Medical Billing & Revenue Cycle Management
Medical Billing & Revenue Cycle Management Services
That Help Healthcare Providers Increase Collections
Healthcare organizations lose valuable revenue every year because of claim denials, inaccurate coding, insurance verification issues, and unworked accounts receivable. MSM Consulting helps healthcare providers improve financial performance with complete medical billing and revenue cycle management solutions designed to reduce revenue leakage and maximize reimbursement.
From eligibility verification and coding to claim submission, denial resolution, payment posting and AR follow-up, our specialists manage the billing process so providers can focus on delivering quality patient care.
- 18+ Years Healthcare Billing Experience
- 50 States Served Nationwide
- Certified ICD-10, CPT & HCPCS Coders
- 24–48 Hour Claim Submission Turnaround
- Medical Coding (ICD-10/CPT/HCPCS)
- Claims Submission & Follow-Up
- Denial Management & Appeals
- Revenue Cycle Management
- Payment Posting (ERA/EOB)
- AR Aging & Collections
- Eligibility Verification
What Is Medical Billing and Revenue Cycle Management?
Medical billing and revenue cycle management (RCM) is the process of converting healthcare services into collected revenue. It includes insurance verification, ICD-10/CPT coding, claim submission, denial resolution, payment posting and accounts receivable follow-up.
Healthcare organizations use professional billing support to reduce payment delays, improve reimbursement accuracy, and recover revenue lost through billing mistakes or neglected claims. MSM Consulting provides complete medical billing and RCM support nationwide for physician practices, home health agencies, hospices, behavioral health providers, and other healthcare organizations through experienced specialists and efficient claim processing.
Stop Losing Revenue Due to Billing Inefficiencies
Many Healthcare Practices Are Leaving Earned Revenue Uncollected
Providing excellent healthcare does not guarantee full reimbursement. Billing errors, missed authorizations, coding problems, and delayed follow-up can significantly reduce collections.
MSM Consulting helps organizations identify revenue gaps and create efficient workflows that improve the entire billing cycle.
Our revenue cycle management services cover every stage of the process, from patient registration to final payment collection.
- Common causes of revenue loss include:
- Incorrect ICD-10, CPT, or HCPCS coding
- Insurance eligibility problems discovered after treatment
- Missing prior authorizations
- Unworked aging accounts receivable
- Missed payer filing deadlines
- Poor denial tracking and analysis
- Incorrect payment posting
Healthcare Billing Challenges
- 8% Average First Submission Claim Denial Rate
- Source: MGMA revenue cycle research
- 65% of Denied Claims Are Never Reworked
- Source: Healthcare Financial Management Association (HFMA)
- $262 Billion Estimated Annual Value of Denied Claims in U.S. Healthcare
- Source: Healthcare industry denial research
- 90 Days Average AR Aging in Many Practices
- Source: Revenue cycle industry benchmarks
- The process of successful billing is more complicated than just the submission of claims. It requires precise coding, understanding of the payer, monitoring compliance and constant improvement to the revenue cycle.
Unsure How Much Revenue You're Losing?
We offer a free billing analysis — we’ll review your denial rate, AR aging, and collection ratio and tell you exactly where the leaks are.
Complete Medical Billing Solutions
Every healthcare organization has unique payer requirements and documentation standards. MSM Consulting provides customized billing support based on your specialty, workflow and revenue goals.
Medical Billing and Coding Services
Correct coding directly affects reimbursement. Our certified coding experts examine documentation and assign the appropriate ICD-10, CPT, HCPCS, and ICD-10 codes to ensure that claims are accurate. are representative of the services delivered.
- Our medical billing and coding services help providers:
- Improve coding accuracy
- Reduce preventable denials
- Maintain compliance
- Capture appropriate reimbursement
- Services include:
- ICD-10 coding
- CPT coding
- HCPCS coding
- Coding audits
- Documentation review
Claims Submission and Tracking
Clean claims submitted the first time correctly improve payment speed and reduce rejection rates.
Our team manages:
- Electronic claim submission
- Claim scrubbing
- Rejection correction
- Payer follow-up
- Claim status tracking
Claims are submitted within 24–48 hours after receiving complete documentation.
Insurance Eligibility Verification
Insurance verification prevents many avoidable denials before they happen.
We verify:
- Coverage status
- Benefits
- Copays and deductibles
- Authorization requirements
- Payer limitations
- Copays and deductibles
Early verification protects cash flow and reduces unpaid claims.
Revenue Cycle Management
MSM Consulting manages the complete revenue cycle from patient intake to final payment.
Our RCM support includes:
- Registration review
- Eligibility verification
- Authorization management
- Charge capture
- Claim submission
- Payment posting
- Denial management
- AR recovery
Organizations that choose to outsource medical billing often improve collections because specialized teams provide dedicated billing expertise and consistent follow-up.
Denial Management and Appeals
Denied claims represent lost revenue when they are ignored. MSM Consulting analyzes denial causes, corrects billing issues and works claims through resolution.
Our process includes:
- Reviewing denial reason codes
- Identifying root causes
- Correcting coding or documentation issues
- Preparing appeals
- Tracking payment resolution
We focus not only on recovering denied claims but also on preventing recurring billing problems.
Payment Posting and Reconciliation
Accurate payment posting provides clear financial visibility and supports better AR management.
We manage:
- Electronic Remittance Advice (ERA)
- Explanation of Benefits (EOB)
- Insurance payments
- Portal payments
- Payment reconciliation
Proper payment management helps identify underpayments, incorrect adjustments and outstanding balances.
AR Follow-Up and Aging Management
Unpaid claims represent revenue opportunities that require consistent attention.
Our AR specialists manage:
- Aging reports
- Insurance follow-up
- Appeal opportunities
- Payer communication
- Collection strategies
An organized AR procedure can help healthcare providers recover money that could otherwise go unclaimed.
Specialties We Bill
Healthcare Organizations We Bill For
Different provider types have different billing codes, documentation requirements, and payer rules. Our team includes specialists in each of these areas — not generalists applying a one-size-fits-all approach.
Home Health Agencies
Hospice Providers
Physician Practices
Healthcare Staffing Agencies
DME / HME Suppliers
NEMT Providers
Behavioral Health Providers
Rehab & Therapy Providers
Adult Day Care Centers
Assisted Living Facilities
Outpatient Clinics
Specialty Pharmacies
Denial Management: Recovering Lost Healthcare Revenue
Turn Denied Claims Into Recovered Payments
Claim denials are usually due to coding mistakes and documentation issues as well as eligibility or authorization issues.
MSM Consulting provides a structured denial recovery process that identifies problems, corrects errors, and improves future claim performance.
- Our denial workflow includes:
- Categorizing denials by payer and reason
- Performing root cause analysis
- Correcting claim issues
- Submitting appeals
- Monitoring claim resolution
- Implementing prevention strategies
Common denial issues we resolve include:
- Incorrect ICD-10/CPT codes
- Insurance eligibility failures
- Missing authorizations
- Timely filing issues
- COB errors
- Duplicate claims
- Documentation problems
- EDI claim errors
- NCCI editing issues
Payment Posting
Accurate Payment Posting Across Every Channel
Payment posting is more than recording deposits — it’s the foundation of your financial reporting, denial identification, and AR management. Inaccurate posting creates a cascade of downstream errors that distort your revenue picture.
Electronic Remittance Advice (ERA)
- We process electronic remittance files from all payers, matching payments and adjustments to individual claims — identifying underpayments, contractual adjustments, and payment variances that require follow-up action.
Explanation of Benefits (EOB)
- Paper EOBs are manually reviewed, digitized, and posted with the same accuracy and detail as electronic remittances — ensuring no payment goes unrecorded and no underpayment goes unnoticed regardless of format.
IVR, Live Calls & Web Portals
- We retrieve payment information via IVR systems, provider portal logins, and direct payer contacts — consolidating all payment data into unified weekly and monthly billing and AR reports for your finance team.
How We Work
Our Medical Billing Process: From Patient Encounter to Payment
MSM Consulting follows a structured eight-step process designed to improve reimbursement, reduce claim delays and create a more efficient revenue cycle.
1
Onboarding & System Integration
- We begin by reviewing your current billing workflow, payer relationships, technology systems, and revenue challenges.
- Our onboarding process includes:
- Billing performance review
- AR analysis
- EHR and practice management integration
- Workflow assessment
- Revenue recovery opportunities
This allows us to create a billing strategy customized to your organization.
2
Eligibility Verification & Benefits Review
- Before services are provided, we verify insurance coverage to prevent avoidable claim issues.
- Our team confirms:
- Active insurance status
- Patient benefits
- Copay and deductible information
- Authorization requirements
- Payer-specific restrictions
Early verification reduces denials and protects provider revenue.
3
Medical Coding & Charge Capture
- Accurate coding ensures providers receive appropriate reimbursement while maintaining compliance.
- Our certified coders review documentation and assign:
- ICD-10 diagnosis codes
- CPT procedure codes
- HCPCS codes
- Appropriate billing levels
This helps maximize legitimate reimbursement and reduce compliance risks.
4
Claim Scrubbing & Submission
- Before submission, every claim is reviewed for potential errors that may lead to rejection or denial.
- Our claim review process checks:
- Missing information
- Coding accuracy
- Documentation requirements
- Payer-specific edits
- Billing inconsistencies
Clean claims are filed electronically within 24 to 48 hours after the complete document is received.
5
Claims Tracking & Follow-Up
Submission of claims is just the start of the process of reimbursement.
Our specialists track claims through the process of processing payments and follow up on late payments.
- We track:
- Claim acceptance
- Processing status
- Pending payer actions
- Payment delays
- Filing deadlines
Consistent follow-up prevents revenue loss from overlooked claims.
6
Denial Resolution & Appeals
- When claims are denied, our team investigates the reason, corrects issues and pursues payment recovery.
- The process includes:
- Denial classification
- Root cause analysis
- Documentation review
- Appeal preparation
- Corrected claim submission
- Resolution tracking
We aim to increase revenue while cutting down on the likelihood of future denial patterns.
7
Payment Posting & Reconciliation
- A timely payment posting ensures the accuracy of financial records and aids in making better revenue choices.
- We manage:
- ERA posting
- EOB posting
- Insurance payments
- Adjustments
- Patient balances
- Reconciliation reports
This gives healthcare organizations better visibility into collections and outstanding revenue.
8
Reporting, Analytics & Compliance Monitoring
- Healthcare organizations need accurate data to improve performance.
- MSM Consulting provides reporting on:
- Collection rates
- Clean claim percentages
- Denial trends
- AR aging
- Days in accounts receivable
- Payer performance
- Compliance findings
These insights help organizations make informed financial decisions.
Already Have a Billing Team? We Can Supplement.
Many clients use MSM Consulting to handle overflow, denial management, or AR recovery while keeping internal staff for patient-facing billing tasks.
The Difference
In-House Billing vs. MSM Consulting Support
VS
Why Healthcare Organizations Choose Professional Billing Solutions
The internal management of billing can present challenges if organizations do not have dedicated coding experts, denial experts, or AR sources.
- Teams of internal billing typically have to deal with:
- More work for the administrative staff
- Denial recovery opportunities missed
- Coding errors
- Delayed claim follow-up
- It is difficult to maintain conformity updates
- Limited report on financials
- Professional billing support provides healthcare organizations with specialized expertise and consistent revenue cycle management.
Benefits of Working With MSM Consulting
Partnering with MSM Consulting allows providers to:
- Keep clinical teams focused on patient care
- Access certified coding professionals
- Improve claim accuracy
- Recover denied revenue
- Reduce AR aging
- Receive detailed billing reports
- Maintain consistent billing operations
- Many organizations partner with experienced medical billing outsourcing companies because dedicated specialists can identify revenue opportunities that internal teams may overlook.
Our Performance Highlights
Billing Results That Improve Revenue Performance
MSM Consulting focuses on helping healthcare organizations reduce revenue leakage, improve collections, and build stronger billing operations.
18+
Healthcare revenue cycle experience
98.2%
Average clean claim rate across client portfolios
43%
Average denial reduction after implementation
180,000+
Claims processed annually
Our Billing Team
Certified Specialists Who Know Your Revenue Cycle
Medical billing requires more than software — it requires specialists who understand clinical documentation, payer rules, and compliance requirements across every provider type they bill for.
Devin Asante
Interim Chief Executive Officer
Devin Asante serves as the Interim CEO of MSM Consulting, where he leads the company’s national consulting operations with a focus on licensing, compliance.
Janet Brown
Program Director
Janet Brown is the Program Director at MSM Consulting, bringing over two decades of clinical and administrative leadership to healthcare operations, program development and regulatory compliance.
Marvin Pike
Quality Assurance
Marvin Pike is a results-driven Quality Assurance professional at MSM Consulting, specializing in regulatory compliance, performance evaluation, and process improvement across healthcare.
David Morgan
Director of Billing and Credentialing
David Morgan is the Director of Billing and Credentialing at MSM Consulting. He coordinates provider enrollment, payer contracting, and revenue cycle.
Home Health or Hospice Organization?
PDGM billing, OASIS coding, and RAP submissions have specialized requirements. Our home health billing specialists handle all of it.
Real Results
Client Revenue Recovery Stories
High Denial Rate Resolved — Collections Recovered
A home health agency with a 22% denial rate engaged MSM Consulting after months of revenue shortfalls. Our billing audit identified systemic OASIS coding errors and missing prior authorizations as the primary denial drivers.
We corrected the coding workflow, implemented pre-authorization tracking, and resubmitted 6 months of denied claims. Within 90 days, the denial rate dropped significantly and significant past-due revenue was recovered.
- Denial rate reduced · 6 months of revenue recovered · New billing workflow implemented
AR Aging Cleaned — Days in AR Reduced
A DME supplier had over $200,000 in claims sitting in AR over 120 days, with no systematic follow-up strategy. Staff were overwhelmed managing new claims and couldn’t work the aged backlog simultaneously.
MSM Consulting conducted a dedicated AR recovery project — working aging claims by payer and priority, filing appeals on denied claims still within timely filing, and recovering a substantial portion of the aged AR within 60 days.
- Significant aged AR recovered · Days in AR reduced · Ongoing RCM management established
Undercoding Identified — Revenue Per Visit Increased
A behavioral health group practice suspected their reimbursement rates were lower than they should be. MSM Consulting conducted a retrospective coding audit across 3 months of claims and identified widespread undercoding — providers were consistently billing lower-complexity E&M codes than documentation supported.
We corrected the coding patterns, trained clinical documentation staff on supporting higher-complexity codes, and filed corrected claims for the audit period.
- Revenue per visit increased · Corrected claims submitted · Staff documentation training completed
Client Testimonials
What Our Clients Say
Healthcare Specialties We Support
Specialized Billing Solutions for Healthcare Providers
Different healthcare organizations require different billing knowledge, documentation standards and payer requirements.
MSM Consulting provides specialty-focused support for:
Home Health Agencies
Home health billing requires detailed knowledge of Medicare regulations, documentation requirements, and payment models.
- Our home health billing services include:
- Medicare and Medicaid billing
- PDGM billing support
- OASIS coding review
- Claim submission
- Denial management
- AR recovery
Hospice Providers
Hospice organizations require accurate billing processes and strong compliance oversight.
- As a specialized hospice billing company, MSM Consulting helps providers with:
- Hospice claim processing
- Medicare billing requirements
- Documentation review
- Denial prevention
- Payment follow-up
DME / HME Suppliers
Durable medical equipment providers face complex payer rules and documentation requirements.
- Our DME billing services include:
- DMEPOS claim processing
- Documentation verification
- Eligibility review
- Denial management
- Payer follow-up
Physician Practices
- We support physician groups with:
- Office visit coding
- Procedure billing
- Claim management
- Insurance follow-up
- Payment posting
- AR management
Additional Providers We Support
- Behavioral health providers
- Healthcare staffing organizations
- NEMT providers
- Rehabilitation clinics
- Therapy providers
- Adult day care centers
- Assisted living facilities
- Outpatient clinics
- Specialty pharmacies
Frequently Asked Questions
Q. What is revenue cycle management (RCM) in healthcare?
Ans. Revenue cycle management (RCM) is the process healthcare organizations use to manage the financial journey from patient registration to final payment collection. It includes insurance verification, coding, claim submission, payment posting, denial resolution and accounts receivable management.
Effective RCM helps providers collect more earned revenue while reducing billing delays and unnecessary claim denials.
Q. What is the average medical billing denial rate and how can MSM Consulting reduce it?
Ans. Denial rates depend on specialty, payer mix, documentation quality and billing processes. MSM Consulting reduces denials by improving coding accuracy, verifying eligibility, managing authorization requirements and analyzing denial trends.
Q. How much does medical billing outsourcing cost?
Ans. Pricing is contingent on aspects like specialty, quantity of claims, the volume of services needed, and the complexity of billing. Outsourcing can cut administrative costs and improve revenue recovery.
Q. Can MSM Consulting handle home health and hospice billing?
Ans. Yes. MSM Consulting provides specialized billing support for home health agencies and hospice organizations, including coding review, claims management, denial resolution and AR follow-up.
Q. What billing systems and EHR platforms does MSM Consulting support?
Ans. Our team works with a variety of EHR systems, practice management platforms, and payer portals while adapting to existing healthcare workflows.
Q. How quickly does MSM Consulting submit claims?
Ans. Claims are typically submitted within 24–48 hours after complete documentation is received and reviewed.
Q. Does MSM Consulting provide AR follow-up?
Ans. Yes. Our specialists manage aging claims through payer follow-up, appeals, and recovery strategies.
Q. What happens during a billing compliance audit?
Ans. A compliance audit reviews coding accuracy, documentation standards, payer requirements and potential risks. MSM Consulting identifies issues and provides recommendations to improve compliance.
Q. Should I Keep Medical Billing In-House or Outsource It?
Ans. Keeping billing internally provides direct control, but it can become expensive when organizations experience high denial rates, staffing limitations or unworked AR.
Outsourcing billing to MSM Consulting provides access to certified coders, denial specialists and structured revenue recovery processes. Many healthcare organizations use a hybrid approach by keeping patient-facing activities internal while outsourcing complex billing functions.
Protect Every Dollar Your Healthcare Organization Earns.
Your healthcare services deserve a billing process that captures the revenue you have already earned.
MSM Consulting helps healthcare organizations improve collections, reduce denials, and strengthen financial performance through professional medical billing outsourcing services.
Whether you need complete billing support or help with specific revenue cycle challenges, our specialists can create a solution based on your organization’s needs.
Get Your Free Billing Analysis Today