Affordable Revenue Cycle Management Services

Affordable End-to-End RCM

Affordable End-to-End Revenue Cycle Management Services for Medical Practices

Most RCM companies charge 6 to 9% of collections, lock you into 12-month contracts, and route your billing through call centers that don’t know your specialty. We do it differently. One O Seven RCM is a full-service revenue cycle management company built for independent and multi-specialty practices. Affordable pricing. No long-term contracts. No setup fees. Specialty-trained billing teams supervised by AAPC-certified billers. Built around what your practice actually wants from RCM.

Here’s the thing. Your front desk shouldn’t be wrestling with denials at month-end. Your physicians shouldn’t be waiting 60 days for paid claims. Your practice shouldn’t pay enterprise rates for generic billing. We fix what’s broken in your revenue cycle without locking you into anything. Month-to-month engagement. Real specialty depth. Transparent pricing.

What Makes Us Different

The Only End-to-End RCM Service Built for Medical Practices, Not Enterprises

One O Seven RCM is a full-service revenue cycle management company built for independent and multi-specialty medical practices. We outsource revenue cycle management services for healthcare providers who want affordable pricing, no long-term contracts, and specialty-trained billing teams supervised by AAPC-certified billers. Our billers work inside our active billing operation. They see your claim status, denial reasons, and AR aging in real time. Most billing problems resolve in the first 60 days. The complex ones get handled inside the same company that handles the rest of your revenue cycle.

One Provider. Affordable Pricing. Real Specialty Depth.

Most practices end up juggling a billing vendor, a coding consultant, an AR collections agency, a credentialing service, and a patient billing call center. Each one charges separately. Each one points fingers when revenue stalls. We handle all of it under one roof:

Affordable RCM pricing aligned to your practice size and specialty
No long-term contracts. Month-to-month engagement
AAPC-certified billers supervise every claim daily
Specialty-trained teams matched to your billing complexity
One contract. One supervisor. One number to call

Stop Juggling Five Vendors for One Revenue Cycle. Get Affordable End-to-End RCM Built for Medical Practices.

Comprehensive RCM Services

Our End-to-End Revenue Cycle Management Services Cover Every Stage

Our end-to-end revenue cycle management services cover every stage of your billing operation. Each service is delivered by specialty-trained billers working inside our RCM operation, supervised by AAPC-certified billers in real time. Below is exactly what we handle for you, organized as your patient moves through the revenue cycle.

Patient Eligibility Verification

Confirms patient insurance coverage before appointments, identifies copay and deductible amounts, and flags coverage gaps before services are rendered. Cuts denials caused by eligibility errors. Most useful for practices with high new-patient volume or complex payer mixes.

Prior Authorization Management

Submits prior authorization requests, tracks status with payers, flags pending auths before scheduled procedures, and follows up on delays. Most useful for surgical specialties, pain management, behavioral health, and any practice with high prior auth volume.

Charge Capture and Entry

Captures and validates service charges from EHR templates and superbills, applies modifiers based on documentation, and reconciles charges with payer contracts. Most useful for multi-provider practices and high-volume specialties with complex billing patterns.

Medical Coding and Audit

Applies CPT, ICD-10, HCPCS, and modifier codes accurately under AAPC-certified supervision. Audits coding for compliance and revenue capture. Most useful for practices with high coding complexity, audit exposure, or specialty coding workflows.

Claim Submission and Scrubbing

Prepares and submits clean claims to payers and clearinghouses, scrubs claims against payer-specific rules before submission, and tracks claim status. Most useful for high-volume practices and specialties with complex coding or strict timely filing deadlines.

Denial Management and Appeals

Reviews denied claims, identifies root cause, drafts appeals with supporting documentation, and tracks appeal status to resolution. Most useful for practices with denial rates above 5% or specialties facing heavy payer scrutiny and audit exposure.

Payment Posting and Reconciliation

Posts payer remittances and patient payments, reconciles against expected reimbursement, identifies underpayments, and flags variance for AR follow-up. Most useful for practices managing high payer volume, contractual underpayments, or complex remittance posting workflows.

AR Follow-Up and Recovery

Works aging AR reports, contacts payers on outstanding claims, resolves underpayments and contractual disputes, and recovers stuck revenue from 30, 60, and 90+ day buckets. Most useful for practices with AR days above industry benchmark.

Patient Billing and Collections

Generates patient statements, handles billing inquiries, sets up payment plans, and supports patient communication around balances. Most useful for practices with high self-pay populations, rising patient AR, or significant out-of-pocket balances after insurance.

Provider Credentialing and Enrollment

Manages provider enrollment with commercial and government payers, handles re-credentialing renewals, and resolves enrollment-related billing issues. Most useful for new providers, expanding practices, or groups with payer enrollment gaps slowing reimbursement.

Get Every Stage of Your Revenue Cycle Handled by One Specialty-Trained Team

End-to-end RCM coverage. AAPC-certified supervision. Affordable pricing. No long-term contracts. Built for medical practices.

The Provider-Want-Led Difference

Why Medical Practices Choose One O Seven RCM for Affordable End-to-End RCM

Most RCM companies sell features. We sell what your practice actually wants. Affordability without quality loss. Reliability without long-term contracts. End-to-end coverage without vendor juggling. Specialty depth without enterprise pricing. As a full-service RCM company built specifically for medical practices, we operate differently from every standalone competitor in the category. Here’s how that shows up.

Affordable RCM Without Quality Compromise

Premium-priced RCM doesn’t equal premium service. Most enterprise vendors charge 7 to 9% of collections to cover overhead, not better outcomes. We charge 3.5% to 6% because we’re built for medical practices, not enterprise hospitals.

No Long-Term Contracts. Ever.

The standard RCM contract is 12 or 24 months with cancellation penalties. We engage month-to-month. Cancel with 30 days notice. We earn your business every month because we trust our work, not contracts to trap practices.

Specialty-Trained Billing Teams Matched to Your Practice

Generic billing teams handle every specialty with the same playbook. Our billers train inside specialty cohorts. A pain management biller works only on pain management. A cardiology team handles cardiology billing. Specialty depth shows up fast.

One Provider for the Entire Revenue Cycle

Most practices juggle a billing vendor, a coding consultant, an AR agency, a credentialing service, and a patient billing call center. We’re all of those things. One contract. One supervisor. One number to call when revenue stalls.

HIPAA-Compliant by Design, Not by Adaptation

Most RCM companies adapt to HIPAA when clients ask. We design every workflow HIPAA-first from day one. BAAs signed before access. SOC 2 Type II environment. Privacy Rule, Security Rule, and AAPC-aligned training across every team.

Works in Your Existing EHR and Billing System

You don’t switch systems to work with us. We integrate with your current EHR, practice management system, and clearinghouse. We support 30+ EHRs including Epic, Cerner, Athenahealth, AdvancedMD, Kareo, eClinicalWorks, NextGen, and Allscripts. No migration cost.

Ready for Affordable End-to-End RCM Without Long-Term Contracts?

Book a free RCM audit. We’ll review your billing operation, identify revenue leakage, and show you exactly what affordable RCM looks like.

How Onboarding Works

Our 5-Stage RCM Onboarding Process for Medical Practices

Every revenue cycle management engagement follows the same 5-stage onboarding process. From workflow discovery to live billing operations, you always know what’s happening, what comes next, and what’s being delivered. No black-box engagements. No surprise fees.

Free RCM Audit and Workflow Discovery

We start with a free RCM audit. We review your billing operation, AR aging, denial patterns, payer mix, EHR setup, and revenue leakage opportunities. Output: a written engagement scope with recommended services, pricing, supervisor assignment, and timeline. You approve before anything moves forward. Typically completes in 3 to 5 business days.

BAA, Compliance, and System Access Setup

Once scope is approved, we sign the BAA, configure SOC 2 Type II access protocols, set up role-based EHR and billing system permissions, and complete team HIPAA, TCPA, and HFMA training documentation. PHI access does not begin until every compliance step is verified. Typically completes in 3 to 5 business days.

Specialty Team Matching and Workflow Calibration

Based on your specialty, payer mix, EHR, practice size, and engagement scope, we match a specialty-trained billing team from our internal operation. Most practices receive a match within 48 hours. Your team reviews payer fee schedules, denial patterns, and statement formats before the first live shift. AAPC-certified supervisor introduced.

Shadow Period and Live Calibration

Week 1 is shadow week. Your billing team performs tasks under direct supervisor oversight, with claim accuracy spot-checked at 100% sample rate. Your point of contact reviews initial output. Adjustments get made to workflows, communication patterns, and escalation rules based on what we learn. The team is calibrated to your operation.

Live Operations and Continuous Quality Monitoring

From week 2 onward, the team operates in your live billing workflow with daily supervision, weekly quality audits, and monthly performance reviews. You receive monthly reports on claim volume, denial rates, AR days, first-pass clean claim rates, and revenue trends. Most practices see measurable improvement within the first 60 days.

Start with a Free RCM Audit. No Setup Fees. No Long-Term Contracts.

Get My Free RCM Audit

End-to-End Revenue Cycle Management Services for Every Specialty

Different specialties have different billing complexity. Cardiology runs different payer behavior than primary care. Pain management faces different prior auth volume than dermatology. Behavioral health navigates different time-based coding than urgent care. Our specialty-trained billing teams understand the audit triggers, payer landscape, modifier conventions, and CPT patterns specific to your vertical. Pick your specialty below to see specialty-specific RCM services.

Home Health Revenue Cycle Management

Home health RCM lives inside OASIS data, 60-day episode billing under PDGM, and certification windows that determine whether the claim even gets accepted. The denials we see most are missing F2F encounter documentation, OASIS lock-out errors, and LUPA threshold misclassification. Our home health billing services include OASIS validation before claim submission, plan of care coordination with clinical staff, RAP and final claim sequencing, and DDE / FISS portal access for Medicare home health claims. This is home health revenue cycle management built for agencies that bill under PPS rules, not for hospitals running outpatient billing.

Behavioral Health and Mental Health Revenue Cycle Management

Behavioral health RCM breaks down on three things: prior authorization gaps, medical necessity reviews, and carve-out plan complexity. The denials that dominate are CO-50 (not medically necessary) and CO-197 (pre-authorization required), especially across Magellan, Optum Behavioral, and Beacon Health. Our behavioral health billing services include session-type coding accuracy (90791, 90834, 90837, 90847), telehealth POS / modifier validation, ongoing authorization tracking before sessions occur, and appeal drafting using payer-specific clinical criteria. This is behavioral health revenue cycle management built around how mental health claims actually get evaluated, not generic billing applied to a specialty.

Pain Management Revenue Cycle Management

Pain management RCM is the most prior-auth-heavy specialty in outpatient billing. Injections, nerve blocks, RFAs, and pump refills almost always require prior authorization, and modifier 50, RT, and LT precision determines whether the claim gets paid at full rate or downcoded. Our pain management billing services include prior auth submission and tracking for every scheduled procedure, modifier audit before claim submission, medical necessity documentation review for chronic pain claims, and CO-50 and CO-197 denial appeal management. Pain management revenue cycle management requires specialty depth that generic billing teams don’t have.

Cardiology Revenue Cycle Management

Cardiology RCM is dominated by complex E/M coding, multiple procedure modifiers, and the difference between diagnostic and interventional billing patterns. Stress tests, echocardiograms, Holter monitoring, and cath lab procedures each have their own coding and bundling rules, and the modifier 26 / TC split for professional vs technical components gets denied constantly when applied incorrectly. Our cardiology billing services include modifier audit, NCCI edit review before claim submission, bundled vs unbundled procedure validation, and prior auth tracking for high-cost imaging. Cardiology revenue cycle management requires people who understand cardiology coding, not generalists.

DME and Durable Medical Equipment Revenue Cycle Management

DME billing fails on three things: Certificate of Medical Necessity gaps, Proof of Delivery problems, and HCPCS coding accuracy. CO-167 (diagnosis not covered) and missing CMN denials dominate the denial inbox. Our DME billing services include CMN verification before resubmission, Detailed Written Order audit, delivery documentation review against payer requirements, rental cycle tracking so monthly rentals don’t slip into denied status, and DMEPOS competitive bidding compliance. DME revenue cycle management is documentation-heavy work, and our specialty-trained DME billers handle exactly that complexity.

Mental Health & Behavioral Health

Physical Therapy

Chiropractic

Orthopedic Surgery

Internal Medicine & Primary Care

Psychiatry

Oncology

Dermatology

OB/GYN

Urgent Care

Neurology

Pain Management

Podiatry

Gastroenterology

Pediatrics

Telehealth & Virtual Care

Home Health & Hospice

Ophthalmology

Anesthesiology

Radiology

Oncology

Pulmonology

Urology

ENT (Otolaryngology)

Multi-Specialty Groups & MSOs

We Handle Revenue Cycle Management Services for 75+ Healthcare Specialties

Don’t see your specialty above? We’ve handled RCM for nearly every healthcare specialty in the US. Tell us about your practice and we’ll match you with a specialty-trained billing team.

Zero Disruption Integration

Our RCM Services Work in Your Existing EHR and Billing System

You don’t switch systems to work with us. Most practices fear platform migrations more than they fear current billing inefficiencies. We integrate with your current EHR, practice management system, billing platform, and clearinghouse. Most teams reach full platform proficiency within 5 to 10 working days. We support every major healthcare platform plus dozens of specialty-specific platforms. If you use it, we’ve worked in it.Your team spent months learning your EHR. We are not going to ask you to change it. One-O-Seven RCM billing specialists plug directly into your existing system from day one, submitting cleaner claims, catching denials before they cost you, and recovering every dollar your practice has already earned.

Your team also works with your clearinghouse (Availity, Change Healthcare, Waystar, and Office Ally), your patient portals, your reporting tools, and your payer connections. No software changes. No setup downtime. No migration cost. Just affordable end-to-end RCM that works inside your existing infrastructure.

Have a custom or specialty platform? We'll confirm compatibility before scope is signed.

What Medical Practices Say About Our RCM Services

Reviews from Medical Practices Using Our Affordable End-to-End Revenue Cycle Management Services

Numbers tell part of the story. Practice managers tell the rest. Below are reviews from solo practitioners, multi-specialty groups, home health agencies, behavioral health practices, pain management clinics, and DME suppliers that moved their billing operation to One O Seven RCM. Different specialties. Different practice sizes. Same outcome: lower RCM costs, faster collections, cleaner claims, fewer denials, and a revenue cycle partner that picks up the phone when something needs to move.

Sarah Mitchell, NP-C Cornerstone Family Practice, Austin, Texas

"I'd been trying to get credentialed with Aetna and BCBS for four months before finding One O Seven RCM. My dedicated specialist caught three taxonomy errors in my CAQH profile that nobody had flagged. We were approved with both payers in 11 weeks. The biweekly updates made the whole process feel manageable for the first time."

James Okoye, LCSW Okoye Behavioral Health Services, Atlanta, Georgia

"I'd tried twice to get paneled with UnitedHealthcare and kept hitting the same wall. One O Seven RCM ran a pre-submission audit and found my behavioral health application had been submitted to the wrong division both times. They resubmitted correctly and I was approved in eight weeks. That's the difference a real pre-submission audit makes."

Dr. Patricia Nguyen, MD Integra Primary Care Group, Dallas, Texas

"We were opening locations in Texas and Florida simultaneously and needed credentialing in both states at the same time. One enrollment manager handled everything, coordinated both state Medicaid applications, and had our billing system ready the day our first contract arrived. We didn't lose a single billing day in either location."

Cristina Panaccione Designation

Communication has been really great and they stay on top of things! It won't expedite the credentialling process with insurance companies, but it is so nice to have someone to trust to take it off our plate! Highly recommend!

Ready to Switch to Affordable End-to-End RCM Built for Medical Practices?

Book a free RCM audit. We’ll review your current billing operation, identify revenue leakage, and show you exactly what affordable revenue cycle management services look like inside your practice.

Billing & Credentialing FAQs

Frequently Asked Questions

Still have questions specific to your practice?

One O Seven RCM’s billing specialists are available to answer them, and the free audit gives you the data to make the decision with confidence, not guesswork. Talk to a Billing Specialist. Free, No Commitment.

What is revenue cycle management in healthcare?

Revenue cycle management (RCM) is the financial process healthcare providers use to track patient care from initial appointment scheduling through final payment. RCM includes patient registration, eligibility verification, charge capture, medical coding, claim submission, payment posting, denial management, AR follow-up, and patient billing. End-to-end RCM services manage every stage to maximize collections, reduce denials, and improve cash flow.

How much do revenue cycle management services cost?

Revenue cycle management services typically cost 3.5% to 9% of monthly collections, depending on practice size, specialty, and engagement scope. Premium RCM companies charge 7% to 9%. Affordable RCM providers like One O Seven RCM charge 3.5% to 6%. Compare this to in-house billing at 10% to 14% of collections when you account for salaries, benefits, training, and software costs. Most practices see ROI within the first 90 days.

What does end-to-end revenue cycle management include?

End-to-end revenue cycle management includes eligibility verification, prior authorization, charge capture, medical coding (CPT, ICD-10, HCPCS), claim submission and scrubbing, payment posting, denial management and appeals, AR follow-up and recovery, patient billing and collections, and provider credentialing. Each service operates inside one connected workflow with one supervisor accountable for outcomes. End-to-end coverage prevents the vendor juggling that hurts most practices.

Are RCM services affordable for small practices?

Yes. Affordable RCM is built specifically for solo, small, and multi-specialty practices. Our affordable practice tier ranges from 3.5% to 5% of monthly collections, includes specialty-trained billers, AAPC-certified supervision, and full RCM coverage. No setup fee. No long-term contract. Most small practices save 30% to 50% compared to enterprise RCM pricing while getting equal or better service quality.

Why outsource revenue cycle management?

Outsourcing revenue cycle management reduces administrative burden, improves first-pass clean claim rates, accelerates collections, ensures HIPAA-compliant operations, and frees clinical staff to focus on patient care. In-house billing often costs 10% to 14% of collections when fully loaded with salaries, benefits, training, software, and turnover. Outsourced RCM costs 3.5% to 6% with specialty depth most in-house teams cannot match.

Are there long-term contracts with One O Seven RCM?

No. One O Seven RCM operates month-to-month with 30-day cancellation notice. We don’t trap practices in 12-month or 24-month contracts because we trust our work to retain clients, not contracts to lock them in. If we don’t deliver value, you can leave. This commitment flexibility is rare in RCM and a major reason practices choose us over enterprise competitors.

How long does RCM onboarding take?

Most revenue cycle management engagements complete onboarding in 14 to 21 days. Stage 1 (free RCM audit and workflow discovery) takes 3 to 5 days. Stage 2 (BAA, compliance, system access) takes 3 to 5 business days. Stage 3 (specialty team matching) typically completes within 48 hours. Stage 4 (shadow week) takes 5 working days. By week 2, your team is in live operations.

Are RCM services HIPAA-compliant?

Yes. Every RCM engagement from One O Seven RCM operates under a HIPAA-compliant framework. We sign Business Associate Agreements before any engagement begins. We host every account in a SOC 2 Type II audited environment. Privacy Rule and Security Rule training is mandatory and annually recertified. PHI access is encrypted, role-based, and continuously audited. Compliance is built into every workflow, not adapted after the fact.

Can RCM services work with my existing EHR?

Yes. We integrate with every major EHR including Epic, Cerner, Athenahealth, AdvancedMD, Kareo, eClinicalWorks, NextGen, Allscripts, DrChrono, Greenway Primesuite, and Practice Fusion. We also work with your existing clearinghouse (Availity, Change Healthcare, Waystar, and Office Ally), payer connections, and reporting tools. No system migration required. Most teams reach full platform proficiency within 5 to 10 working days of engagement.

How does specialty-trained RCM differ from generic RCM?

Specialty-trained RCM matches billing teams to your specialty’s specific payer behavior, modifier conventions, prior authorization patterns, and audit risks. Generic RCM uses one playbook for every specialty. Specialty-trained billers handle pain management with pain-management-specific knowledge, behavioral health with BH-specific knowledge, and cardiology with cardiology-specific knowledge. The result is higher first-pass clean claim rates, lower denial rates, and faster AR recovery.

What outcomes can I expect from outsourced RCM?

Most practices see measurable improvement within the first 60 days of engagement. Typical outcomes include first-pass clean claim rates climbing to 96%, denial rates dropping to 5% or below, AR days reducing by 25% to 40%, monthly collections improving by 5% to 30%, and 25% to 30% reduction in administrative overhead. Specific results vary by specialty, payer mix, and starting baseline.

How do I get started with One O Seven RCM?

Start with a free RCM audit. We review your current billing operation, AR aging, denial patterns, and revenue leakage opportunities. Within one week, you receive a written engagement proposal with timeline, pricing, and supervisor assignment. If you proceed, we sign a Business Associate Agreement and begin Stage 2 of onboarding. Most engagements launch within 14 to 21 days. No setup fees. No long-term contracts.

Ready for Affordable End-to-End Revenue Cycle Management?

Stop paying premium rates for generic RCM. Stop getting locked into 24-month contracts. Stop juggling three vendors for one revenue cycle. Start working with affordable, end-to-end revenue cycle management built for medical practices, supervised by AAPC-certified billers, and integrated with your existing EHR. No setup fees. No long-term contracts. No surprises. Schedule your free RCM audit today and see exactly what affordable end-to-end revenue cycle management could do for your practice.