At 5AM Corp we provide professional medical billing and Revenue Cycle Management (RCM) support for U.S. physician practices, clinics and medical groups. Our RCM services cover the full revenue cycle, from patient and insurance data through charge entry, claim submission, payment posting, denial management and accounts receivable follow-up.
We focus on the work that determines whether a claim is paid: accurate charge entry, clean claims, eligibility verification, claim status follow-up, denial management and consistent AR follow-up on unpaid and underpaid claims.
Every engagement is scoped to your practice. Whether you need a complete billing cycle, focused AR and denial management, payment posting assistance, or a one-time AR cleanup project, our remote team adapts to your workflow, your specialty and your billing platform.
Denial Management that identifies the reason, the correction and the next action
Accounts Receivable Analysis segmented 0–30, 31–60, 61–90, 91–120 and 120+ days
Claim Status Follow-up through payer portals and appropriate payer channels
Underpayment & Revenue Recovery by comparing billed, allowed and expected amounts
Insurance & Payer Research across Medicare, Medicaid and commercial plans
Denials should not simply accumulate in an aging report. We identify the reason for the denial — eligibility, authorization, coding, medical necessity, timely filing, COB, duplicate or modifier issues — determine the appropriate next action, and track follow-up through corrected claims, reconsiderations and appeals.
Aged AR can represent significant revenue that has already been earned but not yet collected. We segment and work accounts by age (0–30, 31–60, 61–90, 91–120 and 120+ days) and by payer, provider and CPT, prioritizing high-dollar and stuck claims so follow-up effort goes where the money is.
A paid claim is not necessarily a correctly paid claim. Our underpayment review compares billed amounts with allowed amounts and expected reimbursement with actual payments, flags contractual underpayments and missing payments, and prepares appropriate follow-up or reconsideration so recovered revenue is tracked and reported.
Every medical practice has different billing requirements. We provide flexible remote support shaped around your claim volume, your specialty and the specific parts of the revenue cycle you want to hand off.
Choose Complete Billing Cycle support from charge entry and claim submission through payment posting, denial management and AR follow-up, or focus the engagement on AR and denial management, payment posting, charge entry and claims, or a structured AR cleanup project. Our specialists research outstanding claims, correct front-end problems before they age, and keep your reporting clear.
We follow a structured revenue cycle workflow so every claim moves from patient registration to a posted, reconciled payment with clear reporting at each step:
Patient & Demographic Review
Eligibility & Insurance Verification
Encounter Review
Charge Entry
Coding / Modifier / Diagnosis Review
Claim Creation & Scrubbing
Electronic Claim Submission
Clearinghouse Acceptance
Payer Adjudication
ERA / EOB Review
Payment Posting
Denial Management
AR Follow-up
Appeal / Reconsideration / Corrected Claim
Payment Recovery
AR Analysis & Reporting
Improved Revenue Cycle Visibility
The result is a stronger revenue cycle: fewer avoidable denials, faster payment posting, consistent AR follow-up and reporting your practice can act on.
Our current experience includes eClinicalWorks (eCW), Epic, athenahealth, Tebra/Kareo and NextGen. We continuously expand our knowledge of additional EHR, practice management and billing platforms, and we adapt our billing and AR processes to the systems and requirements of each client.
1. eClinicalWorks (eCW)
2. Epic
3. athenahealth
4. Tebra/Kareo
5. NextGen
6. AdvancedMD
7. DrChrono
8. Greenway Health
9. Practice Fusion
10. CareCloud
11. PracticeSuite
12. CureMD
13. RXNT
14. ModMed
15. Veradigm/Allscripts
16. Oracle Health/Cerner
17. WebPT
18. SimplePractice
19. Elation Health
20. CollaborateMD
Good billing decisions require useful information. 5AM Corp can prepare customized reports so your practice always knows where its revenue stands.
Daily AR worklists
Weekly and monthly AR reports
Insurance-wise charges and payments
Payer ID-wise analysis
Claim-status reports
Denial reports and denial trend analysis
Aging reports by 0–30, 31–60, 61–90, 91–120 and 120+ days
High-dollar AR reports
Payment trend reports
Outstanding claim reports
Follow-up productivity reports
Custom reports built to your practice requirements
Reports can be customized according to the requirements of your practice and delivered daily, weekly or monthly.
Pricing can be customized according to specialty, claim volume, services required and AR complexity. Available engagement models may include:
If your practice has unpaid claims, recurring denials, payment-posting backlogs or aging accounts receivable, 5AM Corp can help you establish a structured process for identifying and working those accounts.
We would be pleased to discuss your current billing workflow, outstanding AR, claim volume, payer mix, denial issues, payment posting and billing backlogs.
Let’s discuss your medical billing needs. Contact us today to learn how 5AM Corp can support your practice’s revenue cycle with 20+ years of medical billing experience and remote billing and AR support for U.S. medical practices.
Image credits: “Doctor working in her office while using a computer and taking notes during a consultation with a patient” and “Doctor working at a desk using a computer mouse and keyboard in a medical office setting” by Shixart1985 via Wikimedia Commons, licensed CC BY 2.0.