Revenue Cycle Management

At Orchard Medical Management, we deliver full-service and project-based Revenue Cycle Management (RCM) solutions that help medical practices and healthcare organizations optimize performance, increase collections, and reduce administrative burden. Whether you’re a specialty clinic, private practice, or FQHC, our team of certified coders and experienced billing professionals is here to help your practice thrive.

Comprehensive Revenue Cycle Services

From the moment a patient is scheduled to the final payment posted, we manage the full lifecycle of your revenue cycle. Our team provides:

• Accurate Medical Coding: Led by certified coders who stay current with the latest CPT, ICD-10, and HCPCS changes.
• Claims Scrubbing & Submission: Timely, clean claim submission to minimize denials.
• Insurance Verification & Eligibility Checks
• Payment Posting & Reconciliation
• Denial Management & Appeals
• Patient Billing & Collections Support
• Compliance Oversight & Audit Readiness

We identify revenue leaks, improve claim turnaround times, and ensure your staff is supported with best-in-class processes.

RPA/OIC – RCM Process Automation

We harness the power of Robotic Process Automation (RPA) and Oracle Integration Cloud (OIC) to streamline repetitive tasks, reduce human error, and accelerate your RCM workflows. Whether it’s automated eligibility verification, claims batching, or denial analysis, our solutions free up your team to focus on patient care.

• Reduce administrative time and manual data entry
• Improve accuracy in claims and payments
• Enable faster resolution of outstanding AR

Executive Revenue Cycle Reporting & Analytics

Make better business decisions with customized revenue cycle dashboards and detailed analytics. We provide:

• Real-time financial KPI tracking
• Collection rate insights and denial trends
• Provider-level performance metrics
• Forecasting and benchmarking tools

Our executive reporting tools give practice administrators and physicians the data they need to make informed, strategic decisions.

Why Choose Orchard for RCM?

• Full-Service & Project-Based Options: Whether you need us as your complete billing department or for short-term clean-up or optimization projects, we’re flexible to your needs.
• Deep Industry Expertise: Our team understands the operational and regulatory challenges that impact revenue, especially in New England’s healthcare landscape.
• Integrated Support: We align our RCM services with your credentialing, HR, and patient engagement workflows to ensure seamless coordination across departments.

Ready to optimize your revenue cycle and boost your bottom line?

Contact Orchard Medical Management for a consultation on full-service or project-based RCM solutions.