REVENUE CYCLE MANAGEMENT

Revenue Cycle Management Services From First Visit to Final Payment

SkyLine MB manages the front end, mid-cycle and back end of your revenue cycle under one engagement — so registration, coding, claims, payments, denials and A/R work as one connected process.

FREE CONSULTATION

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Tell us about your practice, payers and current billing setup. A revenue cycle specialist will contact you to discuss the review — no obligation.

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Front to back

One connected workflow

1 manager

Dedicated to your practice

Monthly

RCM performance review

No lock-in

Flexible agreement

Every stage of the cycle connected and reported

OVERVIEW

What Is Revenue Cycle Management?

Revenue cycle management (RCM) is the full financial process behind patient care — from scheduling and insurance checks to coding, claims, payment posting, denials and collecting the remaining balance.

Billing is one part of it. SkyLine MB connects the front-end, mid-cycle and back-end tasks agreed in your scope, with one contact and monthly reporting. Your team keeps clinical decisions and documentation.

Who it's for

Independent and specialty practices that want one RCM partner

What's included

Front end, coding, claims, posting, denials, A/R, reporting

How it's priced

Usually a % of collections — quoted after a review

Time to go live

Plan around 2–4 weeks; access and payer readiness affect timing

THE CHALLENGE

Why Revenue Cycle Problems Are Hard to See

A problem at registration may not show up until a denial weeks later — by then the cause is hard to trace.

41%

of surveyed providers reported claim-denial rates of 10% or more. — Experian Health, 2025

12 months

Medicare generally requires claims to be filed within 12 months of the date of service. — CMS

Front-end errors

Wrong demographics or inactive coverage cause rejections later in the cycle.

Charge lag

Delayed documentation and charge entry push claims and payments back.

Disconnected teams

Front desk, coding and billing each see only their part of the problem.

Denials without root cause

Denials are reworked one by one, and the same issue returns.

Aging A/R

Unworked balances age toward timely-filing and appeal limits.

Limited reporting

Monthly collections alone don’t show where revenue is delayed.

Most revenue cycle losses start upstream. We trace problems back to the stage where they begin — and fix the process, not just the claim.

WHAT'S INCLUDED

Revenue Cycle Management Services We Provide

Choose the front-end, mid-cycle and back-end work your practice needs. We confirm responsibilities with your team before go-live.

Eligibility & Benefits

Coverage and patient responsibility confirmed before visits.

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Prior Authorizations

Authorization requests prepared and tracked to a decision.

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Coding & Charge Entry

Encounters coded and charges entered from your documentation.

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Claim Submission

Claims scrubbed and sent electronically once complete.

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Payment Posting

ERAs, EOBs and patient payments posted and reconciled.

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Denial Management

Denials worked, appealed and tracked by root cause.

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A/R Follow-Up

Open balances worked by payer, value and deadline.

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RCM Reporting

Monthly KPIs on claims, denials, collections and A/R.

Also available:

HOW IT WORKS

Our Revenue Cycle Management Process, Step by Step

Six connected stages from scheduling to resolution. During onboarding we agree system access, handoffs, open A/R responsibilities and the go-live plan.

STEP 01

Registration & eligibility

Demographics, coverage and benefits checked before the appointment.

STEP 02

Authorizations

Required approvals requested and tracked before services are given.

STEP 03

Coding & charges

Documentation coded and charges entered, with provider questions returned.

STEP 04

Clean claim submission

Claims scrubbed against payer edits and submitted electronically.

STEP 05

Posting & reconciliation

Payments, adjustments and denials posted and checked against expected rates.

STEP 06

Denials, A/R & reporting

Open claims followed to a documented outcome and reviewed monthly.

IN-HOUSE VS. OUTSOURCED

Outsourced Revenue Cycle Management vs. In-House

What it takes to run every stage of the revenue cycle well.

Compare staffing, scope and oversight before choosing a model
What matters	In-house	SkyLine MB (outsourced)
Staff & cost	Several roles: front desk, coders, billers, A/R	Agreed fee for the contracted RCM scope
Coverage	Gaps when staff are out or leave	Coverage and escalation agreed with your contact
Front-end checks	Done when the schedule allows	Eligibility and authorizations built into the workflow
Coding	Depends on in-house expertise	Coding review agreed in scope
Denials & A/R	Worked as time allows	Assigned follow-up with reason-code reporting
Reporting	Collections totals from the PM system	Monthly KPI and A/R review
Technology	Your team manages tools	Workflow built around your existing EHR
Security responsibilities	Practice safeguards and access	Shared responsibilities, a BAA and agreed access

Some practices outsource the full cycle; others start with one stage, such as denial management or A/R follow-up, and expand later.

PRICING

How Much Do Revenue Cycle Management Services Cost?

RCM is usually priced as a percentage of collections, but other models exist. The right one depends on specialty, volume and how much of the cycle you outsource.

Percentage of collections

A share of what is collected for the agreed scope. Confirm what counts as a collection and which tasks are included.

Quoted as a percentage of collections

Best for ongoing billing work

Per-claim fee

A fee for each claim within an agreed scope. Confirm whether corrections, appeals and follow-up are included before comparing quotes.

Rate depends on claim complexity

Best for predictable claim mix

Flat monthly fee

A fixed monthly price for an agreed scope and volume. Easy to budget; the scope must be written down clearly.

Varies by providers and scope

Best for stable, predictable volume

HOW SKYLINE MB PRICES

One clear rate, quoted after a revenue cycle review

Your quote reflects specialty, claim volume, payer mix and the stages you outsource. We confirm front-end tasks, coding, legacy A/R, patient statements and any separately priced work in writing before you start.

TRANSPARENT REPORTING

The Revenue Cycle KPIs We Report Every Month

Monthly reporting shows how each stage of the cycle is performing. We agree definitions, reporting periods and practice-specific targets against your baseline.

Clean claim rate

Acceptance

Initial claims accepted without correction ÷ initial claims submitted.

Denial rate

Payer denials

Claims denied ÷ claims adjudicated in the period, tracked by reason code.

Days in A/R

A/R ÷ charges

Total A/R ÷ average daily gross charges over the agreed lookback period.

Net collection rate

Collectible revenue

Payments ÷ collectible charges after contractual adjustments.

Charge lag

Days to bill

Average days from date of service to charge entry.

A/R over 90 days

Aging balances

Balances older than 90 days ÷ total A/R, payer and patient shown separately.

Definitions and reporting periods are agreed during onboarding. Targets are set for your specialty, payer mix and starting position; no collection outcome is guaranteed.

SPECIALTIES

Revenue Cycle Management for 20+ Specialties

Every specialty has its own codes, modifiers and payer rules. Pick yours to see how we support it.

EHR & PM SYSTEMS

Works Inside Your Current EHR

We assess your current EHR and practice-management workflow first, then agree access and handoffs with your team.

Using another system? Tell us which platform you use so we can confirm compatibility and access requirements.

TECHNOLOGY

AI-Assisted Revenue Cycle Management With Human Review

Automation catches eligibility gaps, claim errors and denial patterns quickly. But revenue cycle decisions still need judgment — so experienced billers review what the tools flag.

COMPLIANCE & SECURITY

HIPAA-Compliant Revenue Cycle Management

RCM touches PHI at every stage. We sign a Business Associate Agreement before we access any system and use role-based, audited access.

FREE REVENUE CYCLE REVIEW

Not sure which stage is slowing your revenue?

We review claims, denials, charge lag and A/R aging, then show you where the cycle is losing time or money and what to fix first.

What happens next: send your practice details, speak with a specialist, then agree a secure way to share anything needed for the review. Do not send patient records through this enquiry form.

CLIENT STORIES

What Practices Say About SkyLine MB

Independent practices, specialty groups and clinics trust us with the work that keeps revenue moving.

Our denials used to sit for weeks. Now every denial has an owner, a reason code and a next step — and we see it all in one monthly review. It's the first time billing hasn't felt like a black box.

Therapy billing has so many visit limits and modifier rules. The team caught authorization gaps before they turned into denials, and our front desk finally stopped chasing payers.

Switching billing partners scared us, but onboarding was organized from day one. They worked inside our existing EHR, so my staff didn't have to learn anything new.

Telehealth codes, payer-specific policies, credentialing — they handled all of it. Having one billing manager who actually knows our practice makes a real difference.

We get clear answers on why a claim was underpaid and what's being done about it. The monthly KPI call is something our physicians now look forward to.

High visit volume means small errors add up fast. Clean claims go out quickly and the A/R follow-up is consistent — no more old balances quietly aging out.

FAQ

Frequently Asked Questions About Revenue Cycle Management Services

Straight answers to what practices ask before choosing a billing partner.

Still have a question?

Talk to a billing specialist — no sales pressure.

What do revenue cycle management services include?

Full-service RCM may include insurance eligibility verification, prior authorization coordination, charge entry, coding support, claim submission, denial management, payment posting, AR follow-up, secondary billing, patient statements, and financial reporting.

What is the difference between medical billing and revenue cycle management?

Medical billing typically focuses on preparing claims, submitting them to payers, and processing payments. RCM covers the broader financial process, including pre-visit insurance activities, billing, denied claims, outstanding accounts, and performance analysis. The precise scope depends on the service agreement.

Related Services

Medical Billing

End-to-end claim management.

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Medical Billing Audit

Find coding, documentation and payment leaks.

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Denial Management

Root-cause fixes and appeals.

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