What is revenue cycle management as a service?
Revenue cycle management (RCM) as a service is the outsourced management of every financial step in a patient encounter — insurance eligibility verification, coding, charge capture, claim submission, payment posting, denial management, appeals, A/R follow-up, underpayment recovery, and patient billing. Medical Management Systems of Michigan runs your entire revenue cycle as a managed service, combining specialty-specific people, a proven process, and transparent reporting so providers collect the full contracted value of the care they deliver.
Getting paid is a process — not a single step
A healthcare provider’s revenue cycle is complex enough that collecting 100% of your contracted rate is nearly impossible with traditional, piecemeal methods. Every stage — eligibility, coding, claim submission, payment posting, denials, appeals, A/R — is a place where revenue quietly leaks. Miss a few percent at each step and it compounds into tens of thousands of dollars a year.
Revenue cycle management as a service fixes that by treating collections as one connected system, not a stack of disconnected tasks. We own every stage and track every dollar from the moment a patient is scheduled to the moment the final payment posts.
The full revenue cycle, managed for you
We approach each stage of the revenue cycle proactively — maximizing reimbursement and minimizing the cost and delay of getting paid:
- Before the visit — insurance eligibility and benefits verification, so claims don’t die on day one.
- At the point of care — accurate, specialty-specific coding and charge capture.
- Claim submission — clean claims to every major commercial, Medicare, and Medicaid payer.
- After submission — payment posting, denial management, appeals, and A/R follow-up.
- Always — underpayment detection against your contracts, plus transparent KPI reporting.
Complete visibility into every dollar
The difference between billing and true revenue cycle management is transparency. You shouldn’t have to guess why collections are down. Our monthly dashboards show your clean-claim rate, days in A/R, denial rate by payer and reason, and net collections — so you always know how your revenue cycle is performing and exactly where we’re recovering money for you.
Why providers run their revenue cycle with MMSM
For 30+ years we’ve helped physicians, surgical groups, EMS agencies, and urgent care clinics collect more while spending less time chasing payers. Your revenue cycle is handled here in the U.S. by specialty-specific experts you can call by name — never handed off to an offshore call center.
What's included
- Front-end eligibility & verification — we stop denials before they start by catching coverage and demographic errors up front.
- Coding & charge capture review — specialty-specific coders protect you from downcodes and missed charges.
- Clean claim submission across commercial, Medicare, and Medicaid payers.
- Relentless denial management & appeals — every rejection is worked, not written off.
- A/R follow-up & underpayment recovery — we chase aging claims and reconcile payments against your contracts to catch underpayments.
- Transparent KPI dashboards — clean-claim rate, days in A/R, denial rate, and net collections, visible to you every month.
