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Revenue Cycle Management (RCM) is the financial process that tracks a patient’s journey from appointment scheduling to final payment. It includes eligibility verification, coding, claim submission, payment posting, denial management, reporting, and patient collections.
At Generous Revenue Solutions, we manage the Full cycle — End-To-End — so you can focus on patient care.

We offer customized RCM bundles that may include:

  • Authorizations & Referrals
  • Credentialing (A separate contract)
  • Eligibility Verification
  • Electronic Claim Submissions
  • Resolving Rejections
  • Accounts Receivable Management
  • Payment Posting (ERA/EOB)
  • Denial Management & Appeals
  • Patient Balance - Incoming Inquires & Outgoing
  • Collections
  • Patient Statements
  • Monthly Reporting & KPI Dashboards
  • Virtual Assistants
  • Medical Transcription

Every service package is tailored to your practice.

Yes. We handle:

  • Initial provider Enrolment
  • Re-credentialing / Revalidation
  • CAQH updates & Re-attestations
  • Demographic Updates
  • Ongoing Monitoring

We ensure providers remain active and compliant with payers.

We specialize in outpatient services including:

  • Allergy & Immunology
  • Ambulatory Surgery Centers
  • Anesthesiology
  • Behavioral & Mental Health & Psychological Testing
  • Cardiology
  • Diagnostics & Laboratory Testing
  • Endocrinlogy
  • Gastroenterology
  • Neurology
  • Nephrology
  • OB/GYN
  • Oncology
  • Orthopedics
  • Pain Management
  • Pediatrics
  • Physical Therapy
  • Primary Care
  • Radiology

We adapt workflows to meet specialty-specific billing requirements.

We proactively reduce denials through:

  • Eligibility Verification Before Submission – Running this proactively allows us to update any insurance plans that have changed coverage, ran out of benefits, encountered Co-ordination of Benefit changes or Terminated plans.
  • Clean Claim Rate (CCR) Monitoring- Claims Accepted on First Submission cleanly vs Rejected Claims (Clean Claims/Total Claims) *100, It is measuring the percentage of claims that are accepted and processed by the payer on the first submission against the claims that didn’t pass cleanly after reviewing their rejections, denials, or requests for additional information that is still missing.
  • Coding Audits – We can potentially identify Revenue Cycle hiccups by performing random audits based on denials. This can inturn also boost Clean Claim Rates as well as faster income returns.
  • Root Cause Analysis of Denials (RCA)– This is a structured approach to identifying the underlying reasons why claims are rejected or denied by payers. Instead of simply correcting and resubmitting denied claims, RCA focuses on eliminating the source of the problem to prevent recurrence. This helps us to define areas of practice workflow that may be requiring a fresh take to enhance payment expedience or building better rule engines to bypass system glitches.
  • Trend reporting – This is where GRS flourishes. We review & analyze the entire practice from EHR/EMR software through practice workflows and front desk practices to closing the notes, claims submission, rejections & denials review through posting. Our findings are analyzed through rigorous analysis & investigation. We provide you 100% transparency in our findings & pride ourselves on making smooth transitions to any improved processes that will help manage your outstanding quality of care for your patients.
  • Timely appeals - Timely Appeals are a critical component of effective Revenue Cycle Management. Each insurance payer has strict filing limits for appeals. Missing these deadlines can result in permanent revenue loss — even if the denial was incorrect. Appeals are a key opportunity to correct payer errors and defend medically necessary services. We prioritize high-value and time-sensitive denials to ensure no revenue opportunity is missed. By combining strong denial analysis with structured follow-up, we maximize reimbursement recovery and minimize preventable revenue loss.

Our goal is readiness first, re-evaluation when needed, redirection as needed to resolution.

We provide customized reports:

  • Accounts Receivable Aging – Based on your system this will include in 30-day increments, your outstanding AR. We additionally provide your % of aging your 90 days against your entire outstanding AR.
  • Denial Analysis
  • Encounter/Appointment Reports – We provide you with a specific criteria for your practice on monthly basis per provider for an overview of patients being seen.
  • Payment Summary Report
  • Claim Submission - Based on your system this will include the number of claims submitted the amount billed and the amount allowed.
  • Executive-level summaries – We will be happy to discuss and provide specific reports required on a quarterly, semi-annual, annual or off-schedule time frame of your preference. We can discuss of this fee-for-service or included in our RCM package.

Standard reporting is delivered monthly, with real-time dashboard access available depending on your system.

Yes. We assist with:

  • New Payer Contracts
  • Contract Renegotiations
  • Fee Schedule Reviews
  • Sub-Plan Additions
  • New NPI or taxonomy contracts
  • Provider Payer Enrolments
  • Demographic Update
  • On-going Monitoring & Maintenance

We act as your intermediary to pursue improved reimbursement rates when possible.

Absolutely.
We strictly adhere to the Health Insurance Portability and Accountability Act and follow guidance from the Centers for Medicare & Medicaid Services.
Compliance and data protection are embedded in every workflow we manage.

We implement:

  • Encrypted data transmission
  • Role-based system access
  • Secure portals
  • Audit trails
  • Ongoing compliance training

Protecting patient information and your practice’s reputation is non-negotiable.

Our onboarding process includes:

  • Practice assessment
  • Data review and KPI Baseline Analysis
  • Workflow Evaluation
  • Customized Revenue Strategy Creation
  • Quote Presented for Review
  • If Accepted, Contract Signing
  • The Next Step is an exciting one, we are merging GRS with You!

We ensure a smooth transition with minimal disruption.

No — you gain visibility and strategic support.
We operate transparently, providing shared reporting access, regular communication, and collaborative oversight.
You remain informed and empowered at every step.

While results vary by practice, many clients see:

  • Improved clean claim rates within 30–60 days
  • Reduced AR days within 60–90 days
  • Increased collections within the first quarter

We focus on deliverable, sustainable and measurable improvement

YES!
A consultation costs you nothing and can provide valuable insight into your current revenue cycle performance.
We believe strong partnerships begin with open, honest conversation.