Medical billing and revenue cycle management, checked against your payor contracts
PayrHealth's revenue cycle management services run your billing from charge to payment: coding review, clean claim submission, denial management and complex claims, payor and patient follow-up, and reporting that shows where the money is. Because PayrHealth also negotiates payor contracts, our billing team checks each remittance against what your contract actually says. Medical billing for practices, surgery centers and ancillary providers in all 50 states, inside your existing practice management system.
Founded in 1994 as Healthcents, PayrHealth since 2021. The billing team and the contracting team sit under one roof, so underpayments get caught.
What our revenue cycle management services cover
Every stage from the front desk to the last dollar, handled by a dedicated billing team that works inside your existing software.
Revenue cycle management pairs with payor contracting and credentialing: the team that negotiates your rates checks that you are paid at them, and enrolls new providers before their first claim. All three together are complete payor management.
Billing already covered? See if you qualify for a free rate review to find out whether your contracts could pay more.
How revenue cycle management works
Taking over your billing without interrupting cash flow, from onboarding to steady-state reporting.
Onboarding
Weeks 1–2System access, fee schedules, payor contracts and open accounts receivable inventoried, and your dedicated billing team meets yours.
Transition
Weeks 2–4New charges flow to PayrHealth while legacy receivables are worked down in parallel, so no claim falls between teams.
Clean-up and clean claims
Months 1–3Backlogged and denied claims appealed within timely filing limits, front-end fixes put in place, and the clean claim rate climbs.
Steady state
Month 3 onwardDaily submission and rejection work, every remittance checked against the contract, and patient balances collected under your practice's name.
Reporting
ThroughoutMonthly reporting on collections, days in A/R, denials and payor mix, with a standing review with your team.
A typical transition. The state of the legacy receivables and payor response times set the pace; see the FAQ.
Revenue cycle management results
cut from insurance accounts receivable over 90 days, from more than twice the HFMA and MGMA benchmarks to below them
of claims paid on first submission, with a 2% denial rate and reimbursement in under two months on average
drop in days sales outstanding year over year, with average monthly payments up 5% in the first four months, alongside contracting and credentialing
Who we work with
Revenue cycle management for independent practices, surgery centers and ancillary providers that want billing done by people who also know their payor contracts.
Hospitals and health systems
Professional and facility billing support for community and independent hospitals
Surgery centers
ASC billing with facility fees, implants and multiple payor fee schedules
Physician groups
Primary care and specialty groups, including behavioral health and therapy practices
Ancillary providers
DME suppliers, labs, imaging centers, home health and hospice
What clients say
“They use rigorous data analysis as the basis for developing a solid negotiating approach.”
Leland Tong, MD · Google review
“We highly recommend their services to any healthcare provider looking to optimize their revenue.”
Dr. Rajesh Gupta, Medical Director, AFC of Yorktown
“They will take the time to help you figure out what you need and then work with you to achieve it.”
David Siegel · Google review
“They are very easy to work with and incredibly responsive when we have questions.”
Brandi Garlutzo · Google review
Revenue cycle management questions
What does revenue cycle management include?
Everything from eligibility checks and charge capture through coding review, claim submission, denial management, payor and patient follow-up, and monthly financial reporting. Credentialing and payor contracting are available alongside it.
Do we have to change our practice management or EHR system?
No. PayrHealth works inside the system you already use. Nothing is migrated, and your data stays in your system.
How is this different from a typical medical billing company?
PayrHealth also negotiates payor contracts, so our billing team works from your contracts, checks each remittance against the rate you signed, and appeals underpayments rather than posting them.
How do you handle our existing accounts receivable?
Open claims are inventoried at onboarding and worked down in parallel with new charges, prioritized by timely filing deadlines and balance, so nothing ages out during the transition.
What will our patients see?
Statements, calls and payment options under your practice's name, from trained staff who follow your policies. Patients experience PayrHealth as part of your office.
How do you report results?
Monthly reporting on collections, days in A/R, clean claim rate, denial rate and payor mix, plus a standing review with your team. The same numbers are available in your portal.
How quickly does cash flow stabilize?
Clean claim rates improve once front-end fixes are in place, and aged receivables come down as the backlog is worked, usually over the first quarter. The exact pace depends on the state of the backlog and payor response times.
How is revenue cycle management priced?
Typically a percentage of collections, with fixed-fee options for some engagements. The proposal states exactly which applies.
How do I get started?
Tell us about your practice, your systems and your payors in the form below. We review your current performance, scope the transition and send a proposal.
Get a revenue cycle assessment
Tell us about your practice, your billing system and your top payors. We review where your revenue cycle stands today and come back with a plan and a quote. No obligation.
After you submit, practices that qualify pick a time with our team on the next screen.
