Turn Healthcare Complexity Into Revenue Clarity.
UR RCM CONSULTANCY LLC provides professional revenue cycle and medical billing solutions designed to help healthcare organizations streamline operations, manage claims, and navigate the financial side of care with greater confidence.
Medical Billing
Precision charge entry & claim flow
Revenue Cycle Management
End-to-end financial lifecycle
Claims & Denials
Root-cause tracking & recovery
Coding & Compliance
ICD-10, CPT & modifier accuracy
Provider Support
Credentialing & enrollment care
Your Practice Deserves More Than a Billing Vendor.
Most billing vendors simply pass claims through a queue and react when denials happen. At UR RCM CONSULTANCY LLC, we operate as a dedicated strategic partner embedded into your practice workflow. We combine healthcare administrative expertise with rigorous financial oversight to diagnose bottlenecks, accelerate cash flow, and ensure every service delivered is accurately recognized and reimbursed.
Whether you are an independent specialty clinic, a growing multi-provider group, or a medical facility facing mounting regulatory complexity, our team delivers the operational clarity and transparency your leadership needs to plan ahead.
Everything Behind a Healthier Revenue Cycle.
Structured support across the billing and revenue cycle workflow designed to eliminate leakage, accelerate cash flow, and ensure compliance.
Medical Coding
Accurate ICD-10-CM, CPT®, HCPCS & modifier assignment compliant with AMA/CMS standards.
Claims Management
Automated electronic clearinghouse scrubbing, 837P transmission, and daily rejections triage.
Denial Management
Root-cause tracking, CARC/RARC categorization, and timely clinical appeals to overturn payer denials.
A/R Management
Persistent follow-up across 30, 60, 90+ aging buckets to prevent write-offs and recover stuck revenue.
Credentialing
CAQH maintenance, NPI management, and Commercial/Medicare/Medicaid payer enrollment.
Eligibility Verification
Real-time 270/271 insurance coverage, copay, deductible, and network status checks prior to care.
Prior Authorization
Pre-service documentation, clinical criteria coordination, and tracking to eliminate care delays.
Patient Billing
Clear, patient-friendly statements, respectful bilingual telephone support, and balanced bookkeeping.
Built Around Your Practice.
Healthcare Revenue Cycle Management is not an off-the-shelf software download. It is an exacting operational discipline that balances medical necessity, shifting payer guidelines, and steady cash flow.
We structure our services to adapt to your EHR, your clinical specialty, and your practice goals—providing executive confidence through every billing cycle.
Direct accountability with U.S.-based client service leadership and certified medical billing directors.
Accuracy
Clinical coding precision, verified modifier usage, and exhaustive pre-submission claim scrubbing to maximize first-pass resolution.
Transparency
Zero obscurity in practice performance. Complete monthly visibility into claims submitted, cash posted, unbilled encounters, and aging buckets.
Efficiency
Automated 837P transmission, rapid 835 electronic remittance posting, and immediate denial triage that shorten payment turnaround.
Technology
Seamless compatibility with modern EHR/PM systems, electronic clearinghouses, and continuous workflow telemetry.
Partnership
A dedicated, responsive team of revenue cycle professionals who treat your clinical reputation and financial stability as our own.
How We Onboard and Optimize Your Revenue Cycle
A disciplined four-step deployment designed to minimize practice disruption, eliminate revenue leaks, and deliver immediate financial clarity.
DISCOVER
We conduct a thorough discovery audit of your current billing setup, EHR/PM workflows, clearinghouse connections, and specialty fee schedules.
ANALYZE
Our certified RCM auditors evaluate historical claims, denial trends (CARC/RARC codes), unbilled encounters, and current A/R aging buckets.
OPTIMIZE
We deploy structured scrub rules, establish electronic clearinghouse routes, align charge capture routines, and test 837/835 electronic transactions.
SUPPORT
Daily charge submission, real-time remittance posting, persistent aging follow-up, and executive monthly KPI reviews to ensure long-term health.
Visibility Changes the Way You Manage Revenue.
Experience an interface designed for clarity—turning high-volume claim flows and payer communications into structured, manageable operational insight.
Supporting Healthcare Organizations Across Specialties
Revenue cycle nuances vary dramatically between specialties. We align our workflows with your specific coding guidelines, modifier rules, and payer medical policies.
Primary Care & Family Medicine
High-volume encounter workflows requiring efficient E/M coding, preventive wellness checks, chronic care management, and rapid claim turnaround.
Internal Medicine
Complex multi-condition patient encounters, prolonged care services, diagnostic testing, and coordinated care billing across specialty referrals.
Mental & Behavioral Health
Individual psychotherapy, psychiatric evaluations, telehealth sessions, group therapy, and varying payer-specific behavioral health authorizations.
Cardiology
Diagnostic echocardiography, stress testing, cardiac catheterization, telemetry monitoring, and combined professional/technical component split billing.
Orthopedics & Sports Medicine
Surgical global periods, fracture care, joint injections, durable medical equipment (DME), and physical therapy crossover claims.
Dermatology & Dermatopathology
Biopsies, lesion removals, Mohs micrographic surgery, cosmetic vs. medical service separation, and pathology lab technical components.
Pediatrics
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services, complex state immunization registries, and commercial/Medicaid plans.
Radiology & Imaging Centers
High-volume diagnostic imaging reads, professional component billing for independent reading groups, and technical facility claims.
Physical & Occupational Therapy
Timed 15-minute therapy units (8-minute rule), plan of care re-evaluations, therapy cap thresholds, and specialized functional limitation reporting.
Clinical Laboratories & Pathology
Clinical CLIA lab panels, molecular diagnostics, toxicology screens, and pathology specimen interpretations with complex payer medical policies.
General & Ambulatory Surgery
Multiple procedure payment reductions, co-surgeon and assistant surgeon billing, operative note coding, and ASC facility fee coordination.
Multi-Specialty & Urgent Care Clinics
Fast-paced, walk-in environments requiring real-time patient eligibility, point-of-service collections, and diverse multi-provider billing.
Don’t see your specific sub-specialty listed?
We frequently design custom billing protocols for sub-specialties, ambulatory surgical centers, and multi-disciplinary clinics.
Built With Privacy and Security in Mind.
Healthcare financial management requires strict confidentiality. We engineer our operational pipelines to safeguard Protected Health Information (PHI) at every touchpoint.
HIPAA / BAA Enforced Protocols
Healthcare Data
Encrypted PHI at rest and in transit adhering to HIPAA Security Rule guidelines.
Claims
Secure 837P/835 EDI clearinghouse pipelines with cryptographic validation.
Billing
Role-based charge entry and financial segregation preventing unauthorized edits.
Provider Information
Guarded credentialing vaults for NPI, CAQH, state licenses, and DEA records.
Reporting
Confidential executive financial analytics with audit logging and permission gates.
Frequently Asked Questions
Common questions regarding our revenue cycle management, medical billing workflows, software integrations, and onboarding.
Revenue Cycle Management encompasses the entire financial lifecycle of healthcare encounters—from patient appointment scheduling, eligibility verification, and clinical coding, through claim generation, clearinghouse submission, payment posting, denial resolution, and accounts receivable follow-up.
Let’s Make Your Revenue Cycle Work Smarter.
Tell us where your current billing or revenue cycle process needs support. Our team will review your specialty requirements, workflow bottlenecks, and unbilled claims to outline a clear path forward.