- Revenue Cycle Management
We Understand Your Revenue Cycle Challenges—Because We've Lived Them
Running the financial side of a specialty practice today means navigating increasingly complex billing requirements while fighting for every dollar you’ve earned. We’ve been in your shoes—and we’ve built PracticeCore to be the partner we wished we had.
What Is Revenue Cycle Management?
Revenue cycle management encompasses the complete financial process of your practice—from the moment a patient schedules an appointment to the final payment collection. It includes patient registration, insurance verification, charge capture, coding, claim submission, payment posting, denial management, and collections.
For specialty practices in neurosurgery, orthopedics, neurology, physiatry, and pain management, effective revenue cycle management is particularly critical due to complex procedures, specialty-specific coding requirements, and high-value claims that significantly impact your bottom line.
When implemented properly, revenue cycle management doesn’t just process payments—it optimizes your entire financial operation, ensuring you capture every dollar you’ve legitimately earned while minimizing administrative burden on your physicians and staff.
The Revenue Cycle Burden Shouldn't Fall on Your Shoulders
You’re facing shrinking reimbursements, growing administrative demands, and constant pressure to do more with less. Meanwhile, your physicians just want to practice medicine without being buried in documentation and coding concerns.
Built from within one of the nation’s premier specialty practices, PracticeCore brings solutions field-tested and iteratively refined over six decades across multiple specialties. We understand the revenue challenges facing neurosurgery, orthopedics, neurology, physiatry, and pain management practices. We’ve weathered the same storms you’re facing now, and we’ve developed approaches that work in the real world of specialty practice.
A Different Kind of Partner
When you work with PracticeCore, you’re not getting generic revenue cycle solutions. You’re gaining a partner who:
- Understands the clinical nuances that impact authorizations, specialty coding and reimbursement
- Recognizes the pressures your physicians face and protects their time
- Brings 15+ years of experience managing high-value procedures in ambulatory surgery centers
- Manages both professional and facility revenue streams with specialized expertise
- Takes ownership of your financial outcomes as if they were our own
- Provides clarity and confidence about your practice's financial future
We Focus on Your Revenue So You Can Focus on Your Patients
Our approach to revenue cycle management goes beyond traditional billing services. We integrate seamlessly with your practice, creating a financial foundation that supports your clinical mission rather than competing with it.
For Your Physicians
Freedom from documentation burdens and coding complexities that distract from patient care. We ensure they can practice at the top of their license while capturing the appropriate value for their work.
For Your Leadership
Clear financial intelligence that supports confident decision-making. Instead of wondering about your financial standing, you’ll have a trusted partner providing actionable insights that drive practice growth.
For Your Staff
Relief from reactive, frustrating revenue workflows. Our team complements yours, bringing specialized expertise that elevates your entire operation and creates a more satisfying work environment.
For Your Patients
A more streamlined financial experience that enhances their overall care journey. When your revenue cycle works properly, patients benefit from clearer communication and fewer billing surprises.
Our Approach: Experience-Driven Revenue Solutions
Having walked in your shoes, we’ve developed a revenue cycle approach that addresses the real challenges specialty practices face each day. Our process is collaborative, transparent, and focused on creating sustainable financial improvement.
Understanding Your Practice
We begin by deeply understanding your practice's unique clinical and financial ecosystem—listening carefully to your challenges and goals before recommending any solutions.
Building Your Revenue Strategy
Together, we'll develop a revenue approach tailored to your specialty focus and practice culture, ensuring alignment with both short-term needs and long-term objectives.
Implementation With Care
Our team works alongside yours to implement practical improvements that respect your established workflows while driving meaningful financial results.
Ongoing Partnership
We don't disappear after implementation. We remain engaged partners, continually monitoring performance, adapting to changes, and ensuring your revenue cycle supports your practice's evolution.
Real Results From People Who've Been There
Our approach has delivered meaningful improvements for specialty practices like yours, including our founding organization. These aren’t theoretical benefits—they’re real-world outcomes from a team that understands the challenges you’re facing:
Reduction in outstanding bad debt over 6 months
Industry-Leading cost to collect
of accounts receivable aging beyond 90 days
Ready for a Revenue Partner Who Understands Your World?
Let’s have a conversation about your practice’s specific challenges and how our approach can help you achieve the financial performance you deserve—while reducing the burden on your physicians and staff.
Frequently Asked Questions About Revenue Cycle Management
How does specialty coding impact revenue for practices like ours?
Specialty coding represents one of the most significant revenue opportunities—and risks—for neurosurgery, orthopedics, neurology, physiatry, and pain management practices. Many generic billing companies miss the nuances of specialty-specific procedure coding, modifier usage, and documentation requirements, potentially leaving substantial revenue uncaptured. We’ve seen practices increase collections by 15-20% simply through proper specialty coding, particularly for complex procedures, assistant surgeon scenarios, and staged interventions that require precise modifier application.
What specific revenue cycle services does PracticeCore provide?
Our comprehensive revenue cycle management includes patient registration and insurance verification, charge capture optimization, specialty-specific coding, claims submission and tracking, payment posting, denial management and appeals, patient collections, financial reporting and analytics, payer contract analysis, and strategic revenue planning.
Can revenue cycle improvements actually enhance physician compensation rather than just practice margins?
Absolutely. We structure our revenue cycle improvements to directly impact physician compensation through several mechanisms. First, by capturing previously missed revenue for services actually performed, the “pie” gets larger without requiring additional clinical work. Second, by reducing the administrative burden of documentation and coding queries, physicians gain productive time that can be redirected to patient care. Finally, by providing specialty-specific coding education, we help physicians understand which clinical scenarios warrant additional documentation to support appropriate reimbursement.
How does PracticeCore stay current with changing regulations and payer requirements?
As an MSO built from within a leading specialty practice, staying ahead of regulatory changes and payer requirements isn’t just something we do—it’s who we are. Our team continuously monitors industry developments, participates in specialty-specific advocacy, and implements proactive strategies to protect your revenue through changing healthcare landscapes.