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Revenue Cycle Management

Get paid correctly and on time with the support you choose

Specialty billing is complex. Pathways Revenue, our revenue cycle management (RCM) solution, gives your practice the right mix of technology and expert help, from doing it yourself to handing it off.

Talk to an expert Try the Revenue Opportunity Calculator
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Revenue is how you serve your patients.

Accurate, timely payment protects your practice and frees your team to focus on patients. Our revenue cycle capabilities cover the work from claim to collection, so nothing slips between steps.

Tools for the complete revenue cycle

Every rung of the RCM Ladder is built on the same core capabilities.

  • Automated workflows

    Automation handles routine billing tasks so your staff can spend time on the work that needs people.

  • Claims management

    Corrections, resubmissions and appeals move quickly, which keeps cash flowing.

  • A/R management

    Denied, underpaid and unpaid claims are flagged and routed to resolution with tracking built in.

  • Clear reporting

    Dashboards in Pathways Intelligence show financial performance as it happens.

  • Works with your EMR

    Connect your existing EMR through Pathways Connect, or use Pathways Practice as your system of record.

Meet you where you are, with what you need.

Pick the RCM Ladder rung that matches how much of the work you want to run yourself.

  • You Do It

    RCM Core gives your team the revenue cycle technology and reporting to run billing in house.

  • We Share It

    RCM Collect pairs your team with ours, with TRIARQ specialists co-managing claims follow-up and collections.

  • We Do It

    RCM Complete is fully managed revenue cycle service, with billing, coding, prior authorization and patient payments handled for you.

RCM Flex for larger groups, MSOs and networks

Multi-site groups, MSOs and networks rarely fit one model. RCM Flex lets you mix rungs across locations, specialties and entities, with one view of performance across all of them.

Your leaders get consistent reporting and your sites keep the level of support each one needs.

  • Different rungs for different sites
  • One reporting view across the organization
  • Room to grow as you add practices
Explore RCM for MSOs
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A fuller practice, when you want one

RCM sits inside Pathways Revenue and works alongside Pathways Practice, which brings charting, scheduling and patient intake together with billing. Consulting support can extend to referrals, payer relations and value-based compensation.

Start with the capability you need today and add more as your practice grows.

Pathways Practice Consulting
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Go deeper

See where revenue cycle management fits in the Pathways portfolio.

Ready to simplify billing and strengthen cash flow?

Talk with an expert about which rung of the RCM Ladder fits your practice.

Talk to an expert Explore Pathways Revenue