Complete Solution
Revenue Cycle Management
Revenue cycle management is the end-to-end financial process running from patient registration through final payment. RCM covers eligibility, charge capture, coding, claim submission, payment posting, denial management and AR follow-up. Vizora operates the entire cycle so revenue is managed as one system rather than disconnected tasks.
What’s included
- Patient access — Registration, insurance verification and pre-authorization handled before the visit.
- Charge capture — Service documentation and charge entry reconciled so nothing delivered goes unbilled.
- Claims management — Scrubbing, submission and status tracking across every payer you contract with.
- Payment & collections — Payment posting, AR follow-up and patient billing run as one coordinated process.
- Denial prevention — Back-end denial data fed continuously into front-end process fixes.
- Reporting & analytics — Financial reporting and KPI tracking with the context to act on it.
The problem
Where revenue cycle management goes wrong
Billing managed as disconnected tasks with no owner of the whole cycle
Revenue leaking at handoffs between front desk, clinical and billing
No single view of financial performance across the practice
Front-end errors surfacing only as back-end denials weeks later
Leadership making decisions on stale month-old reporting
Growth stalling because billing capacity cannot scale with volume
How it works
Our revenue cycle management process
Patient access
Registration, eligibility verification and prior authorization completed before services are rendered.
Charge capture & coding
Documented services are captured, coded and reconciled against the schedule so nothing is missed.
Claim submission & follow-up
Claims are scrubbed, submitted and tracked through adjudication with active payer follow-up.
Payment, denial & analysis
Payments are posted, denials worked, and findings routed upstream to prevent recurrence.
Outcomes
What changes for your practice
We baseline these during the free audit so improvement is measured against your actual starting point, not an industry average.
Get your free audit- One accountable owner for the entire revenue cycle
- Front-end fixes driven by back-end denial data
- Complete financial visibility in one place
- Billing capacity that scales with patient volume
- Lower total cost than staffing the cycle in-house
- Predictable, forecastable cash flow
Specialty coverage
Revenue Cycle Management by specialty
Each specialty fails differently. These pages cover the specific codes, denial patterns and payer rules that apply.
Questions
Revenue Cycle Management FAQ
Last updated August 20, 2026
Reviewed by a certified coding leadRevenue cycle management is the complete financial process for a healthcare encounter, from scheduling and insurance verification through coding, claim submission, payment posting and collection of any remaining balance. It covers every step where revenue can be earned, delayed or lost.
Medical billing is one stage inside the revenue cycle — preparing and submitting claims. RCM covers the whole span including front-end eligibility and authorization, charge capture, denial prevention, AR management and analytics. Most revenue leakage happens at the front end, which billing alone never touches.
No. We work inside your existing PM and EHR. If your current system is genuinely limiting collections we will say so and quantify it, but a migration is never a precondition of working with us.
The core metrics are net collection ratio, first-pass clean claim rate, days in AR, denial rate by reason and payer, and cost to collect. We baseline each during the free audit so improvement is measured against your actual starting point, not an industry average.
Terms used on this page
Still deciding how to run billing at all? Compare in-house against outsourced or read the full set of comparisons.
Find out what your denials are costing you
A free billing audit reviews your denial rate, AR aging and clean claim rate against industry benchmarks. Takes about two minutes to request. No sales pitch.
No setup fees · You pay when we collect · Pricing from 3% of net collections