What is a RCM specialist?
An RCM specialist manages the financial processes that turn patient services into collected revenue. Their work can include insurance verification, prior authorizations, coding coordination, claim submission, payment posting, denial analysis, appeals, and accounts receivable follow-up. At Persistex, RCM specialists also review reporting and payer patterns to identify revenue leakage and help practices create a more predictable monthly cash flow.
What do RCM companies do?
RCM companies manage or improve a healthcare practice’s revenue cycle, from patient scheduling and insurance eligibility through final payment. Services commonly include coding, claims processing, denial management, payment posting, A/R follow-up, reporting, and payer compliance support. Persistex provides this full-cycle approach with dedicated U.S.-based teams, specialty expertise, and transparent dashboards rather than disconnected vendors handling separate tasks.
Which practice types does Persistex support?
Persistex supports behavioral health, TMS therapy, psychiatry, family medicine, internal medicine, general and primary care, pediatrics, chiropractic, and podiatry practices. Services can accommodate solo providers, small practices, multi-provider clinics, and organizations with 15 or more providers. The team tailors workflows to specialty coding rules, authorization needs, payer requirements, and the practice’s existing EHR or practice-management system.
How does a free billing audit work?
A free billing audit is a no-obligation review of your current billing process, denial patterns, and potential revenue opportunities. Persistex evaluates where claims may be stalling, identifies recurring issues, and outlines areas for improvement or transition support. A billing specialist responds within 24 hours during business days to schedule the review. The audit is HIPAA-compliant, with no contract required.
Can Persistex help reduce denied medical claims?
Yes. Persistex works to prevent denials before submission through accurate coding, documentation guidance, eligibility verification, authorization management, and payer-rule review. When denials occur, the team analyzes the root cause, corrects eligible claims, and manages appeals and follow-up. Persistex reports a 98% clean claim rate, a 72% appeals success rate, and a 40% reduction in denied claims for supported practices.
Does Persistex work with our EHR or practice management system?
Persistex integrates with major EHR and practice-management systems, including AdvancedMD, Kareo, athenahealth, DrChrono, and TherapyNotes. During onboarding, the team reviews your existing workflows, system access, payer setup, and reporting needs. This approach helps preserve operational continuity while connecting billing, coding, and revenue-cycle processes to the systems your staff already uses.
What pricing options are available for medical billing and RCM?
Persistex offers flexible percentage-based and flat-rate pricing models based on practice size, service volume, and the scope of support needed. There are no hidden fees or long-term contracts. The pricing approach is designed to align Persistex’s success with the practice’s revenue performance, while the free audit provides a clear starting point before you decide whether to move forward.
How quickly can a practice see RCM improvements?
Many practices see measurable improvements within 30 to 60 days of onboarding, depending on claim volume, payer mix, existing A/R backlog, and operational readiness. Early gains often come from correcting coding gaps, improving clean-claim submission, and prioritizing aging receivables. Persistex has helped practices reduce A/R days from 90 to 30 while establishing clearer reporting and more consistent follow-up processes.