REVENUE CYCLE MANAGEMENT
Elara Associates manages every stage of your revenue cycle: patient access, charge capture, coding, claims, denials, and collections. We find where revenue is slipping, fix the process behind it, and report progress against your baseline every month.
End-to-end ownership
Front-desk coaching
THE PROBLEM
Most revenue problems don’t originate in the billing office. A missed eligibility check at scheduling, an expired authorization, an incomplete registration, or a documentation gap in the chart can each become a denial weeks later.
When revenue cycle responsibilities are split across the front desk, clinical staff, coders, and an outside billing vendor, nobody owns the full picture. The result:
THE SOLUTION
Our RCM service connects the front end, mid-cycle, and back end of your revenue cycle under a single plan and a single set of KPIs.
Front end — Patient Access
We verify coverage and benefits before visits, track prior authorization requirements, review registration accuracy, and provide your front desk with patient responsibility estimates to support point-of-service collections.
Mid-cycle — Charge Integrity
We monitor charge lag, review coding and documentation, query providers when documentation is unclear, and scrub claims against payer-specific edits before submission.
Back end — Reimbursement & Resolution
We follow up on unpaid claims, manage denials and appeals, post payments, identify underpayments, and manage patient statements and balance follow-up.
Analytics — Performance Management
We report on KPIs monthly, trace denials to their root causes, and recommend workflow changes to your team.
SERVICES INCLUDED
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KPIS WE TRACK
How often claims pass payer edits on first submission
How often claims are paid without rework
Share of claims denied, by reason and payer
Average time to collect payment
How much revenue is at risk of never being collected
How much of the collectible amount you actually receive
Time between the visit and charge entry
Front-desk collection effectiveness
BENEFITS
Through front-end verification and authorization tracking.
With consistent follow-up and cleaner submissions.
With clear cost estimates and fewer surprise bills.
From underpayments and aged claims.
With KPIs that show where each problem begins.
For new providers, services, and locations.
As manual rework decreases.
OUR PROCESS
01
We review 6–12 months of billing data, denial reports, A/R aging, and front-desk workflows to set baseline KPIs.
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You receive a prioritized plan identifying the largest sources of revenue leakage and the fixes for each.
03
We execute the BAA, set up system access, document workflows, and align with your front-desk and clinical teams.
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Our team runs daily RCM operations while tracking KPIs weekly during the first 90 days.
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Monthly performance reviews cover results and next steps. Quarterly sessions address payer trends, contract opportunities, and growth plans.
FREE REVENUE REVIEW
Schedule an RCM assessment. We’ll review your data, benchmark your KPIs, and show you the three areas with the greatest potential impact.
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WHY CHOOSE ELARA ASSOCIATES
instead of a billing vendor that only sees claims after they're created.
based on denial data, so errors decrease at the source.
that addresses enrollment and reimbursement issues directly.
like eligibility and claim status checks, with human review of every decision. See AI Automation.
for physician-owners, CFOs, and boards.
FAQ
Still have questions? Talk with our team.
Medical billing focuses on creating, submitting, and following up on claims. Revenue cycle management covers the full financial process, from scheduling and eligibility through coding, claims, payments, and patient balances.
No. Smaller practices often benefit most because they have fewer staff to cover each stage. We scale the service to your volume.
Front-end fixes can reduce new denials within the first few billing cycles. A/R improvement depends on the age and volume of existing claims. We set realistic targets during the assessment.
No. We support your staff with verification, authorization tracking, and training. Some practices also add AI automation to reduce manual front-desk tasks.
Monthly KPI reports covering collections, denials, A/R aging, and payer performance, plus a review meeting with your account lead.
Schedule an RCM assessment. We’ll review your data, benchmark your KPIs, and show you the three areas with the greatest potential impact.
