Revenue cycle
services
End-to-end RCM services designed to improve clean claims, reduce denials, and accelerate cash flow across every specialty.
From onboarding to
optimised revenue
A repeatable, auditable process engineered to reduce friction at every stage — so your team focuses on patients, not paperwork.
Practice Discovery
We audit your existing workflows, payer contracts, EHR configuration, and denial patterns — building a complete picture before we touch anything.
- EHR access & integration
- Payer contract review
- Baseline KPI snapshot
Credentialing & Enrollment
Provider credentialing, payer enrollment, and ERA/EFT setup handled end-to-end — so your cash flow starts without delays or rejections at the gate.
- Payer enrollment complete
- ERA/EFT activated
- NPI & taxonomy verified
Charge Capture & Coding
Every encounter is coded with specialty-specific precision — ICD-10, CPT, HCC — against your payer's policies, before a single claim leaves the building.
- ICD-10 / CPT / HCC coding
- Payer-rule scrubbing
- < 24h turnaround
Clean Claim Submission
Claims go through our multi-layer scrubbing engine — eligibility, modifiers, bundling rules, and timely filing — before electronic submission to each payer.
- 98%+ clean claim rate
- Real-time eligibility
- Timely filing safeguards
AR Follow-Up & Denials
Systematic payer follow-up on every open claim. Denials are triaged within 24 hours, root-cause analysed, and appealed with supporting documentation.
- 24h denial triage
- Appeal workflows
- −18 day avg. AR
Reporting & Optimisation
Monthly performance reviews with your dedicated manager — KPI dashboards, denial trend analysis, and actionable recommendations to continuously lift revenue.
- Monthly KPI dashboard
- Denial pattern reports
- Dedicated account manager
Practice Discovery
We audit your existing workflows, payer contracts, EHR configuration, and denial patterns — building a complete picture before we touch anything.
- EHR access & integration
- Payer contract review
- Baseline KPI snapshot
Credentialing & Enrollment
Provider credentialing, payer enrollment, and ERA/EFT setup handled end-to-end — so your cash flow starts without delays or rejections at the gate.
- Payer enrollment complete
- ERA/EFT activated
- NPI & taxonomy verified
Charge Capture & Coding
Every encounter is coded with specialty-specific precision — ICD-10, CPT, HCC — against your payer's policies, before a single claim leaves the building.
- ICD-10 / CPT / HCC coding
- Payer-rule scrubbing
- < 24h turnaround
Clean Claim Submission
Claims go through our multi-layer scrubbing engine — eligibility, modifiers, bundling rules, and timely filing — before electronic submission to each payer.
- 98%+ clean claim rate
- Real-time eligibility
- Timely filing safeguards
AR Follow-Up & Denials
Systematic payer follow-up on every open claim. Denials are triaged within 24 hours, root-cause analysed, and appealed with supporting documentation.
- 24h denial triage
- Appeal workflows
- −18 day avg. AR
Reporting & Optimisation
Monthly performance reviews with your dedicated manager — KPI dashboards, denial trend analysis, and actionable recommendations to continuously lift revenue.
- Monthly KPI dashboard
- Denial pattern reports
- Dedicated account manager
Practice Discovery
We audit your existing workflows, payer contracts, EHR configuration, and denial patterns — building a complete picture before we touch anything.
- EHR access & integration
- Payer contract review
- Baseline KPI snapshot
Practices that
transformed revenue
Real outcomes from real practices. Every number below is pulled directly from client reporting dashboards.
Switching to this team was the single best operational decision we made in 2024. Our clean claim rate jumped from 84% to 97.8% in the first 60 days — and AR days dropped from 52 to 31. I can finally focus on my patients instead of chasing payments.
Prior auth used to eat 3 hours of our front-desk time every day. Now it's handled before we even open for patients. Collections are up 22% since onboarding.
The HCC risk adjustment work alone recovered over $340K in the first year. Their coders actually understand cardiology — not just generic billing.
We went from a 38% denial rate on certain payers to under 4%. The denial analytics dashboard makes every problem visible and every fix trackable.
Onboarding was faster than I expected — we were live in 68 hours. The team had our EHR mapped, payers enrolled, and first claims submitted before the week was out.
Ready to write your own success story?
Free audit · No setup fees · Live in under 72 hours
Let's fix your
revenue cycle
Fill out the form and a revenue cycle specialist will reach out within one business day — no obligation, no hard sell.
Email us
mksoptimahealthcaresolutions@gmail.com
Office
123 Healthcare Blvd, Suite 400
What happens next
Specialist reviews your submission
Within 4hFree 30-min discovery call scheduled
Day 1Custom audit & proposal delivered
Day 3