Denied claims, underpayments, and aged receivables cost the average practice 10–25% of collectible revenue each year. RCMGo works the claims your current biller abandoned — and you only pay when we collect.
First-pass claims rate
Denial rate vs 12% industry avg
Average time to first recovery
Claims audited, not sampled
The national average denial rate hit 12% in 2025. Less than 1% of denied claims are ever appealed. Underpayments go unnoticed because nobody audits every remit against the contract. The result: money left on the table, every month.
Average claim denial rate across all payers
Of denied claims are ever formally appealed
In initial claim denials issued by payers annually
Of appealed denials are overturned in the provider's favor
Most billing companies submit initial claims and stop there. When a claim is denied, they refile once, maybe twice, and write it off. Underpayments — where the payer paid less than the contracted rate — are almost never caught because it requires comparing every remit against the fee schedule line by line.
RCMGo exists for exactly this gap. We appeal every valid denial, dispute every identified underpayment, and rework aged A/R that your current biller gave up on.
See what you're owed →From claim submission to final payment — we manage every step of the revenue cycle so your team can focus on patient care.
We route every denied claim through the highest-yield recovery path — corrected resubmission, payer reconsideration, or formal appeal — based on the CARC/RARC codes. 44–80% of appealed denials are overturned.
We compare every payment against your payer contracts and the Medicare Physician Fee Schedule to identify variance. Underpayments are disputed through reconsideration or formal appeal — recovering revenue most billers never catch.
We status-check old claims, confirm timely-filing and appeal windows, then rework every recoverable balance. Typical recovery: 15–40% of outstanding aged A/R value, with first results in 30–60 days.
Charge entry, claim scrubbing, electronic submission, payment posting, patient statements, and follow-up. We manage the complete billing workflow from encounter to final payment — across all payers and specialties.
Real-time visibility into collections, denial rates, payer performance, and aging buckets. Actionable dashboards — not just data — so you know exactly where your revenue stands at any given time.
Insurance eligibility verification before every visit. We confirm active coverage, benefits, copays, deductibles, and prior authorization requirements — reducing front-end denials before claims are ever submitted.
Getting started takes less than a week. We handle the heavy lifting — you keep seeing patients.
Send your aging report and recent remits under a BAA. We analyze every claim and deliver a report showing exactly how much recoverable revenue is sitting in your A/R.
We set up clearinghouse connectivity, enroll for electronic remittances with each payer, and configure your practice management system. Typical setup: 5–10 business days.
We begin working denied claims, underpayments, and aged balances immediately. New claims are scrubbed, submitted, and followed up on a 15–30 day cycle.
Payments post to your account. You receive detailed reports on collections, recovery activity, and payer performance. No surprises, full transparency.
Every engagement starts with a free audit that shows the exact dollar amount we can recover. These are the results our clients see.
Recovered from aged A/R
A 6-provider behavioral health group had $380K in 90+ day receivables. We recovered 37% within 90 days through systematic appeals and corrected resubmissions.
Increase in net collections
An orthopedic practice was leaving underpayments on the table across three major commercial payers. Contract-to-payment variance analysis recovered the difference.
Reduction in denial rate
A multi-location PT clinic running at 14% denial rate. Front-end eligibility checks and claim scrubbing brought it down to 5.8% within the first quarter.
No setup fees. No long-term contracts. Straightforward, performance-based pricing aligned with your results.
Denied claims, aged A/R, underpayments
Contingency — you pay nothing unless we collect
Complete revenue cycle management
Billed monthly based on actual collections
Enter your practice details to see an estimate of what we could recover from your aged A/R and denied claims.
We meet or exceed every compliance standard required for handling protected health information.
Full administrative, physical, and technical safeguards per 45 CFR Parts 160 and 164
Business Associate Agreement with HITECH subcontractor flow-down executed before any data exchange
256-bit TLS encryption in transit, AES-256 at rest. Zero-trust access controls with no local PHI storage
All PHI is processed within US-based infrastructure. No protected data is stored or accessed offshore
We'll analyze your aged receivables and denied claims to show you exactly how much revenue is recoverable — at no cost and with no obligation.