Complete Medical Billing Designed to Maximize Your Collections
Complete revenue cycle management — from patient registration through final payment posting — designed to maximize your collections.
Scope of Service
- Billing from charges through final reimbursement
- 97% clean-claim rate on initial submission
- One dedicated billing contact for your practice
- On-demand access to financial & billing insights
- Simple 3% pricing with zero hidden fees
Simple, Transparent Pricing
3%
of collections
Flat fee · No hidden costs
END-TO-END BILLING
Let Us Handle the Billing While You Focus on Patients
Your priority is providing quality care to your patients—not spending valuable time managing claims, correcting billing issues, or following up with insurance companies. However, inefficient billing processes can place a significant administrative burden on your team and prevent your practice from collecting the revenue it has earned.
Grace RCM Solutions delivers end-to-end medical billing and revenue cycle management services tailored to the needs of healthcare practices. We manage the billing process from patient registration and insurance verification through claim submission, denial resolution, accounts receivable follow-up, and payment posting, helping create a more efficient and consistent revenue cycle.
THE CHALLENGE
Where Practices Lose Revenue
Even well-managed practices can experience revenue loss when billing processes are delayed or overlooked. Common challenges include:
Coding & Documentation Errors
Inaccurate coding or incomplete documentation that results in claim denials.
Delayed Claim Submission
Delays in submitting claims that can lead to missed payer deadlines.
Insufficient Follow-Up
Insufficient follow-up on outstanding, denied, or underpaid claims.
Staff Turnover
Staff turnover that creates workflow disruptions and inconsistent billing performance.
By partnering with Grace RCM Solutions, you can reduce the administrative burden of billing and have an experienced team dedicated to managing your revenue cycle. Our certified billing and coding professionals focus on keeping your claims accurate, timely, and financially optimized.
WHAT’S INCLUDED
What Our Full-Service RCM Includes
Our comprehensive revenue cycle management services include:
Charge Entry & Coding Review
Our certified coding team reviews patient encounters and verifies ICD-10, CPT, and HCPCS coding for accuracy and completeness. Identifying billing issues early helps reduce preventable denials and payment delays.
Clean Claim Submission
We review, validate, and electronically submit claims through our clearinghouse, ensuring claims are properly prepared and submitted within payer deadlines. Our streamlined process helps minimize errors and improve first-pass claim acceptance.
Payment Posting & Reconciliation
Payments, ERAs, and EOBs are accurately processed and posted to patient accounts. We reconcile payments against expected reimbursements and identify discrepancies, including potential underpayments, for further review.
Denial Management & Appeals
Our team investigates denied claims, identifies the underlying cause, and takes appropriate corrective action. When an appeal is warranted, we prepare and submit supporting documentation within the applicable payer deadlines to help recover legitimate revenue.
Accounts Receivable Follow-Up
We continuously monitor outstanding A/R and follow up on unpaid claims based on their aging and payer status. Regular follow-up helps reduce aging balances and keeps your revenue cycle moving.
SPECIALTIES
RCM Solutions for Every Specialty
Every specialty has unique clinical workflows, documentation standards, and billing requirements. Grace RCM Solutions provides specialized billing and revenue cycle management support for a broad range of healthcare practices, including:
Family Medicine & Primary Care
Cardiology & Internal Medicine
Pediatrics & Adolescent Medicine
Orthopedics & Physical Therapy
Dermatology & Plastic Surgery
OB/GYN & Women’s Health
Our experienced billing and coding professionals understand the specialty-specific requirements that impact reimbursement, helping ensure accurate coding, clean claim submission, effective denial management, and timely payment across your revenue cycle.
REPORTING
Clear Reporting. Complete Visibility.
With Grace RCM Solutions, you always have visibility into your practice’s financial performance. Our reporting tools provide clear insights into your revenue cycle and key performance indicators, including:
- Total collections and monthly revenue trends
- Denial rates by payer and denial reason
- A/R aging across current, 30, 60, and 90+ day balances
- Claim progress from submission through final payment
- Provider-level billing and collection performance
Your dedicated account manager regularly reviews your reports with you, answers your questions, and helps identify areas where your billing process can be improved.
WHY GRACE RCM
Why Practices Choose Grace RCM Solutions
With years of combined medical billing and RCM experience, Grace RCM Solutions is committed to providing reliable, transparent, and results-focused billing support for healthcare practices. Our straightforward 3% fee structure aligns our success with yours—when your practice collects more, we grow with you.
HOW IT WORKS
Our Medical Billing Workflow
Our structured approach helps create a smooth, reliable billing process for every practice we support.
01
Practice Review
We evaluate your existing billing operations, uncover revenue gaps, and develop an efficient workflow based on your specialty.
02
EHR Setup & Onboarding
Our team connects with your current EHR/EMR system and guides your staff through the improved billing workflow.
03
Claims Submission & Tracking
Experienced coders review each encounter, submit accurate claims promptly, and consistently follow up on outstanding balances.
04
Reporting & Improvement
Your dedicated account manager provides regular performance reports and continually identifies opportunities to improve your revenue cycle.
MORE SERVICES
Related Services
Denial Resolution & Appeals
In-depth root-cause analysis paired with a dedicated appeals team to recover revenue lost to rejected and denied claims.
Benefits Verification / Eligibility
Real-time eligibility and benefits checks before services are rendered, preventing denials before they happen.
Payer Enrollment / Credentialing
Payer enrollment and credentialing support so your providers are approved with insurance plans and ready to bill without delays.
Optimize Your Revenue Cycle Today
Don’t let claim denials, coding mistakes, and inefficient billing quietly drain your revenue. Request a free billing audit and see how Grace RCM Solutions can grow your collections.