Revenue Cycle Management Built Around Your Practice.
Sure Rev Solution provides end-to-end revenue cycle management to healthcare practices across the United States. We take on the verification, authorization, billing, claims, denial and receivables work that sits between the care you deliver and the payment you are owed — so your team spends less time on administrative complexity and more time running the practice.
Care delivery is only half of what a modern practice runs. The other half is a payer-facing operation: confirming coverage, securing authorization, coding and submitting accurately, chasing status, appealing denials, posting remittances and working an aging report. Each stage has its own rules, its own payer variation, and its own way of quietly costing a practice money when it slips.
Plans change, patients switch employers, behavioral health carves out to a different payer entity. Verification that stops at “is the policy active?” misses the deductible, visit limit or network detail that determines whether the claim gets paid.
Requirements differ by payer, plan and procedure. Requests stall in portals and fax queues, units expire mid-treatment, and staff time gets absorbed by follow-up rather than patient-facing work.
Front-end rejections and payer denials arrive for reasons that repeat: registration data, missing modifiers, medical-necessity documentation, authorization mismatch. Without root-cause tracking, the same denial returns next month.
Unworked claims don't announce themselves. They sit in the 60, 90 and 120-day buckets until timely filing closes the window — and by then recovery options are limited.
Industry context — published figures about US healthcare, not Sure Rev Solution results
Prior authorization requests completed per physician per week, on average.
AMA, 2025 Prior Authorization Physician SurveyPhysician and staff time consumed by prior authorization each week, on average.
AMA, 2025 Prior Authorization Physician SurveyOf surveyed physicians report authorization denials have increased over the past five years.
AMA, 2025 Prior Authorization Physician SurveyCommonly cited benchmark for days in accounts receivable in physician practices.
MGMA DataDive benchmark, as summarised by industry analystsThese figures describe conditions across the US healthcare industry. They are provided as context for the operational pressures practices face — they are not claims about outcomes produced by Sure Rev Solution.
Seven functions. One accountable partner. Sure Rev Solution operates them as a single system rather than a set of disconnected handoffs.
Every stage below is a place where revenue is either protected or lost. Sure Rev Solution can support any single stage — or all of them.
Everything downstream inherits what happens at scheduling and registration: demographics, guarantor details, plan identifiers and the reason for the visit. Accurate capture here is the cheapest revenue protection a practice has.
Front endCoverage is confirmed before care is delivered — active status, plan type, network participation, copay, deductible and coinsurance, and any visit or session limits that apply to the service being scheduled.
Eligibility Verification →Where the payer requires it, we identify the requirement, assemble the clinical documentation with your team, submit through the payer's channel and track the request until a determination is returned — then monitor units and expiry dates.
Prior Authorization →Documented services become billable charges. Codes, modifiers, units, place of service, rendering and referring provider data and payer-specific requirements are reviewed before the claim leaves the building.
Medical Billing →Claims are submitted, clearinghouse acceptance is confirmed, and front-end rejections are corrected and resubmitted quickly. Status is monitored rather than assumed — an unacknowledged claim is not a submitted claim.
Claims Management →ERAs and paper EOBs are posted with the correct adjustment and remark codes, deposits are reconciled, and payment variances against expected reimbursement are flagged instead of written off silently.
Payment Posting →Denied and underpaid claims are triaged by reason code, corrected or appealed with supporting documentation, and — critically — categorised so recurring causes can be addressed at their source rather than reworked forever.
Denial Management →Aged and unpaid claims are worked systematically by payer and bucket, with payer follow-up documented and escalation paths used before timely filing deadlines close. The goal is resolution, not activity.
A/R Follow-Up →Each service can run on its own or combine into a single end-to-end engagement. Practices commonly start with the function under the most pressure and expand scope from there.
Confirm active coverage, plan type, network status, patient financial responsibility and benefit limits before the visit.
Requirement checks, payer submission, documentation coordination and tracking through to determination.
Charge entry, claim preparation and submission with coding coordination and payer-requirement review.
Clean-claim submission, clearinghouse acceptance monitoring, rejection correction and payer follow-up.
Reason-code triage, correction, appeal with documentation, and pattern analysis to stop repeat denials.
ERA and EOB posting, deposit reconciliation, adjustment accuracy and variance identification.
Systematic work-down of aging buckets, payer follow-up, underpayment review and resolution tracking.
The full cycle under one accountable partner, with a single point of contact and consistent reporting.
Not a vendor you email and wait on. A revenue cycle function that sits alongside your practice.
Eligibility, authorization, billing, claims, denials, posting and A/R managed as one connected process — so problems get caught where they start instead of surfacing three stages later as an unexplained write-off.
Access controls, minimum-necessary handling and documented processes built around HIPAA requirements.
Behavioral health, psychiatry, physical therapy and pain management — each with its own payer rules.
You should never have to ask where a claim stands. Reporting is agreed at the start of the engagement and delivered on a rhythm your team can plan around — aging, denial categories, submission and resolution activity.
A named point of contact who knows your payers, your workflows and your practice — not a ticket queue.
Scope adjusts as you add providers, locations or service lines — without rebuilding your back office.
We work inside your workflows and your systems, follow your escalation preferences, and communicate the way your team already works. The intent is that your staff experience us as colleagues in another room — not an outside billing company at the end of a support address.
Payer rules are not generic, so revenue cycle support shouldn't be either. Our current focus areas each carry distinct authorization, documentation and coding realities.
Session-based services, authorization cadence, level-of-care transitions and behavioral health carve-outs that route claims to a different payer entity than the medical plan.
Behavioral health RCMEvaluation and management visits with psychotherapy add-on codes, medication management, telepsychiatry place-of-service rules and time-based documentation.
Psychiatry RCMTimed versus untimed units, plan-of-care certification and recertification, visit authorizations and the documentation payers expect to support continued skilled care.
Physical therapy RCMInterventional procedures governed by coverage policy, laterality and level modifiers, imaging guidance bundling rules and medical-necessity documentation.
Pain management RCMWe work with other healthcare practices as well. Tell us how your revenue cycle runs today and we'll give you an honest assessment of whether we're the right fit — including when we're not.
Changing revenue cycle partners shouldn't mean changing platforms. Our team works directly in your existing EHR and practice management system, following your templates, your workflows and your conventions — so your clinical staff notice nothing different about how they document care.
All product names, logos and brands are the property of their respective owners. Listing a system here indicates working familiarity with it in a revenue cycle context — it does not imply any partnership, certification, affiliation or endorsement by those companies.
Revenue cycle work goes wrong when scope is assumed. We spend the early stage understanding how your practice actually operates before anything changes.
We review how your revenue cycle runs today — systems, payer mix, specialties, current workflows, where claims stall and what your team finds most burdensome.
Together we decide which Sure Rev Solution services are relevant, where responsibility sits on each side, and how information moves between your team and ours.
We take on the agreed functions and run them as ongoing operations — with defined handoffs and escalation paths rather than ad-hoc requests.
Regular reporting and review sessions keep the picture current, surface recurring issues and drive continuous operational improvement.
In most practices the same people who greet patients are also verifying benefits, sitting on hold with payers, re-keying authorization requests and rebilling corrected claims. That work is real and it has to happen. The question is whether it should sit on the desks of the people you hired to run a clinical operation.
Bringing in a revenue cycle partner doesn't make administrative work disappear — anyone who tells you otherwise is overselling. What it does is move a defined portion of that work to a team whose entire job is doing it well, with the payer knowledge and follow-up discipline that comes from doing it every day. Your staff get their attention back. Your revenue cycle gets consistent ownership.
Where denials originate, why so many trace back to the front end, and how practices build a correction loop instead of a rework loop.
Read AuthorizationsWhat drives authorization volume, where requests stall, and the tracking discipline that keeps treatment moving.
Read Accounts ReceivableWhy the 90+ bucket tells you more than total A/R, and how to work an aging report in an order that actually recovers money.
ReadTell us where your revenue cycle is under pressure right now — eligibility, authorizations, billing, claims, denials or aging A/R. We'll walk through what's happening, what we'd take on, and whether working together makes sense for your practice.