Nationwide coverage
A virtual billing team serving all 50 states, with working knowledge of each state's regulations and payers.
Boston, MAServing all 50 states
About ClainetRCM, a boutique medical billing company in Boston, MA
ClainetRCM is a full-service revenue cycle management company based in Boston and serving practices in all 50 states. We are small by design: AAPC and AHIMA certified coders, a BAA signed with every client, and a named contact for every practice.
50 statesPractices served
24-48 hrsClaim submission
14 daysAR review cycle
53Specialty programs
Who we are
A US-focused medical billing and revenue cycle management company
ClainetRCM helps healthcare providers maximize financial performance while staying compliant with payer regulations, CMS guidelines and HIPAA standards. We focus only on healthcare revenue cycle management, not general outsourcing, which is why our work is precise, transparent and measurable.
Our job is simple to state: increase reimbursements, reduce denials and optimize your cash flow. We do it with certified coders, fixed turnaround times and reporting you can verify.
Who we work with
- Hospitals and health systems
- Independent physicians
- Multi-specialty clinics
- Behavioral health facilities
- Surgical centers
- Telehealth providers
- Urgent care centers
- Group practices
Why ClainetRCM
What a boutique billing partner does differently
Specialty-focused billing
Coders who understand the coding and documentation challenges of your specialty.
Reduced denial rates
Proactive claim scrubbing and denial management that stop the same denials from coming back.
Faster reimbursements
Optimized workflows and persistent payer follow-up, with claims filed in 24-48 hours.
HIPAA compliant and secure
A BAA signed with every client before any PHI moves, and strict data security standards.
Transparent reporting
Detailed financial reporting and KPI dashboards, so you can verify every result.
Accurate, compliant, results-driven billing for US practices
We deliver medical billing and revenue cycle management that measurably improves a practice's finances. Our commitments:
- Increase collections and maximize reimbursements
- Reduce days in accounts receivable (AR)
- Minimize billing errors and compliance risks
- Improve the overall financial performance of medical practices
One of the most trusted RCM partners in the United States
We want a healthcare system where physicians, behavioral health providers, specialty clinics and multi-location practices no longer struggle with denials, delayed reimbursement or revenue leakage. That means:
- Setting new standards in nationwide medical billing
- Data-driven revenue cycle optimization
- Lower denial rates and faster payment cycles
- Advanced technology and analytics
- The preferred RCM partner for providers in all 50 states
- HIPAA-compliant processes and stronger AR collections
Our values
The standards we hold ourselves to
Focus
Healthcare revenue cycle management only, nothing else.
Precision
Certified coders review every chart before it becomes a claim.
Standard
CMS guidelines, payer rules and HIPAA are the baseline, not the goal.
Compliance
A signed BAA before any PHI moves, every time.
Approach
We work inside your systems and around your workflows.
Transparency
Reporting you can verify, and honest answers about what we can do.
Outcome
We are measured on what lands in your bank account.
Revenue growth
Fewer denials, faster payments and steadier cash flow.
Our services
Comprehensive RCM solutions
Seven service lines that cover the revenue cycle from credentialing to the final payment.
Medical Billing Services
- Charge entry and claim submission
- Electronic claims processing
- Clearinghouse management
- Payment posting
Medical Coding Services
- ICD-10, CPT and HCPCS coding
- Specialty-specific coding
- Compliance and audit support
- Coding accuracy optimization
Credentialing and Enrollment
- Individual and group credentialing
- Medicare and Medicaid enrollment
- CAQH management
- Revalidation and maintenance
Denial Management and AR
- Root-cause denial analysis
- Appeals and resubmissions
- Aged AR cleanup
- Revenue leakage prevention
Prior Auth and Verification
- Insurance eligibility verification
- Benefits confirmation
- Authorization management
- Referral coordination
Practice Management
- Workflow optimization
- KPI performance tracking
- Revenue analytics reporting
- Compliance guidance
Virtual Medical Assistants
- Front desk support
- Appointment scheduling
- Patient follow-up
- Administrative assistance
53 specialties
Primary care, behavioral health, cardiology, surgery, diagnostics, dental and more, each with specialty-matched coders.
Browse specialties
Visit or call
Our offices
ClainetRCM's corporate office is in Boston, Massachusetts, and our Wyoming office is in Sheridan. Our billing team works remotely with practices in every state, during your business hours.
Corporate office800 Boylston St, Spc 103, Boston, MA 02199-7046
Wyoming office30 N Gould St, STE N, Sheridan, WY 82801
Phone+1 (339) 337-9616
Emailinfo@clainetrcm.com
HoursMon - Fri, 9:00 AM - 6:00 PM ET
Questions
About ClainetRCM: common questions
Our corporate office is at 800 Boylston St, Spc 103, Boston, MA 02199-7046, and our Wyoming office is at 30 N Gould St, STE N, Sheridan, WY 82801. Because revenue cycle work is remote, we serve healthcare providers in all 50 states.
Yes. Our coders are AAPC or AHIMA certified, and they are matched to the specialty they code for.
Yes. We sign a Business Associate Agreement with every client before any PHI moves, and use encrypted data handling and access-controlled systems.
You work directly with a small, senior team and a named account manager who knows your practice, not a call queue. We are small by design, and we would rather tell you honestly what we can do than overpromise.
Free revenue audit
Find out what your practice is losing to denials.
Send us 90 days of remittance data and we will show you, line by line, which claims were underpaid, denied, or never worked, and what it would take to recover them. No cost, no obligation, and you keep the report either way.
No setup fee. No long-term contract. Pricing from 2.29% of monthly collections.