From solo practitioners to multi-hospital systems, ClainetRCM delivers revenue cycle management that reduces denials, speeds up payments and maximizes what you earn for the care you provide.
Pick your organization type to see how we set up billing around the way you work.
We manage the entire revenue cycle from patient registration to final payment, with DRG optimization, multi-department coordination and complex payer contracts.
One billing operation across every specialty in the building, with real-time eligibility verification and shared care coordination.
Enterprise-grade billing infrastructure at solo-practice pricing, with one point of contact who understands your payer mix.
Every billing touchpoint handled, from patient check-in to final payment, with full-cycle management and denial appeals.
Lab-specific coding for unique coding requirements, multiple billing arrangements and strict CLIA compliance demands.
Same-day claim submission, rapid eligibility verification and streamlined front-desk workflows for walk-in volume.
Episodic payment models, OASIS documentation and the details of Medicare home health and hospice regulations, handled.
From oncology and cardiology to behavioral health and orthopedics, each center gets a coding team trained in its specialty.
We look for missed revenue first: underpaid claims, unworked denials and aging AR.
A signed BAA before any PHI moves, encrypted data handling and access-controlled systems.
We work inside your existing EHR and practice management system, so there is no migration.
A named account manager and a team that knows your providers, payers and workflows.
Claims filed within 24-48 hours and every AR bucket reviewed every 14 days.
Medicare, Medicaid and commercial payers in every state, with state Medicaid knowledge.
Every denial traced to its root cause, corrected and appealed rather than written off.
Monthly reports with KPIs, denial analysis and aging, plus a dashboard you can open any time.
Organization type is one part of the picture. We also match coders to your specialty and build your account around your state's Medicaid program and regional payers.
Yes. Solo and independent providers get a dedicated account manager, payer credentialing and enrollment, practice startup support and pricing that starts at 2.29% of monthly collections.
Yes. For hospitals and health systems we manage the revenue cycle from patient registration to final payment, including DRG and inpatient billing optimization, multi-payer contract management and denial appeals.
Yes. Lab billing covers molecular and genetic tests, CLIA compliance and panel and client billing. Home health and hospice billing covers PDGM episodic billing, OASIS documentation review, hospice Medicare claims and EVV compliance.
Yes. We work with providers in all 50 states and DC, and set each account up around the state's Medicaid program, its Medicare contractor and the local payer mix.
Probably. The types on this page are where we work most, not a limit. Call +1 (339) 337-9616 and tell us how your practice bills today.
Get a free denial audit from AAPC/AHIMA certified coders. Send us 90 days of remittance data and we will show you, line by line, which claims were underpaid, denied or never worked. No setup fee and no long-term contract.
No setup fee. No long-term contract. Pricing from 2.29% of monthly collections.
