AI-Powered Revenue Cycle Management

Your billing.
Fully automated.
Zero missed revenue.

AutomatedRCM handles your end-to-end medical billing — eligibility, coding, claims, denials, and posting — so you collect every dollar you've earned.

HIPAA Compliant
EHR-Agnostic
No Long-Term Contracts
How It Works
8 Steps · Fully Managed
1
Patient Intake & Eligibility Verification
2
🔐Prior Authorization Tracking
3
💻Charge Capture & Coding Review
4
🔍Claim Scrubbing
5
📤Electronic Claim Submission
6
💰Payment Posting & Reconciliation
7
🛡️Denial Management & Appeals
8
📊Reporting & Continuous Improvement
Live ROI Calculator

See your revenue lift, in real time.

Model the impact of better billing on your practice. Drag the sliders — numbers update as you go.

Your Practice
Monthly claims submitted 500
Drag to set your approximate monthly claim volume
Average claim value $150
Primary care ~$100 · Specialty ~$200–$400
Current denial rate 18%
Industry average is 15–25%. Most practices underestimate this.
Projected Impact
Denied claims / month90
Revenue at risk / month$13,500
Estimated uncollected$5,400
Projected AutomatedRCM recovery$3,240
Estimated annual gain$38,880
Get My Free Revenue Audit →
Based on industry benchmarks. Your actual numbers may vary. Free audit shows your real figures — no obligation.
How It Works

An eight-step revenue cycle, fully managed.

From the moment a patient books to the day payment lands in your account — every stage monitored, every dollar tracked.

1
Step 01
Patient Intake & Eligibility Verification
Real-time insurance verification before every appointment — active coverage, deductibles, copays, and prior auth requirements confirmed before the patient arrives. Zero surprise front-desk denials.
⚡ AI-verified · Sub-2-second response
2
Step 02
Prior Authorization Tracking
High-cost procedures are flagged and tracked for authorization requirements. Alerts fire before expirations. No claim gets stuck waiting on a missing auth you didn't know you needed.
⚡ Automated tracking · Pre-expiry alerts
3
Step 03
Charge Capture & Coding Review
Charges are reviewed for accuracy before claim creation — catching missing CPT codes, diagnosis-to-procedure mismatches, and bundling issues that would trigger automatic denials downstream.
⚡ AI-assisted review · Powered by Claude AI
4
Step 04
Claim Scrubbing
Every claim passes AI scrubbing against CCI edits, modifier rules, ICD-10 precision requirements, and payer-specific guidelines. Claims that fail are corrected before submission — not rejected after.
⚡ Multi-layer scrubbing · Payer-specific rules
5
Step 05
Electronic Claim Submission
Clean claims submit electronically through the clearinghouse with real-time status tracking. Rejections surface immediately — not days later when the follow-up window has narrowed.
⚡ Office Ally clearinghouse · Real-time tracking
6
Step 06
Payment Posting & Reconciliation
ERAs and EOBs are processed and posted. Every payment is checked against the expected allowable — underpayments flagged, contractual adjustments verified, patient balances calculated correctly.
⚡ Automated ERA processing · Underpayment alerts
7
Step 07
Denial Management & Appeals
Denials are categorized by code, prioritized by dollar value, and appealed with detailed justifications tailored to each payer. No denial sits idle — every one gets a response.
⚡ AI-drafted appeals · Prioritized by value
8
Step 08
Reporting & Continuous Improvement
Monthly reports show collections, denial trends, recovery amounts, and KPIs in plain language. Denial patterns feed back into scrubbing rules — performance improves every month automatically.
⚡ Monthly reports · Built-in optimization loop
Services

Everything your billing team does. Done better.

We replace your billing headaches — not augment them. One partner, one fee, the full cycle.

🔍

End-to-End RCM

We own every step of the cycle — eligibility through final posting. One accountable partner instead of multiple vendors and software tools.

🤖

AI-Assisted Coding Review

AI flags coding issues and suggests corrections. Every claim reviewed for accuracy before submission — catching errors before they become denials.

🛡️

Denial Recovery

Every denial worked promptly. Root causes identified, appeals drafted and submitted — no claim left idle in a queue.

👁️

Real-Time Visibility

A live dashboard showing net collections, A/R aging, denial reasons, and claim status — updated continuously, accessible anytime.

🏥

Provider Enrollment & CAQH

New providers enrolled across your top payers. CAQH profile managed, credentials tracked, re-attestations handled before they lapse.

📋

Billing Audits

Comprehensive audits identifying coding errors, underpayments, missed charges, and compliance gaps — before a payer audit finds them first.

The Real Cost Comparison

In-house billing vs. AutomatedRCM.

Most practices don't realize how much their in-house billing team actually costs — or what they're leaving uncollected.

In-House Billing Team
Your staff · Your overhead
AutomatedRCM
Our systems · Our accountability
Clean claim rate
Industry benchmark
85–88% average
Manual review, staffing variability
Targets 90%+
AI scrubbing + payer-specific rules
Denial response time
Time from denial to action
7–14 days
Worked when bandwidth allows
Prioritized promptly
Every denial gets a response
Days in A/R
Industry average: 38 days
35–45 days typical
Claims queue behind daily workload
Active follow-up reduces this
No backlog, continuous queue
Total billing cost
% of gross revenue
8–12% of revenue
Salaries, benefits, software, overhead
Starting at 6%
One transparent fee, no hidden costs
Reporting visibility
How often you see your numbers
Monthly reports
Spreadsheets, lagging indicators
Live dashboard
KPIs updated continuously
Coverage continuity
What happens when staff is out
PTO and turnover gaps
One sick day = billing backlog
AI runs continuously
No single-employee dependencies
Compliance burden
HIPAA, payer rule changes
Falls on your practice
Staff training, policy updates
Managed by AutomatedRCM
HIPAA-compliant processes, signed BAA
See AI in Action

Watch a denial appeal get drafted in seconds.

Select a common denial reason and see the type of appeal letter we generate — no patient data required.

Simulated demo only. No patient data entered or required.
Real appeals use your actual claim details.

Select a denial code and click Generate.

⚠ Sample Letter — Demo Only
Eligibility Verification Demo

Insurance verified before the patient arrives.

See how real-time eligibility checks eliminate the surprise denials your front desk dreads.

Simulated demo. No real patient data used.

Fill in the fields and click Run Eligibility Check.

Checking coverage in real time…
⚠ Simulated Result — Demo Only
Coverage Active & Verified
Patient is eligible for services on the requested date.
Insurance Company
Plan Type
Coverage StatusActive ✓
In-Network Deductible$1,500 / $1,150 met
Copay$30 primary / $60 specialist
Prior Auth RequiredNo ✓
Response Time1.3 seconds
Why AutomatedRCM

The billing partner who never stops working.

Ten years of medical billing expertise, augmented by AI that runs your revenue cycle around the clock.

🧠

Expertise + AI

10 years of medical billing experience driving every decision. AI handles the volume and catches what human review misses. You get both.

🔒

HIPAA Compliant

AES-256 encryption, TLS 1.3, multi-factor authentication, and Business Associate Agreements with every vendor. Your patients' data is always protected.

📈

You Pay on Results

Pricing is a percentage of what we actually collect — so AutomatedRCM only wins when your practice wins. No flat retainers, no surprises.

Live in 48–72 Hours

No software to install. No long onboarding. We connect to your existing systems and start improving your claim process within days.

🗺️

Nationwide Coverage

Based in North Port, FL — serving practices across Florida and nationwide. Primary care, cardiology, dermatology, gastroenterology, oncology, and more.

📋

Done For You

We do the billing. You focus on patients. AutomatedRCM is a complete done-for-you service — not another tool your staff has to manage.

10+
Years Billing Experience
48h
Average Setup Time
24/7
AI Monitoring
HIPAA
Fully Compliant
Transparent Pricing

One transparent fee. We only win when you do.

No setup fees. No long-term contracts. We charge a percentage of what we actually collect for you.

Performance-Based
Starting at 6% of net collections
Custom quote based on your practice size, specialty, and claim volume · Contact us for your number
  • End-to-end revenue cycle management
  • AI-assisted coding review on every claim
  • Real-time eligibility verification
  • Denial management and appeals
  • Medical billing audits
  • Provider enrollment & CAQH management
  • Monthly performance reporting
  • Live dashboard access
  • HIPAA-compliant handling, signed BAA
  • Works with your existing EHR — no new software

Free Billing Audit

Find the revenue you're leaving on the table.

Send us a recent A/R report. We'll return a written analysis of every revenue leak we find — no obligation, no sales pitch.

✓ No commitment required ✓ Response within 24 hours ✓ North Port, FL · Serving practices nationwide