Institutional Revenue Cycle Management for Independent Medicine
Every practice dollar represents clinical care already delivered. Smart Revenue RCM LLC operates as an extension of your practice, engineering compliant, zero-backlog billing operations that maximize net collections.
Medical Billing & Certified Coding
Daily charge capture, claim scrubbing, and electronic submission executed by AAPC-credentialed coders. We eliminate claim rejections before transmission.
Denial Management & 72-Hr Appeals
Systematic root-cause analytics targeting CARC and RARC rejection codes, backed by clinical appeal packets that overturn wrongful payer adjudications.
Aging Accounts Receivable Recovery
Dedicated resolution blitz targeting stagnant claims sitting in 60, 90, and 120+ day aging buckets to eliminate write-offs and recover trapped cash.
Provider Credentialing & Contracting
Full-lifecycle credentialing and re-credentialing management across commercial plans, Medicare (PECOS), Medicaid, and CAQH registry maintenance.
Pre-Encounter Eligibility & Prior Authorization
Real-time 270/271 insurance coverage verification, active deductible and copay calculation, and prior-authorization tracking before patients step into the exam room.
Patient Statements & Compassionate Billing
Clear, itemized electronic and paper statements fully compliant with the federal No Surprises Act, backed by professional US phone support for patient payment inquiries.
Ready to Eliminate Denials and Recover Trapped Practice Revenue?
Receive an objective, line-item audit of your current denial root causes, aging A/R buckets, and coding opportunities—conducted by senior AAPC-certified billing auditors under a mutual BAA.