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.

Trusted. Nationally Approved. Physician Supported.

We specialize in delivering a comprehensive allograft portfolio, ensuring clinical excellence, safety, and nationwide accessibility.

Why Choose Our Allografts

• All Products on the National ASP List
  Every graft we offer is reimbursable and nationally recognized — giving providers peace of mind and financial clarity.

• Full Product Line Available
  From soft tissue to wound care and orthopedic applications, we deliver a complete solution for your allograft needs.

Expert Support You Can Trust

Our dedicated Medical Advisory Committee is available to answer clinical questions and provide real-time guidance — helping physicians make confident, evidence-based decisions.

What Are MSC Exosomes?

Exosomes are tiny, nano-sized vesicles naturally released by mesenchymal stem cells (MSCs). These vesicles carry important signaling molecules—such as cytokines, growth factors, proteins, and mRNA—that help cells communicate with each other. Scientists are actively studying exosomes for their potential roles in regenerative medicine, cellular repair, and skin health.

Unlike live stem cells, exosomes do not contain DNA, cannot replicate, and are considered cell-free, making them fundamentally different from traditional stem cell therapies.

How Our Exosomes Are Made

At Advanced Biologics, exosomes are produced using carefully screened placental MSCs, selected because younger tissue sources naturally secrete a richer array of signaling molecules.

Our manufacturing process includes:

• cGMP-compliant, controlled laboratory conditions

• Expansion of MSCs under strict quality and safety protocols

• Stimulation of cells to secrete exosomes

• Isolation, purification, and consistency testing

• Comprehensive analysis for quality and uniformity

These products are for research use only and are not FDA-approved for clinical treatment.

Regulatory Overview

The FDA regulates stem cells and other human cell/tissue-based products (HCT/Ps). Current regulations require:

• Autologous (your own) cells must be minimally manipulated

• Use must be homologous (same basic function in donor and recipient)

Because exosomes are considered biologic products, they must go through established pathways such as an IND (Investigational New Drug) or BLA (Biologics License Application) before they can be used clinically in the U.S.

Exosomes are not FDA-approved for clinical use outside of a sanctioned clinical trial or authorized research program.

Are Exosomes FDA Approved?

No. Exosome products are not FDA-approved to diagnose, treat, cure, or prevent any condition.
Advanced Biologics manufactures exosomes under strict cGMP standards, but they are sold exclusively for laboratory and research use, not for clinical application.

Product Summary

Our exosome preparations contain a highly concentrated blend of extracellular vesicles naturally released by cells like MSCs, keratinocytes, and fibroblasts. These vesicles carry:

• Proteins

• Lipids

• Nucleic acids

• Other signaling molecules involved in cellular communication

They are intended to support scientific exploration in the fields of regenerative biology, cell signaling, and skin research.