HIPAA Compliant
Free Revenue Audit →
Home›Services
Full-Scope RCM

From Charge Entry to Final Payment,
We Cover the Entire Revenue Cycle.

We step in where revenue breaks down: coding, claims, denials, authorizations, 340B split billing, follow-up, and reporting. Your team gets one accountable healthcare BPO partner instead of a patchwork of vendors and manual fixes.

Talk to an RCM Specialist See Specialty Coverage
All Services

Everything Under One Roof.

01

Medical Billing & Coding

→
02

Revenue Cycle Management

→
03

Denial Management

→
04

Prior Authorization

→
05

AR Management

→
06

Provider Credentialing

→
07

340B Split Billing

→
Service Highlights

What Sets Each Service Apart

Core Service

Medical Billing & Coding

Specialty-specific CPT, ICD-10, and HCPCS coding by certified experts. We scrub claims before submission, support split-billing workflows, and keep first-pass rates above 97%.

✓ Same-day submission goal ✓ Multi-payer support
End-to-End

Revenue Cycle Management

Full lifecycle management from patient intake to final payment posting. Everything is tracked in a live dashboard, with embedded healthcare BPO support when internal teams need extra lift.

✓ Live dashboard ✓ Dedicated team
Recovery

Denial Management

Every denial is analyzed for root cause. We appeal aggressively and restructure workflows so the same denial never recurs.

✓ 89% overturn rate ✓ Root cause fix
Pre-Approval

Prior Authorization

We manage the complete auth lifecycle, from submission through escalations, with real-time tracking so no approval slips through.

✓ Real-time status ✓ P2P support
Collections

AR Management

Structured aging-bucket analysis and payer-specific follow-up strategies keep your cash flow moving and outstanding balances shrinking.

✓ 30-120+ day follow-up ✓ Patient balance support
Enrollment

Provider Credentialing

Full credentialing and enrollment with payers, hospitals, and government programs. We track every expiration and handle every renewal.

✓ CAQH maintenance ✓ Medicare/Medicaid
340B Program Support

340B Split Billing &
Program Support

We support covered entities, FQHCs, and hospital outpatient departments with operational 340B workflow support, including split-billing coordination, accumulator review support, contract pharmacy communication, and documentation organization.

Workflow
Split-Billing Support
Cross-Team
Program Coordination
Audit-Aware
Documentation Support
Platform-Flexible
TPA & Wholesaler Workflows
How We Support Your 340B Program

Structured Support for
Complex 340B Workflows.

We help teams organize split-billing, replenishment, and documentation workflows so internal stakeholders have clearer visibility across contract pharmacy operations and review cycles.

Split-Billing Workflow Support

Claim-to-dispense review support, handoff documentation, and coordination across covered entities, pharmacies, and internal stakeholders.

Exception Review Support

Flag review support for duplicate discount or diversion-related exceptions, with routing and documentation to help teams investigate and resolve issues.

Accumulator & Replenishment Coordination

Support for accumulator review, inventory validation, invoice reconciliation, and variance tracking across major wholesalers and TPAs.

Documentation & Review Preparation

We help organize logs, evidence packs, and workflow records to support internal review or external audit preparation. Final compliance determinations remain with the client and its advisors.

Talk to a 340B Specialist →
Typical 340B Coverage
A structured support layer for split-billing operations, contract pharmacy coordination, replenishment review, and documentation preparation across multi-stakeholder 340B programs.
Wholesaler & TPA Connectors
Cardinal Health AmerisourceBergen McKesson Wellpartner RxStrategies Sentry Waystar Epic
What We Deliver
✓ Split-billing support and claim-to-dispense review coordination
✓ Inventory and invoice review support
✓ Variance tracking, reconciliation support, and issue logs
✓ Documentation assembly and stakeholder coordination
Your Dashboard
Full Visibility
Live billing performance — no black boxes
Analytics-Driven

Data-Backed Decisions at Every Step

Every service we deliver is backed by real-time analytics. You always know your denial rate, collection velocity, and payer performance — no more billing black boxes.

Real-time payer performance analytics
Daily claims pipeline visibility
Monthly performance review with your team
Denial trend prediction and prevention
See Your Dashboard →
How It Works

From Onboarding to Revenue
in Four Clear Steps

01

Practice Assessment

We audit your workflows, denial patterns, and payer mix to map every point where revenue is slipping away. Typical turnaround: 48 hours.

02

Custom Configuration

We integrate with your EHR, map payer contracts, and configure workflows tailored to your specialty. No disruption to your existing operations.

03

Go-Live & Submit

Claims go out within 24 hours of service. Our billers handle every payer interaction, follow-up, and posting — you focus on patient care.

04

Report & Optimize

Monthly performance reviews, live dashboards, and actionable recommendations keep collections improving cycle over cycle.

Our Technology

Smart Tools That Work
Alongside Our Experts

We built our own workflow and reporting stack because off-the-shelf tools did not match the operational standards we wanted. The platform layer spans claims, authorizations, practice operations, and 340B workflow support — all designed to reduce friction and improve visibility.

AI-Driven

Claim Intelligence Engine

Our proprietary claim scrubber cross-references payer rule logic against denial data — catching problems before submission to achieve first-pass rates above 97%.

Automation

Real-Time Eligibility Verification

Automated insurance verification at check-in, running 24/7 against payer portals. Catches eligibility gaps before they become denial letters.

Analytics

Revenue Analytics Dashboard

Practice-specific dashboards with payer performance breakdown, denial trending, AR aging analysis, and projected collections — updated daily.

Workflow

Prior Auth Tracker

End-to-end authorization management with live status tracking, automated payer reminders, and escalation alerts so no approval falls through.

Compliance

HIPAA Vault

All PHI handled within AES-256 encrypted environments with complete audit trails, role-based permissions, and annual third-party HIPAA compliance reviews.

Integration

Universal EHR Connector

Bi-directional integration with 30+ EHR and PM platforms via HL7 and FHIR standards. No data migration, no duplicate entry, no disruption.

RCM Platform

Practice Essentials

Tecnomics practice software covering intake, scheduling, eligibility, claims scrubbing, reconciliation, and revenue cycle worklists across multi-site specialty operations.

340B Platform

340B Billing & Compliance

Tecnomics 340B software for split-billing workflows, accumulator review, contract pharmacy coordination, issue tracking, and documentation preparation across covered-entity operations.

Platform Software

Purpose-Built Software for
Practice Operations and 340B Workflows

Alongside managed healthcare BPO support, we work inside two specialized Tecnomics software environments: Practice Essentials for multi-site revenue cycle operations and 340B Billing & Compliance for split-billing, contract pharmacy, and documentation workflows.

Practice Platform

Practice Essentials

Revenue cycle control tower for multi-site specialty groups.

Practice Essentials is designed to streamline front-desk intake through back-office collections in one operational workspace. The platform brings scheduling, eligibility, billing, payer management, and work queues into a shared command center for administrators, billers, and practice leadership.

It is a strong fit for organizations that want fewer manual gaps across multi-location revenue cycle operations while keeping clearer visibility into performance, queue health, and follow-up priorities.

Core Workflows
Patient registration and intake validation
Appointment scheduling and eligibility tracking
Claims scrubbing and electronic claims processing
Reconciliation, ERA posting, and AR worklists
Connected Systems
Epic Cerner Athenahealth Nextech Waystar Availity Change Healthcare QuickBooks
Discuss Practice Essentials Support →
340B Platform

340B Billing & Compliance

Operational visibility across split-billing, contract pharmacy, and documentation workflows.

This software layer is built for organizations managing accumulators, replenishment, contract pharmacy coordination, and supporting records across complex 340B programs. Rule-based workflows can be configured around covered entity, wholesaler, and partner-specific processes.

We position it as a structured operations and documentation toolset that helps teams track exceptions, coordinate review cycles, and maintain better day-to-day visibility across 340B activity.

Workflow Areas
Split-billing and accumulator review workflows
Contract pharmacy and covered entity coordination
EDI-driven replenishment and distributor feeds
Issue logs, documentation exports, and review prep
Typical Connectors
Cardinal AmerisourceBergen McKesson Wellpartner RxStrategies Sentry Waystar Epic

Compliance determinations remain with your internal team and advisors.

Discuss 340B Workflow Support →
Integrations

We integrate with the platforms you already use

Epic
athenahealth
eClinicalWorks
Kareo
DrChrono
Allscripts
NextGen
Cerner / Oracle
+ 22 more →

Ready to See the Difference?

Get a free, no-obligation revenue cycle assessment. We'll map your biggest billing gaps and show you what we'd fix — before you sign anything.

Request a Free Audit Contact Us