RCM Services

**We encourage all prospective clients to take advantage of our no-cost, full RCM analysis. Our team reviews the past 12 months of your revenue cycle performance—from patient access and coding to claims, denials, and collections—and delivers a detailed 30–40 page findings report outlining opportunities, risks, and potential revenue gains.

Our other services include:

1. Patient Access & Front-End Support

Accurate data entry and clean claims start at the front end. We implement and manage:

• Insurance eligibility verification

• Pre-authorization management

• Real-time benefits validation

• Financial counseling and patient communication

• Accurate demographic and insurance capture

• Coverage discovery to identify hidden or secondary insurance

• Workflow optimization for front-desk teams

This ensures patient information is correct before a claim is ever submitted, dramatically improving clean claim rates and reducing denials.

2. Medical Coding Excellence

Our coding division leverages certified coders and specialty-specific expertise to ensure proper documentation, compliant coding, and maximum allowable reimbursement.

• CPT, ICD-10, HCPCS coding

• Charge capture optimization

• Clinical documentation review & feedback

• Specialty-specific coding accuracy audits

• Coding for complex services, procedures, wound care, DME, infusions, and surgical episodes

We maintain strict compliance with payer policies and federal regulations, securing accurate reimbursements while minimizing audit risk.

3. Claims Management & Submission

We streamline the full claims life cycle with disciplined processes designed to produce clean, accurate, and fully supported claims the first time.

• Daily claim submission

• Clearinghouse scrubbing

• Rejection analysis & immediate correction

• Automated queue monitoring

• Timely filing assurance

• Payer-specific rules engine

Our approach reduces delays, prevents common errors, and ensures the shortest possible revenue cycle.

4. Accounts Receivable (A/R) Management & Denials Recovery

We have specialized A/R analysts who focus exclusively on payer follow-up, denial resolution, and appeals.

• Daily A/R follow-up

• High-touch payer communication

• Dedicated denial resolution teams

• Underpayment identification

• Appeals drafting and submission

• Aged A/R cleanup & recovery projects

• Root cause analysis to prevent future denials

Our aggressive, transparent, multi-touch system ensures no claim falls through the cracks.

5. Payment Posting & Reconciliation

We manage and reconcile all payments, ensuring your financial data is accurate, timely, and audit-ready.

• Automated and manual payment posting

• EOB/ERA reconciliation

• Adjustment validation

• Refund processing

• Payer contract comparison to detect underpayments

Our team ensures every dollar is accounted for, properly allocated, and tracked against expectations.

6. Patient Billing & Call Center Support

Our team provides compassionate, compliant, professional patient billing services that protect the patient experience while accelerating collections.

• Statements and invoice delivery

• Patient call center support

• Payment plan structuring

• Transparent billing communication

• Online payment portal access

We maintain your brand’s reputation while improving patient satisfaction and reducing confusion.

7. Revenue Integrity & Compliance Oversight

Our RCM model includes a built-in compliance framework:

• Coding audits

• Documentation quality review

• Compliance with Medicare, Medicaid, and commercial payer guidelines

• Policy monitoring and regulatory updates

• Education for clinical and billing teams

This safeguards your organization from preventable audits, fines, or recoupments.

8. Advanced Reporting, Analytics & Business Intelligence

Our team delivers real-time reporting dashboards and monthly executive summaries that provide full transparency into your revenue cycle.

Key metrics include:

• 98% Clean claim rate

• Net collection percentage

• Days in A/R

• Denial rate & root causes

• Reimbursement trends

• Payer performance analytics

• Productivity benchmarks

• Cash acceleration tracking

Every report tells a financial story—and our team ensures you understand exactly where your revenue stands at all times.

9. Dedicated Account Management

Every Magnolia client receives a personal account manager and a cross-functional support team.

Your team includes:

• Revenue cycle manager

• Coding lead

• A/R and denials specialist

• Payment posting specialist

• Reporting/analytics specialist

• Executive oversight

This structure ensures direct accountability, faster response times, and consistent communication.

Why Providers Choose our RCM Services

✔ Proven ability to increase collections 10–40%+

Through optimized workflows, denial reduction, and accurate coding.

✔ National-level expertise wrapped in boutique, hands-on service

Clients receive direct access to dedicated specialists—not call centers.

✔ Transparent reporting with zero hidden fees

We provide complete visibility into collections, denials, and financial performance.

✔ Fully compliant and audit-ready processes

We protect your organization with airtight documentation and regulatory compliance.

✔ Easy onboarding with no disruption to clinical workflows

Our transition team handles system setup, data migration, payer enrollment, and training.

Ready to Strengthen Your Revenue Cycle?

Our team of experts provide a complete, white-glove RCM solution that empowers healthcare organizations to increase cash flow, reduce administrative burden, and operate with greater financial confidence.

Let us become your revenue cycle engine—so you can focus on delivering exceptional patient care.

Credentialing Services That Keep Revenue Moving

Credentialing is one of the most important steps in protecting reimbursement and avoiding costly delays. We support providers and organizations through the credentialing and payer enrollment process with hands-on management, follow-up, and tracking.

From initial applications to recredentialing and CAQH maintenance, we help ensure your providers are properly enrolled so claims can be submitted without unnecessary disruption.

Services Include

• Provider credentialing and recredentialing

• Payer enrollment

• CAQH management

• Group setup and roster updates

• Application tracking and follow-up

• Enrollment support for new hires and expanding practices

Our team does all credentialing for a one time $200 fee per provider / payer contract

Additional Offering: FTE Workforce Solutions

In addition to our full-service Revenue Cycle Management solutions, we provide highly skilled, degreed full-time professionals who integrate seamlessly into your existing operations. Our workforce solutions help organizations strengthen staffing, improve productivity, and reduce overhead without the delays of traditional hiring.

We place experienced professionals in key support roles including billing, coding, credentialing, medical scribing, and administrative functions.

Roles Available

• Medical Billing Specialists

• Certified Coders

• Credentialing Specialists

• Medical Scribes

• Administrative Support Staff

• Revenue Cycle Support Teams

Immediate Impact — Ready From Day One

Our professionals are experienced, trained, and production-ready immediately, allowing your organization to avoid lengthy recruiting cycles, onboarding delays, and costly ramp-up periods.

Proven Performance

Clients consistently report our FTE team members meet or exceed the productivity, quality, and accuracy of traditional in-house staff.

Scalable & Cost-Efficient

Quickly expand your workforce with dependable talent at a fraction of conventional hiring costs — without the burden of recruiting, payroll taxes, benefits, or HR management.

Why Organizations Choose This Model

• Fill staffing gaps fast

• Lower labor costs

• Increase output and turnaround times

• Reduce management burden

• Scale teams as needs change

• Maintain operational continuity

Call to Action

Need reliable healthcare support staff without the hiring headache?
Let’s discuss a custom FTE staffing solution for your organization.

Approximately $2,500 per FTE

Strong payer contracts are essential to maximizing reimbursement and protecting long-term revenue. We help providers, physician groups, and facilities negotiate more favorable payer agreements designed to improve rates, terms, and overall contract performance.

Our team works directly with commercial payers to support new contracts, renewals, and renegotiations with a focus on strengthening your financial position.

Services Include

• New payer contract negotiations

• Existing contract renegotiations

• Fee schedule and reimbursement reviews

• Contract term analysis

• Multi-payer negotiation support

• Market comparison guidance

• Renewal strategy and follow-up

Cost-Effective Flat Pricing

Professional payer contract negotiation services are available for $500 per contract, providing a straightforward and affordable solution for organizations looking to improve payer relationships and reimbursement terms.

Why It Matters

Even small improvements in rates or contract language can create significant long-term revenue gains. Many organizations remain underpaid simply because contracts have not been reviewed or renegotiated in years.

Benefits

• Improve reimbursement rates

• Strengthen contract terms

• Reduce underpayment risk

• Increase long-term revenue

• Gain negotiating leverage

• Save internal administrative time

Call to Action

Unsure if your payer contracts are working in your favor?
Let us review and negotiate opportunities to improve your agreements.