RCM
Revenue cycle management
Claims, denials, prior authorization, and collections — run below the industry-standard rate, with AI-powered systems and full visibility into every dollar.
Most practices lose money they've already earned — to denials that never get reworked, prior-auth bottlenecks, and slow collections. A black-box billing vendor that sends a quarterly PDF can't fix that, because you can't see where the money is stuck.
How Metolius runs it.
Claims processing & submission
Clean claims out the door faster, with automated scrubbing that catches errors before payers do.
Denial management
Denials worked systematically, root-caused, and prevented — not left to age out.
Prior authorization
Prior-auth workflows handled by our team and platform so your staff stops living on payer phone trees.
Collections & reporting
Better collections, faster payment, and a real-time dashboard showing exactly where every dollar sits.
- Collections handled below the 5–7% industry standard (4% of collections)
- Fewer denials, faster payment
- Staff freed from prior-auth phone trees
- Real-time visibility into AR, denials, and payer performance
- Revenue cycle
- 4% of collections
Revenue cycle is where Metolius pays for itself first. The RCM improvements begin in month one, while the value-based contracts mature over the following years.
Common questions.
How is your RCM fee structured?
A flat 4% of collections — below the typical 5–7% industry standard. No per-click charges or surprise invoices; we succeed when you collect.
Can we keep our current EHR?
Yes. We integrate with your existing systems; PracticeOS sits on top to give you reporting and automation, not a rip-and-replace.