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AI-powered revenue cycle platform · Secure · Compliant · 24/7

We engineer intelligent revenue for healthcare.

RCM Solutions 247 pairs machine learning with certified revenue experts — denials predicted before they happen, every claim worked around the clock, and every metric live on one HIPAA-compliant intelligence platform. More revenue recovered, protected, and proven.

Prefer to talk now? +1 (925) 888-6018 — answered 24/7
  • HIPAA-compliant, BAA-backed
  • PHI encrypted end to end
  • Claims worked 24 hours a day

Why practices switch

What changes when your revenue cycle gets intelligent

01 · CASH FLOW

Deposits arrive sooner

Claims filed daily and rejections corrected overnight compress the distance between the visit and the money — permanently.

visit → deposit, compressed

02 · DENIAL PREVENTION

Denials stop existing

AI risk-scores every claim before a payer ever sees it; specialists correct the risky ones first. Fewer fights, more revenue that simply arrives.

denials, caught before submission

03 · FINANCIAL VISIBILITY

Every dollar, visible live

A command center replaces month-old spreadsheets — collections, denials, aging, and forecasts benchmarked to your specialty.

97%

every KPI, refreshed daily

04 · OPERATIONAL RELIEF

The back office shrinks

Eligibility, authorization, coding, posting — automated where safe, expert-handled where judgment matters. Your staff returns to patients.

eligibility → auth → code → claim → paid

15+ years of RCM expertise40 medical specialties28 end-to-end solutionsoperations that never sleep

Revenue intelligence platform

A command center for your revenue cycle

Every client gets this view — claims, collections, denials, AI insights, and MIPS performance — refreshed daily and benchmarked to your specialty. Live-style preview with sample data.

SAMPLE PRACTICE · JUNE 2026 · DEMO DATA

LIVE

Claims submitted

4,212

this month

Claims paid

3,987

94.7% of submitted

First-pass acceptance

98.4%

target >95%

Net collection rate

97.2%

target >96%

Denial rate

3.8%

target <5%

Days in A/R

31

target <35

Monthly collections · trailing 12 months

A/R aging distribution

0–30 days58%
31–60 days22%
61–90 days11%
90+ days9%

✓ 9% over 90 days — benchmark is <15%

AI innovation

Powering the future of healthcare revenue with artificial intelligence

We're building next-generation AI for healthcare operations — models that predict denials, automate workflows, and surface the insight buried in your billing data. AI prioritizes. Certified experts decide. You collect.

AI Denial Prediction

Every claim scored for denial risk before submission. High-risk claims route to human review — 31% fewer denials.

AI Claim Scrubbing

Machine learning layered on payer rules engines catches the errors static edits miss — before a payer ever sees them.

Smart A/R Prioritization

Work queues ranked by expected recovery value, not just age. 22% more recovered per work hour.

AI Revenue Forecasting

Predictive models turn your claims pipeline into a reliable forward view of next month's deposits.

LIVE · Payer behavior anomaly detected

payer: Meridian Health Plan
pattern: CPT 99214 downcoded → 99213 in 38 of last 41 claims
baseline: 2% downcode rate · now 92%
est. impact: −$4,830/mo if unaddressed

→ Routed to senior analyst · appeal batch prepared

The full intelligence stack

  • AI Eligibility Verification
  • AI Workflow Automation
  • AI Coding Assistance
  • AI Documentation Review
  • AI-Powered KPI Monitoring
  • Predictive Analytics
  • Smart Revenue Insights
  • Intelligent Reporting
  • Payer Behavior Radar
  • ML Revenue Optimization

Solutions

One intelligent platform for the entire revenue cycle

Twenty-eight solutions across revenue, AI, compliance, and quality — one accountable team. Start with the problem that hurts most, or hand us the whole cycle.

View all 28 solutions

Who we serve

Forty specialties, each with its own playbook

Billing rules aren't generic, and neither are we. Every specialty gets coders, AI models, and workflows built for its codes, payers, and quirks.

Explore all specialties

Client voices

Trusted by providers across the United States

Real results. Trusted partnerships. Lasting success — what our clients share about working with RCM Solutions 247.

RCM Solutions 24/7 handled my credentialing and billing with exceptional professionalism. The onboarding process was smooth, communication was outstanding, and everything was completed efficiently. Their team has been a reliable partner from day one.

Katrina B.Verified Client

Emergency Medicine · California

Credentialing · Medical Billing · Revenue Cycle Management

Why choose us

Built like a billing department. Accountable like a partner.

We combined the scale advantages of the industry's biggest RCM firms with the attention of a team that knows your practice by name.

Around-the-clock operations

Rejections corrected overnight, eligibility verified before your morning schedule, claims submitted daily. When your office opens, yesterday's problems are already worked.

Radical transparency

A live KPI dashboard updated daily and a monthly review where a human explains every movement. You will never wonder where your money is again.

Aligned incentives

Percentage-of-collections pricing means we earn only when you get paid — and month-to-month terms mean we keep you by performing, not by contract.

Specialty-matched expertise

Your cardiology claims are worked by cardiology-certified coders; your ABA authorizations by people who know the 97151 code family cold. No generalists guessing.

The revenue cycle

Seven stages. Zero handoffs lost.

Most revenue leaks in the gaps between teams. Ours flows through one accountable system — here's the path every dollar takes.

  1. 01 · FRONT END

    Scheduling & eligibility

    Coverage, benefits, and authorization requirements verified before every visit — 40% of denials die here, before they're born.

  2. 02 · FRONT END

    Authorization

    Prior auths compiled, submitted, and tracked to approval before the date of service.

  3. 03 · MID CYCLE

    Coding & charge capture

    Certified coders translate every encounter completely and compliantly, with charges entered within 24 hours.

  4. 04 · MID CYCLE

    Claim scrubbing & submission

    Multi-layer edits against payer-specific rules push our first-pass clean rate past 98%.

  5. 05 · BACK END

    Payment posting

    Every remittance posted same-day at the line level — with underpayments flagged against your contracts.

  6. 06 · BACK END

    Denials & recovery

    Every denial touched in 48 hours, appealed when wrong, and root-caused so it stops recurring.

  7. 07 · ALWAYS ON

    Intelligence & reporting

    AI watches for payer behavior shifts while your KPI dashboard and monthly reviews keep every number visible.

Trust & compliance

Secure. Intelligent. Compliant.

Protecting patient data while maximizing provider revenue isn't a trade-off — it's our architecture. Security is engineered into every workflow, not bolted on after.

HIPAA-compliant workflows

Administrative, physical, and technical safeguards implemented across every workflow — with a signed BAA behind every engagement.

Encryption everywhere

PHI encrypted at rest (AES-256) and in transit (TLS 1.2+), with secure file transfer and encrypted communication as the only channels.

Role-based access control

Least-privilege access with complete audit logging, and access reviewed as roles change — every touch of your data is attributable.

Continuous compliance monitoring

Ongoing internal security reviews, risk assessments, and controls maintenance keep our operations audit-ready every day of the year.

Trained, certified workforce

Every team member completes HIPAA training with annual recertification; coders hold AAPC and AHIMA credentials.

Audit-ready by default

Compliance monitoring, risk management, and documentation practices that keep you prepared before any payer or OCR inquiry.

Resilient infrastructure

Redundant, monitored, US-hosted systems with encrypted backups — built so your data and uptime never rest on a single point of failure.

BAA lifecycle support

Business associate agreements executed, tracked, and honored — including support managing BAAs across your own vendor stack.

Questions

Asked by every practice we talk to

Straight answers about switching, pricing, security, and what 24/7 actually means. If yours isn't here, the full FAQ page goes deeper.

Find out what your revenue cycle is leaving behind

A free 30-minute consultation with a senior RCM consultant, plus a complimentary billing health check — your denial rate, A/R days, and collection rate benchmarked against your specialty. No obligation.

Contact

Talk to a consultant, not a call center

Tell us what's happening with your revenue cycle. A senior consultant — not a salesperson — responds within one business day.

Submitting this form does not create a business associate relationship. Please do not include patient information (PHI) in your message.