

Many practices face revenue loss due to coding errors, missed deadlines, or poor documentation. Identifying and fixing these issues early keeps cash flow steady and claims moving smoothly.

How RCM Enhances Compliance and Reduces Legal Risks

A strong RCM system helps maintain compliance with payer and regulatory guidelines, reducing audit risks and financial penalties for your practice.

The Financial Impact of an Efficient Revenue Cycle

Efficient RCM boosts revenue, lowers costs, and improves financial predictability. It allows practices to grow without sacrificing care quality.

Benefits

For Practices

For Patients

What is Revenue Cycle Management and Why It’s Vital for Healthcare

RCM manages the entire payment process—from registration to reimbursement—helping healthcare practices stay financially strong and efficien.

Top Benefits of Streamlined Revenue Cycle Management

Streamlined RCM leads to faster reimbursements, fewer billing errors, and better cash flow. It reduces claim denials, improves patient satisfaction, and gives providers more time to focus on care instead of paperwork.

How RCM Helps Reduce Denials and Improve Collections

RCM reduces claim denials and increases collections through accurate coding, proper documentation, and timely follow-ups—boosting revenue without adding patient load.

The Role of Technology in Modern Revenue Cycle Management

Technology enhances RCM with automation and analytics, improving accuracy and speeding up reimbursements for stronger financial performance..

Why Outsourcing Revenue Cycle Management Makes Sense

Outsourcing RCM cuts costs, boosts billing efficiency, and ensures compliance—delivering reliable results without growing your in-house team.

Revenue Cycle Management and the Patient Experience

RCM improves the patient experience with clear billing, quick claim resolutions, and fewer surprises—building trust and satisfaction..

Interested in learning more about what patients are eligible to participate and how RCM is relevant to your practice?

FAQs -Revenue Cycle Management

RCM is the process of managing a healthcare provider’s revenue from patient registration to final payment, including billing, coding, claims submission, and collections.

Efficient RCM improves cash flow, reduces billing errors, minimizes claim denials, and ensures timely payments—keeping your practice financially healthy.

Yes. With proper coding, documentation, and timely submissions, RCM significantly reduces claim denials and boosts collection rates.

Outsourcing RCM can reduce administrative burden, improve accuracy, and enhance compliance—especially for practices lacking in-house billing expertise.

Patients benefit from accurate billing, fewer payment issues, and quicker claim processing—leading to a better, more transparent experience.

Smart Care 360-MRG Health
New Technologies That Deliver.

MRG Health provides a complete solution that helps improve patient outcomes while increasing practice revenue and cost.