Every day a claim sits unresolved is revenue your practice has already earned but hasn't collected. DigiHibe's Revenue Cycle Management (RCM) solution handles the entire claim lifecycle β insurance verification, medical billing, coding, and AR follow-up β so your team can focus on patient care instead of chasing payments.
Built for multi-provider practices, DSOs, MSOs and specialty clinics processing significant claim volume, our RCM program is technology-agnostic β we work inside your existing EHR and practice management system rather than forcing a disruptive platform switch.
The last thing your practice needs is a disruption to daily operations. Our RCM program adapts to what you already run β whether that's a full overhaul or targeted process fixes β putting your existing systems first while our team brings the resources and expertise to optimize revenue at every step.
Six coordinated workstreams, each run by specialists, reported on one dashboard.
Benefits and eligibility confirmed 5β7 days before every scheduled visit, so patients and staff know payment responsibility before the appointment, not after. Short, long and fully custom verification tiers available.
Charge entry, pre-authorizations and daily primary/secondary claims submission. Denials are reviewed, corrected and resubmitted fast, with weekly and monthly aging reports keeping you informed.
Certified coding across CPT, ICD-10-CM, HCPCS, DRG and revenue codes, with documentation-gap identification and compliance audits that protect reimbursement and reduce audit risk.
Risk-scored follow-up on every claim within 15 business days, with a dedicated focus on denials, appeals and early denial-pattern detection β plus credit balance review and refund processing.
Real-time dashboards showing collection rate, AR days and revenue leakage by provider, location or payer β built to help you spot problems before they compound.
End-to-end provider credentialing, re-credentialing and CAQH profile management, so new providers can start billing sooner instead of waiting months on payer enrollment.
Growing and scaling a large practice, DSO or MSO takes more than clean claims β it takes visibility. Our reporting platform surfaces process gaps, forecasts trends, and gives you an inside look at practice financials without changing how your team already works day to day.
Improved RCM transparency with robust reporting to monitor growth and catch revenue leaks early.
Faster claims processing and tighter AR follow-up to maximize every billable dollar.
A dedicated account team β not a rotating support queue β who knows your practice.
"DigiHibe's RCM team became a key part of our growth story β the transparency and speed of follow-up alone paid for the engagement within the first quarter."
DigiHibe's RCM team specializes in revenue cycle solutions for large dental practices, multi-provider behavioral health and women's health practices, DSOs and MSOs, and multi-specialty clinics processing high claim volume.
RCM covers the full financial process of a patient encounter β insurance verification, billing, coding, claims submission, AR follow-up and reporting β aimed at getting practices paid accurately and quickly for care already delivered.
Yes β our RCM program is built to be software-agnostic. We work inside whatever EHR and practice management system you already use rather than requiring a platform migration.
Our RCM solution is built primarily for multi-provider practices, DSOs and MSOs with meaningful claim volume, where dedicated RCM infrastructure creates a clear return β typically practices processing over $1M in annual claims.
Pricing is typically structured as a percentage of collections, aligning our incentives directly with your revenue outcomes β the exact structure is discussed during your free consultation based on claim volume and scope.
Anyone can post a good quarter. What matters in RCM is whether the numbers hold as claim volume grows and payer behavior shifts. Here's what that's looked like for two of our long-running practice partnerships.
A dental DSO expanding from 8 to 22 locations in under two years, with billing still run practice-by-practice through inconsistent processes and no centralized reporting.
Claim quality varied wildly by location, AR was aging past 90 days on a growing share of claims, and leadership had no consolidated view of collection performance across the group.
Centralized billing and coding under one DigiHibe team, standardized the verification and claims workflow across every location, and stood up a single reporting dashboard for the whole DSO.
Now in its third year with DigiHibe, with billing scope expanding alongside every new location the DSO opens.
A multi-state behavioral health network with 60+ providers, working across a payer mix known for high documentation scrutiny and slow authorization turnaround.
Denial rates were climbing on documentation-related rejections, and the practice's small internal billing team couldn't keep pace with claim volume as the network added providers.
Built a dedicated coding and billing team trained specifically on behavioral health documentation requirements, with a denial-pattern review built into every weekly cycle.
One of DigiHibe's longest-running RCM partnerships, continuing to scale as the network adds providers.
Our engagements run for years, not quarters β the numbers above hold across changing payer behavior and growing claim volume, not just one strong month.
We agree on what success looks like upfront β denial rate, AR days, clean claim rate β measured against your baseline, not a vague service-level promise.
The structure stays consistent β dedicated team, weekly cadence, reporting β but every engagement is calibrated to your payer mix, PM system and workflow.
Discover how DigiHibe's Revenue Cycle Management solution can help your practice stabilize cash flow and increase collections β without disrupting how your team already works.