MedCare MSO provides end-to-end revenue cycle management services that cover everything from insurance verification to denial appeals with HIPAA-compliant processes. Our AI RCM services reduce denials, lower your A/R days, and recover lost revenue through automated workflows.
Our Key RCM Performance Indicators
Our End-to-End Revenue Cycle Management Process
Let our RCM company handle coding, billing, denials, and A/R follow-ups while you focus on patient care.
The majority of your denials are caused by eligibility verification gaps, missed prior authorization, or coding errors. The manual approach your team takes isn’t capable of finding these issues before submission and forces you to rework. This delays your reimbursements and takes away the margins you’ve already earned.
MedCare MSO offers AI revenue cycle management solutions that address the underlying causes, not just take care of the denial rates. Our RCM experts run root-cause analysis, resolve the denial causes, submit fully documented appeals, and take this data to prevent further denials.
As your receivables age, they become harder to collect and put your financial performance at constant risk. Your balance slips through follow-up, the payer timelines lapse, and the revenue you owe stays stuck in the billing cycle. This is because of the mistakes made throughout the claim lifecycle.
MedCare MSO’s medical revenue cycle management takes the most effective approach there is. We manage the aging bucket with a priority-based workflow by payer and dollar value. This way, the highest-impact claims are worked first and gradually, each one is pursued to resolution. As a result, you get <30 days in A/R and an improved net collection rate.
MedCare MSO offers four different RCM solutions: PMS, AI Scribe, AI Coder, and EHR. You can choose to go with our complete ecosystem or you can choose any product, let’s say EHR integration with your existing healthcare platform. Either way, you get solutions built to work around your practice with our AI RCM billing company.
Automatically captures clinical documentation in real time during every encounter, freeing physicians to focus fully on the patient.
Runs scheduling, billing, and claims management from one unified platform and streamlines daily operations to boost practice revenue flow.
Assigns accurate CPT, ICD-10, and HCPCS codes to every encounter, reducing claim denials and speeding up your reimbursement cycle.
Centralizes all patient records in a single secure system,
with AI-powered clinical workflows that simplify charting and
improve care coordination.
From documentation to a paid claim, every layer of this ecosystem works together so no aspect of your RCM
gets ignored.
Securely connects your systems to enable seamless, real-time data exchange.
Automates repetitive billing and data entry tasks to reduce errors and save time.
Applies payer rules and claim edit logic to catch errors before submission.
Implements AI for coding, denial prevention, and data-driven decision-making.
Every specialty bills on its own CPT and ICD-10 patterns, modifier rules, and payer requirements. Our certified coders build specialty-specific revenue cycle management workflows around yours, capturing every billable service and securing accurate reimbursement.
When you choose MedCare MSO for healthcare revenue cycle management services, you get more than a billing vendor. We combine certified coders and billers with AI-driven workflows that are HIPAA-compliant. We can work as an extension of your team or you can avail our RCM outsourcing services and let us handle your entire revenue cycle.
Practices stay with us because the results hold up right. Our RCM services result in higher clean claim rates, stronger net collections, and faster reimbursements across 50+ specialties. Whether you bill on a fee-for-service model or value-based care, our revenue cycle management solutions scale as your practice grows.
C&CCC couldn't verify whether payments matched their contracted rates due to dozens of payer contracts. This was resulting in underpayments. MedCare MSO mapped every contract into our proprietary platform, added HL7 integration, and built dashboards that flag discrepancies in real time.
| Metric | Before | After |
|---|---|---|
| Monthly Collections | $160,000 | $1,500,000+ |
| Days in A/R | 68 days | 32 days |
| Clean Claim Rate | 78% | 94% |
| Contract Accuracy | Manual, error-prone | 100% automated |
| Payment Verification | 8–12 hours/day | Real-time |
| Underpayment Detection |
Reactive | Proactive ($480K/mo avg) |
Wherever your practice operates, MedCare MSO delivers end-to-end revenue cycle management across all 50 states. We handle eligibility verification, prior authorization, accurate medical coding, and clean claim submission for every payer in your region, so your claims stop stalling and your reimbursements arrive on time. No matter the state rules or payer mix, our RCM team keeps your revenue moving and your cash flow steady.
I highly recommend MedCare MSO if you are looking for help with your billing and gain some freedom to see more patients or manage your business.
Practice Owner, TXEC
MedCare MSO has been an excellent organization to work with, I highly recommend them for their quality of service and commitment to excellence.
Back Office Manager, STST
We are definitely impressed by the Team’s performance. I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Director of Corporate Development, SC & SF
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Owner, R.D.
MedCare MSO did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
Co-Owner, PCP
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Chief Executive Officer, CARE NOW CLINIC
Chief Operations Officer, ION DIAGNOSTICS
Co-Founder, AW Care
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
Practice Owner, F&A Clinic
We have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage.
President/CEO, RLT
I am impressed with MedCare MSO’s promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
Practice Owner/FBH
Your practice needs an affordable, predictable and competitive revenue cycle management solution. One that has no hidden fees, no long-term lock-in, and flexible pricing customized to your specialty, volume, and the RCM services. MedCare MSO delivers pricing that’s customized to your practice’s specific needs. Fill out the form and we’ll send you a detailed pricing plan.
Please provide the following information, so our team can connect with you within 12 hours.
Or call us as 800-640-6409
TXEC
I have worked with MedCare MSO for the past eight months, and it has been a great experience. Moses, Mark, Travis, Sebastian, and Tammy have been a pleasure to work with, as well as the rest of the team, including the credentialing folks.
I highly recommend this group and MedCare MSO if you are looking for help with your billing. They will meet with you once a week to review the issues that need to be fixed to improve your payment and capture rate.
If you are looking for help with your billing and gain some freedom to see more patients or manage your business, this is the team you need to work with.
Dr. Jose Correa
Practice Owner
TXEC
STST
MedCare MSO has been an excellent organization to work with. Mark has consistently demonstrated outstanding attention to detail, thorough documentation, and strong professionalism in maintaining accurate records of his findings.
His reliability and dedication have contributed greatly to a positive experience.
I highly recommend MedCare MSO for their quality of service and commitment to excellence. I can’t say enough good things about Mark and his company.
Thank you
Shaunna Mock
Back Office Manager
STST
SC & SF
Hi Ali, I hope this message finds you well. I wanted to give you some feedback on the team.
We are definitely impressed by the Team’s performance. Definitely what we were looking for from switching partners.
In particular Mark Zaiden has been very helpful. In my 5+ years of experience as a M&A Professional, I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Austin has done a great job of leading the communications process and keeping the train going in the right direction. Tammy and some other folks have been key players as well. We really are happy with everyone on the team.
I wanted to pass this feedback along to you as we are really pleased with working with MedCare MSO so far.
Have a great weekend!
Max Owens
Director of Corporate Development
SC & SF
R.D.
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Most helpful is the open/responsive communication of their team with my office and each other, along with the specialty levels of expertise amongst my team for each aspect of RCM.
Kelly Ballou
Owner
R.D.
F&A Clinic
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.
I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.
RLT
Hello,
I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.
We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.
Please note special appreciation for the following:
David Lucas
Mario Ortega
Ambrose William
FBH
I have been a customer of MedCare MSO for one year. They have provided billing and credentialing services for my private behavioral health practice, and I am impressed with their promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases, and with their willingness to educate me and my staff about the ever-changing rules of medical billing and the best use of coding. This is a company I Trust with my billing needs.
Dr. Neufeld
Practice Owner
FBH