Outsourced Revenue Cycle Management Services
Nine Services. One Partner. One Number to Call.
Schedule a Conversation25+
Years of revenue cycle management expertise
35+
Clinical specialties served
15,000
Healthcare providers managed
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SOC 2
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WHAT FULL-CYCLE MANAGEMENT UNLOCKS
What Integrated Revenue Cycle Management Delivers
When the revenue cycle is managed as one operation instead of nine separate functions, every improvement reinforces the next one. Clean credentialing means providers bill from day one. Clean intake means cleaner claims. Cleaner claims mean fewer denials. Fewer denials mean lighter A/R. Lighter A/R means faster cash. The compounding effect is what makes integrated management measurably outperform fragmented operations.
Advantum’s full-cycle clients see the compounding effect in their numbers within 60 to 90 days. Three benchmarks tell the story:
Three numbers that reveal how your revenue cycle is actually performing:
- Clean claims rate trending at 98%. The cycle is capturing what’s been earned.
- Days in A/R under 40 for physician groups. Cash moves at the speed of care delivered.
- Denial rate 5% or lower. The upstream process is working as designed.
These are achievable benchmarks. The fastest path to hitting all three at once is full-cycle management, because the three numbers are connected. One team owning all of them is what makes the connections actionable.
Full-Service Revenue Cycle Management. Nine Services. One Team.
Full-Service Revenue Cycle Management Across Nine Services
25+ years of RCM expertise. 35+ clinical specialties. Provider enrollment through final collections, managed as one operation, not nine separate functions.
Most revenue cycle problems are not caused by one broken function. They are caused by gaps between functions that no one is accountable for.
When enrollment, coding, authorization, billing and A/R are managed separately, whether in-house across different teams or split across multiple vendors, those gaps are structural. A denied claim can trace back to a credentialing delay or a registration error or a missing authorization. When the teams are separate, no one owns the full chain of events.
Advantum owns the full chain. Provider enrollment through final collections. One team. One contract. One point of accountability. When something is not working, there is no finger-pointing between vendors. There is one call to make.
The Hardest Part Is the Decision. The Transition Is Managed.
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Most Advantum clients see measurable performance improvement within 60 to 90 days of engagement. The transition that gets there is structured, planned and built around protecting your cash flow from day one.
Every engagement begins with a comprehensive assessment of your current workflows, payer relationships and A/R status. A transition plan is built before any changes are made. Cash flow protection is a specific deliverable, not an assumption.
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Three Phases:
DAYS 1 TO 30: Current State Assessment
Workflow mapping, payer relationship review, A/R aging analysis and priority identification. High-priority A/R and near-term credentialing deadlines are addressed first.DAYS 30 TO 60: Parallel Operation
Where needed, Advantum runs alongside current workflows so claim submission and follow-up activity continue without interruption. Cash flow protection is the specific deliverable during this window.DAYS 60 TO 90: Full Transition
Most clients see measurable performance improvement within this window. Denial rates, A/R aging and collection rates are tracked against baseline from day one. -
Within 90 days, most clients have measurable improvement they can take to the board. The work is built around protecting cash flow during the transition, not disrupting it.
Client Results
What Integrated Revenue Cycle Management Actually Produces
When one team manages the full cycle, the results are not just better at each individual step. They compound across the cycle because every upstream improvement reduces the downstream workload.
Case Study: Multi-Specialty Gastroenterology Practice, Upper Midwest
A mid-sized gastroenterology practice with more than a dozen physicians engaged Advantum across all nine revenue cycle services when their internal team could no longer keep pace with the demands of a growing practice. The results were measurable within months.
14% to 6%
Denial rate reduced by more than half, below benchmark
60%+
Increase in average payments per day
7 days
Standard A/R days reduced, approaching MGMA benchmark
20%
Reduction in 120+ day A/R
Read the Full Case Study“Thanks to its dedication and knowledge, Advantum Health has quickly become a vital part of our operations and our go-to for growth and success. Advantum is considered part of our C suite.”
Who We Serve
Revenue Cycle Management by Organization Type and Specialty
The denial profile of a hospital system looks nothing like a specialty group’s. An ASC’s credentialing requirements are different from an academic medical center’s. Generic revenue cycle management applied to specialized environments produces generic, insufficient results.
Advantum brings 25+ years of specialty-specific experience to every engagement. Our coding staff holds credentials across 35+ clinical specialties. We know the payer behavior, the authorization requirements and the billing nuances specific to your environment because we work in it.
Specialty Groups
Specialty-specific coders. Payer contract expertise by discipline. The revenue cycle requirements for orthopedics and behavioral health are not the same, and Advantum does not treat them as if they are.
Academic Medical Centers
Complex billing environments with faculty practice plan structures, multiple payer relationships and high-value claims that attract audit scrutiny. Advantum manages all of it.
Ambulatory Surgery Centers
ASC-specific coding, authorization workflows and facility billing requirements. Built into Advantum's operation, not bolted on.
Hospital Systems
High-volume operations with complex payer mixes, employed and independent physician structures and significant A/R management requirements. Scalable infrastructure, one accountable partner.
Independent Physician Groups
Enterprise-level revenue cycle results right-sized for independent practices. The sophistication of Advantum's operation does not require enterprise-scale volume to deliver enterprise-scale outcomes.
Behavioral Health Organizations
Complex payer rules, high prior authorization burden and billing requirements that differ substantially from medical specialties. Advantum's team knows the landscape.
“Most organizations are already paying the cost of a fragmented revenue cycle. Switching to one accountable partner replaces a familiar problem with a solvable one.”
Nine Services. One Operation.
The Nine Revenue Cycle Management Services Advantum Provides
Most outsourced RCM companies handle part of the cycle. The rest stays with you. You manage the vendor relationships, the handoffs and the gaps between them. You absorb the consequences when something falls through.
Advantum owns the entire cycle. One team manages every function from the first day a provider needs to be enrolled through the final collection on every claim that team generates.
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01
Provider Enrollment & Credentialing
A provider who is not enrolled is not billing. Advantum manages the full credentialing lifecycle so your providers reach active status without unnecessary delay.
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02
Patient Access
Revenue integrity starts at registration. Clean intake at Step 2 means fewer errors downstream, fewer denials and a better financial experience for the patient.
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03
Prior Authorization & Eligibility
Authorization failure is one of the most preventable denial causes in the revenue cycle. Advantum verifies eligibility and secures authorization before the claim is ever submitted.
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04
Medical Coding
Certified coders across 35+ specialties. Clean claims. First-pass acceptance rates that move revenue faster. Specialty-specific credentials, not generalist coding applied to specialized care.
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Medical Billing
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A/R Follow-Up
An unworked claim is a written-off claim. Advantum follows every dollar with documented, persistent outreach until every balance is resolved.
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Denial Management
Most denials are predictable. That makes them preventable. Advantum runs prevention before submission and resolution after, with root-cause analysis that feeds back into upstream workflows.
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Coding Audits
Undercoding loses revenue. Overcoding creates liability. Advantum's CPMA-certified coders find both before a payer or regulator does.
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Contract Negotiations
Payer contracts are negotiable. Most organizations sign what they are offered. Advantum analyzes payer performance data and negotiates rates that reflect the value your organization delivers. 90% of contracts reviewed see improved rates or terms.
Why Full-Cycle Management Performs Better
Benefits of Outsourcing Revenue Cycle Management
Fragmented revenue cycle management, whether in-house across multiple teams or outsourced across multiple vendors, creates accountability gaps that compound over time. The denial that originates in a credentialing delay gets worked by the billing team and appealed by the A/R team and reported by no one as a systemic problem. When one team owns the cycle, that chain is visible and addressable.
No Vendor Handoffs. No Gaps.
Every discipline is managed by one team under one contract. There are no seams between functions for revenue to fall through and no vendors to coordinate when something goes wrong.
Certified Coders. Every Specialty.
Advantum's coding team holds specialty-specific certifications across 35+ clinical specialties. General coding applied to specialized care produces denials. Specialty credentials do not.
Advantum One: Real-Time Revenue Visibility
Live dashboards through Advantum One show claim status, denial rates, A/R aging and payment velocity in real time. Your leadership does not wait for a monthly billing summary to know how the revenue cycle is performing.
Platform Agnostic
Advantum One overlays your existing practice management system. No rip-and-replace. No disruption to the systems your team already knows. Your technology stays in place and performs better.
Payer Intelligence Built In
Advantum tracks adjudication patterns, policy changes and payer behavior across all payer relationships. That intelligence feeds into coding, authorization and contract strategy. Staying ahead of denials rather than reacting to them.
HIPAA-Compliant. SOC 2 Type II. HITRUST CSF.
Full compliance across all operations. Certifications are not add-ons. They are built into how Advantum operates across every client engagement.
Frequently Asked Questions
Revenue Cycle Management FAQs
Questions from CFOs, practice administrators and operations leaders who are evaluating a change.
What is outsourced revenue cycle management?
Outsourced revenue cycle management means partnering with a specialized firm to manage some or all of the financial processes that turn patient care into collected revenue. That includes enrollment, coding, billing, prior authorization, A/R follow-up, denial management, coding audits and contract negotiations. Advantum manages all nine as a single integrated operation rather than handling selected functions while the rest remains in-house or with other vendors.
How is Advantum different from other RCM companies?
Most revenue cycle management companies own part of the cycle. You manage the rest. Advantum owns all of it: one contract, one point of accountability. There are no handoffs between vendors because there are no vendors to manage. That integration is what eliminates the accountability gaps where revenue disappears in fragmented operations.
What does the transition to Advantum look like?
Advantum begins every engagement with a full assessment of your current workflows, payer relationships, A/R status and near-term credentialing needs. A transition plan is built before any changes are made, with cash flow protection as a specific objective. Most clients see measurable performance improvement within 60 to 90 days of full engagement.
Does Advantum work with our existing EHR and practice management system?
Yes. Advantum One overlays your existing practice management system. Your technology stack stays in place. There is no rip-and-replace, no retraining your team on new software and no disruption to the systems you currently use. Your system remains the system of truth. Advantum One adds visibility and performance capability to what you already have.
How do we know if our revenue cycle needs outside help?
Look at three numbers: clean claims rate, days in A/R and denial rate. If your clean claims rate is below 95%, your A/R days are above 40 or your denial rate is above 10%, your revenue cycle has measurable, addressable problems. A conversation with Advantum will identify specifically what is driving them and what it would take to fix them.
What healthcare specialties and organization types does Advantum serve?
Advantum serves specialty groups, ambulatory surgery centers, academic medical centers, hospital systems, independent physician groups and behavioral health organizations. Coding staff hold specialty-specific certifications across 35+ clinical specialties. Revenue cycle requirements vary significantly by specialty and setting. Advantum’s approach reflects those differences rather than applying a generic model across all environments.
What reporting does Advantum provide?
Real-time dashboards through Advantum One showing claim status, denial rates by payer and code category, days in A/R, collection rates and payment velocity. Your leadership has continuous visibility into revenue cycle performance without waiting for monthly billing summaries or calling an account manager to check status.
How does Advantum handle denial management as part of full-cycle RCM?
Denial management under Advantum’s full-cycle model runs in both directions. Prevention is built into the upstream coding and authorization workflow so fewer claims generate denials in the first place. When denials occur, they are worked immediately by the same team that manages A/R. Root cause analysis feeds back into coding and authorization workflows to reduce recurrence. Denial management is not a separate function. It is integrated into the full cycle operation.
Resources & Insights
Our knowledge, your advantage.
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Reduced AR Days By 44% and Achieved a Zero Denial Rate: How a GI Practice Restored Financial Control
Executive Summary A large multisite gastroenterology practice experienced rapid operational growth that placed increasing pressure on its revenue cycle infrastructure....
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Scale Smarter: Outsource Revenue Cycle Management
If your revenue cycle management operations seem to be slowing down, they likely are. Many medical billing professionals were sent...
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Chris Taft, Advantum CFO, Honored as one of Louisville Business First’s 2023 Best in Finance
Back for its seventh year, Louisville Business First (LBF) just announced its 2023 Best in Finance Awards, presented by Truist,...
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Looking for Strategic Guidance, Not Full-Cycle Management?
Not every organization needs Advantum running the full revenue cycle. Some need strategic advisory on workflow design, technology evaluation, M&A diligence, expansion planning or operational redesign. Advantum’s consulting practice brings the same operational depth as our full-service work, scoped to engagements that fit your specific need.
Ready to See What Your Revenue Cycle
The right partner for full-cycle RCM is not the one that promises the most. It is the one that manages the most and answers for what it manages.
One conversation to understand your environment: your payer mix, your current performance, what is working and what is not. No commitment required. If what we hear sounds like something we can help with, we will tell you how. If it does not, we will tell you that too.