Bay RCM handles end-to-end revenue cycle management for clinics and health systems — certified billers, clean claims, and structured follow-up that keeps your practice financially healthy.
From eligibility verification to denial management — every touchpoint optimized to maximize reimbursement.
Certified coders with specialty-specific expertise review every encounter — accurate ICD-10, CPT, and HCPCS assignment, every time, before a claim leaves your practice.
Real-time insurance eligibility checks before every appointment — eliminating front-end claim denials at the source.
Systematic denial tracking, root-cause analysis, and appeals workflows that recover revenue that would otherwise be written off.
Proactive accounts receivable management with aging-bucket prioritization and payer-specific escalation playbooks.
Custom KPI dashboards, payer mix analysis, and monthly executive reports to guide strategic financial decisions.
Structured PA submission and status tracking across all major payers — reducing treatment delays and keeping your schedule moving without administrative bottlenecks.
Our workflow is engineered to catch issues before they become denials.
We connect seamlessly to your EHR — eClinicalWorks, Athena, Kareo, and 40+ others — typically live within 5 business days.
Automated real-time checks run before every appointment, surfacing coverage issues while there's still time to resolve them.
Certified coders review every encounter for accuracy and completeness before submission. Claims leave your practice clean and compliant.
ERA/EOB auto-posting with variance analysis flags under-payments and contractual discrepancies automatically.
Every denial gets a root cause, a correction, and an appeal. Nothing ages off unchallenged.
Deep payer and coding knowledge for the specialties that matter most to your practice.
These are published industry benchmarks — what well-run RCM operations consistently achieve. They're the targets we build every engagement around.
Sources: MGMA, HFMA, CMS published data
Every practice is different — specialty mix, payer contracts, claim volume, and denial complexity all factor into what the right engagement looks like. We don't publish one-size-fits-all rates because they rarely serve anyone well.
In a 20-minute call, we'll learn about your practice and put together a straightforward proposal — what we'll do, what it costs, and what you can expect.
We audit your last 90 days of claims at no cost. Most practices discover 6–18% in recoverable revenue.