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Revenue Cycle Services

Revenue Cycle
Services

Veradigm Revenue Cycle Services delivers an end-to-end RCM solution designed to optimize financial performance for medical practices and physician groups. Our team manages everything from payer communication to coding and claims, while seamlessly integrating into your EHR, and incorporates intelligent automation and AI-enabled analytics to help practices minimize denials and optimize cash flow.

Awards & Recognition
#1 Black Book RatingEnd-to-End RCM Solutions
24,000+ ProvidersIn 35+ Specialties
$4.2 BillionIn Payments Managed Annually
Our Services

End-to-end revenue
cycle expertise

With over 30 years of experience, Veradigm RCS has worked with more than 24,000 providers in more than 35 specialties, managing $4.2 billion in payments annually.

Coding
Expert coding specialists maintain compliance with evolving regulatory and payer requirements while delivering precise data validation — critical for effective healthcare revenue cycle management.
Billing
Skilled billing specialists manage the entire billing and collections process. They minimize bad debt and recover payments promptly, driving superior revenue cycle performance.
Claims & Denials
A specialized team oversees claims processing and denial management around the clock. Their proactive approach swiftly resolves rejections to reduce denials and increase first-pass claim success.
Analytics
Industry experts deliver full account management and advanced analytics that provide real-time insights. This actionable reporting drives continuous improvement in your revenue cycle performance.
30+
Years of revenue cycle experience
24K+
Providers in 35+ specialties
$4.2B
In payments managed annually
99%
Average first-pass clean claims rate
Our Approach

People, Process &
Technology

Veradigm Revenue Cycle Services is unique in its three-pillar approach. We combine expert billers, proven processes, and powerful technology to deliver results no single element can achieve alone.

People
Professional billing experts partner with your practice at every step. Expert coding specialists maintain compliance with evolving regulatory and payer requirements while delivering precise data validation.
Process
Best practices are utilized throughout the entire revenue cycle continuum, from operational planning and scheduling to final collections and reporting. Our proven workflows minimize revenue leakage at every stage.
Technology
A comprehensive, rules-based engine automates tasks, streamlines workflows, and improves cash flow. Intelligent automation and AI-enabled analytics help practices minimize denials and optimize performance.
Technology & AI

Intelligent automation
and AI-enabled analytics

Veradigm integrates intelligent automation and AI-enabled analytics to streamline routine processes, identify patterns in claim denials, and deliver actionable insights. This helps reduce errors, accelerate payments, and improve overall revenue cycle efficiency.

AI algorithms help combat claim denials by analyzing historical claims data to identify patterns associated with denied claims. This analysis allows healthcare practices to identify potential issues with a claim proactively, before submission — saving both time and resources.

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Automated Workflows
A comprehensive, rules-based engine automates tasks, streamlines workflows, and improves cash flow across the entire revenue cycle.
Predictive Denial Analytics
AI analysis can predict which claims are most likely to be denied, allowing proactive intervention before submission.
Real-Time Insights
Advanced analytics deliver actionable reporting that drives continuous improvement in your revenue cycle performance.
EHR Compatibility

EHR-agnostic revenue
cycle management

Our full-service revenue cycle management is EHR-agnostic and conveniently collaborates with existing practice management systems and EHR for consistent support and smooth operations.

With advanced automation, real-time analytics, and dedicated expert oversight, Veradigm provides efficient claims processing and proactive management of denials. This end-to-end service increases efficiency and improves overall cash flow.

Koha Health Integration

As part of Veradigm, Koha Health's services now include advanced support for managing staff, streamlining workflows, ensuring medical coding accuracy, insurance claims submission, and comprehensive reporting.

This integration is designed to leverage existing technology investments and drive meaningful improvements that impact the bottom line. With Veradigm, clients gain access to an expanded suite of tools and resources that build a strong foundation for future success.

Full-Service RCM

Taking the burden
off your team

Veradigm streamlines billing by providing a dedicated team that manages automated workflows and advanced claims processing on your behalf. This full-service approach takes billing off of your hands, significantly increasing your staff's time and revenue.

Coding Services
With an average accuracy rate of 97% or higher, Veradigm Coding Services proactively prevents coding deficiencies and claims denials. Our experts continuously monitor local, state, and federal coding regulations to ensure compliance, precision, and reliability.
Billing & Collections
Skilled billing specialists manage the entire billing and collections process. They minimize bad debt and recover payments promptly, driving superior revenue cycle performance. By relieving administrative burdens, our service allows your team to dedicate more time to quality treatment.
Denial Management
Over 90% of denials are preventable. Veradigm RCS provides true denial management, identifying and addressing recurring denials, providing root cause analysis of denials, and sorting denials according to error type — whether billing, coding, or front office errors.
Account Management & Analytics
Industry experts deliver full account management and advanced analytics that provide real-time insights. This actionable reporting drives continuous improvement in your revenue cycle performance, helping you identify trends and deficiencies before they become costly problems.
Client Success Stories

Results that speak
for themselves

More stories

USL — Urologic Practice: USL collaborated with Veradigm Revenue Cycle Services to overcome revenue cycle management challenges, improving their clean claims rate, decreasing average time in accounts receivable, and increasing the practice's overall collection rates.

USL
USL
Urology
Veradigm Revenue Cycle Services

California Orthopedic & Spine: In 2019, CA Ortho transitioned to Epic EHR, and despite concerns about revenue cycle disruption, their progress had been the result of close collaboration with Veradigm and their dedicated team of Revenue Cycle Services experts.

CA
California Orthopedic & Spine
Orthopedics
Veradigm Revenue Cycle Services

UAB Selma Family Medicine Center: UAB Selma achieved an exponential turnaround in their billing operations since implementation of Veradigm Revenue Cycle Services in 2022.

UAB
UAB Selma Family Medicine Center
Family Medicine
Veradigm Revenue Cycle Services
Frequently Asked Questions

Common questions about
Veradigm RCS

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Let's optimize your
revenue cycle together

With over 30 years of experience and 24,000+ providers in 35+ specialties, Veradigm Revenue Cycle Services delivers results that drive revenue and improve financial health.