AI-enhanced Revenue Cycle Management for Solo & Small-Group Practices.

Nataraj RCM Solutions delivers end-to-end medical billing, AR, denial management, and analytics so your practice gets paid accurately, on time, and with full visibility.

95%+ first-pass acceptance
AR-focused recovery
Founder-led support

Built for modern clinics that want enterprise-grade RCM without a big-company experience.

Services

Full-Stack Revenue Cycle Management Services

A complete set of RCM services designed for small and mid-sized practices – from patient access to final payment and reporting.

1. Patient Access & Front-End

Eligibility-First Patient Access

Every patient visit starts with clean data and confirmed coverage to reduce preventable denials.

  • Patient onboarding & registration management
  • Insurance eligibility & benefits verification
  • Prior authorization & referrals tracking
  • Appointment scheduling & reminders (SMS/Email)
  • Copay & deductible estimation

Fewer rejections & front-end denials. More prepared visits.

2. Clinical Documentation & Coding

Accurate Coding with AI Support

We combine expert coding with AI-assisted validation for compliant, high-accuracy claims.

  • Medical coding (CPT, ICD-10, HCPCS)
  • AI-supported coding validation & compliance review
  • Modifier accuracy & bundling/unbundling compliance
  • Charge capture audits to avoid lost revenue
  • Documentation improvement guidance for providers

“AI + Human hybrid coding for 99% clean claim accuracy.”

3. Claims Management

Clean Claims, First Time.

Every claim is scrubbed and validated before it leaves your practice.

  • Charge entry & claim creation
  • Claim scrubbing using clearinghouse rules
  • Electronic claim submission (EDI)
  • Paper claim submission when required
  • Secondary & tertiary claim filing

First-pass acceptance rate target: 95%+.

4. Payment Posting & Reconciliation

Every Dollar Accounted For.

Accurate posting gives you a true picture of your financial performance.

  • ERA / EOB posting (auto & manual)
  • Patient & insurance payment reconciliation
  • Write-off & adjustment audits
  • Patient balance identification & statements

Prevents revenue leakage caused by incorrect posting.

5. AR & Denial Management

AR & Denials: Proactively Managed.

We treat aging AR and denials as a recovery mission, not a report.

  • Systematic AR follow-up workflow
  • Aging bucket management: 0–30, 31–60, 61–90, 91–120, 120+
  • Denial root-cause analysis & correction
  • Appeals processing & medical records submission
  • Payer communication (calls, faxes, portals)

“We recover lost revenue & reduce aging AR.”

6. Patient Billing & Support

Clear, Friendly Patient Billing.

We help patients understand their balances and pay without frustration.

  • Patient statements & payment reminders
  • Phone support for billing questions
  • Payment plan coordination
  • Online patient payment setup (optional)

Reduces billing complaints for your front desk.

7. Reporting & Analytics

Revenue Intelligence, Not Just Reports.

We turn billing data into decision-ready insights.

  • Weekly & monthly billing reports
  • Denial trend analytics & root cause prevention
  • AR aging reports (30–120+ review)
  • Net collection rate, first-pass rate & KPIs
  • Revenue forecasting & benchmarking

Numbers that prove your value and guide your next move.

8. Credentialing & Enrollment

Credentialing & Payer Enrollment

Get set up and stay in-network with the right payers.

  • CAQH setup & maintenance
  • NPI & PECOS updates
  • Payer enrollments & contracting
  • Re-credentialing & renewals

High-demand add-on – clinics gladly pay extra for this.

9. Compliance & Audit

Compliance & Audit Support

Protect revenue while staying ready for audits and regulations.

  • HIPAA compliance guidance
  • Practice audit support
  • Coding audit & documentation review
  • Compliance training for staff

Creates trust and reduces compliance risk.

10. Technology & Automation

Automation & Modern RCM Tools

We use automation to reduce errors, speed up work, and free your team’s time.

  • AI-driven eligibility verification system
  • AI coding review engine
  • Automated AR workflow reminders
  • Secure portal for providers & reports
  • Online dashboard access

Modern, tech-enabled RCM that still feels personal.

Why Choose Us

AI-Powered, AR-Focused, Boutique RCM Partner

We combine automation, analytics, and hands-on AR follow-up to deliver higher collections with less work for your team and more clarity for your practice.

AI-Assisted Coding

AI-Assisted Coding Validation

Before sending a claim, we run a logic check using AI + human review:

  • CPT & ICD-10 pairing correctness
  • Modifier validation & bundling rules
  • Medical necessity logic
  • Payer-specific requirements

Value: Fewer coding denials, clean claims on first submission.

Automated Eligibility

Automated Eligibility & Benefits Verification

Eligibility errors are the #1 source of denials. We tackle them upfront:

  • Real-time eligibility check before appointments
  • Benefits breakdown and financial expectations
  • Daily eligibility reports emailed to the clinic

Value: Reduces 25–30% of preventable denials.

AR Automation

Automated AR Follow-Up System

A structured workflow ensures no unpaid claim is forgotten:

  • 0–30 days: routine follow-up
  • 31–60 days: high priority
  • 61–90 days: corrective actions & calls
  • 90–120+: escalation & appeal

Value: More collected revenue, less leakage.

Denial Intelligence

Root Cause Analysis & Denial Dashboard

We convert denials into improvement opportunities:

  • Denials by category (coding, eligibility, auth, etc.)
  • Denials by CPT code / service type
  • Denials by payer
  • Corrective action plan in each report

Doctors love data that shows real improvement over time.

RCM KPIs

KPI & Revenue Insight Reports

Monthly billing performance dashboards focused on the metrics that matter:

  • Net collection rate
  • First-pass acceptance (clean claim %)
  • Days in AR by bucket
  • Denial rate & indicators of documentation issues

You always know how your revenue engine is performing.

Premium Features

Prior Auth, Patient Support & SLA

Extra features that make your life easier and build trust:

  • Prior authorization management & appeals
  • Patient billing support & explanation of balances
  • Automated reminders & follow-ups
  • HIPAA-compliant communication portal
  • Performance guarantee / SLA (e.g., 95% clean claims)

Huge differentiators that attract serious clinics.

HIPAA

Security, Privacy & Compliance Built-In

We treat PHI with the same seriousness that you do. Our workflows and tools are designed around HIPAA, payer rules, and compliance best practices.

Compliance-First Operations

  • HIPAA-compliant handling of PHI
  • Business Associate Agreement (BAA)
  • Secure, encrypted communication
  • Least-privilege access controls
  • Audit-ready documentation

We can work within your existing EHR/PM system and follow your internal policies while adding our own safeguards on top.

Audit & Coding Compliance Support

  • Coding & documentation audits
  • Support during payer audits
  • Education for providers & staff
  • Policy & SOP recommendations

Our goal is simple: protect your revenue without risking compliance exposure.

Process

How We Work With Your Practice

A clear, structured onboarding and daily workflow so you always know what’s happening with your revenue.

1

Discovery & AR Review

We review your current billing setup, aging AR, denial patterns, and goals to build a customized RCM plan for your practice.

2

Onboarding & Access

We align on scope, sign a BAA, get access to your EHR/PM & clearinghouse, and set up eligibility, coding, and claim workflows.

3

Daily Billing & Automation

We handle eligibility checks, charge entry, claim scrubbing, and submission daily, supported by automation and AI validation.

4

Denial & AR Management

We actively follow up on unpaid claims, correct denials, submit appeals, and work down your AR buckets to healthy levels.

5

Reporting & Optimization

You receive regular KPI reports and recommendations so we can continuously improve collections and reduce preventable denials.

Pricing

Simple, Performance-Aligned Pricing

We typically work on a percentage-of-collections model, aligned with your growth. No large upfront fees, no charges on unpaid claims.

Percentage-of-Collections Model

For most solo and small-group practices, our pricing usually falls between 5%–8% of monthly collections, depending on:

  • Specialty & coding complexity
  • Claim volume & average ticket size
  • Payer mix (Medicare/Medicaid vs commercial)
  • Amount of old AR & denial backlog

We can also structure hybrid models (minimum base + lower percentage) for very small clinics or high-complexity specialties.

Request a Custom Quote
About

Founder-Led, Boutique RCM For Modern Practices

Nataraj RCM Solutions is built for doctors who want enterprise-grade RCM without feeling like a ticket number in a large billing company.

Who We Serve

We focus on solo and small-group practices, medium-group practices, including primary care, mental health, and other selected specialties that value high-touch communication and data-driven decisions.

You work directly with the founder – not an anonymous rotating team – ensuring accountability, responsiveness, and continuity.

Our Values

  • Accuracy over shortcuts
  • Transparency in reporting
  • Reliability in follow-through
  • Long-term partnership, not quick wins

Our mission is simple: protect your revenue, reduce your admin burden, and give you clear visibility into your financial performance.

FAQ

Questions Clinics Commonly Ask Us

If you don’t see your question here, we’re happy to answer it on a quick call.

Do you work with our existing EHR / PM system?

In most cases, yes. We can integrate into your existing EHR/PM and clearinghouse workflows, so your team doesn’t have to change systems.

How long does onboarding typically take?

For a solo or small practice, onboarding usually takes 7–14 days once access and agreements are in place. Complex setups may take slightly longer.

Do you support specific specialties only?

We focus on primary care, mental health, and selected specialties where we can deliver strong results. For complex surgical or high-risk specialties, we’ll discuss your needs in detail before committing.

Are there long-term contracts?

We prefer flexible, practical agreements with clear expectations instead of locking you into lengthy contracts. Our goal is to earn your trust through results.

Can you help with old AR and denials?

Yes. We can take on AR clean-up projects and denial backlogs as separate engagements or as part of ongoing RCM support.

Book a Call

Let’s Talk About Your Revenue Cycle

Share a few details about your practice, and we’ll follow up with a tailored RCM recommendation and pricing estimate.