More Than Claim Submission
RMG Advance delivers proactive revenue oversight designed to improve collections, reduce
reimbursement delays, and strengthen financial accountability across the revenue cycle.
Every Engagement Includes
- Aggressive AR follow-up and collections management
- Denial tracking and recovery oversight
- Revenue visibility and reporting support
- Payer trend analysis and reconciliation monitoring
- Operational workflow accountability
- Long-term care billing expertise and hands-on support
We believe successful revenue management requires more than processing claims — it requires persistence, visibility, and partnership.
Missed reimbursement opportunities, unresolved claims issues, and aging balances can create significant financial pressure for healthcare providers if not addressed proactively.
RMG Advance works to identify, analyze, and recover outstanding revenue opportunities through focused reimbursement review, claims resolution support, and operational revenue oversight tailored to long-term care environments.
Key Support Areas
- Recovery analysis for outstanding and unresolved claims
- Identification of missed reimbursement opportunities
- Historical AR and aging review support
- Denial analysis and reimbursement recovery assistance
- Coordination of claim corrections and rebilling support
- Review of payer discrepancies and underpayments
- Medicaid pending reimbursement follow-up support
- Revenue reconciliation and recovery visibility
- Collaboration with facility and corporate operational teams
- Ongoing monitoring of recovery opportunities and reimbursement trends
Consistent collections performance requires proactive follow-up, payer accountability, and disciplined oversight across the reimbursement cycle.
RMG Advance provides hands-on accounts receivable management and collections support designed to reduce aging, accelerate cash flow, and improve reimbursement visibility across all payer categories.
Key Support Areas
- AR aging management and follow-up
- Third-party payer collections support
- Insurance claim status monitoring and resolution
- Managed care and payer communication support
- Outstanding balance and collections oversight
- Payment follow-up and reimbursement tracking
- Denial follow-up and escalation support
- Cash collections and reimbursement visibility reporting
- DSO and payer performance monitoring
- Coordination with facility and corporate business office teams
Long-term care reimbursement requires constant coordination across traditional Medicare, Medicaid, managed care organizations, and commercial insurance plans. RMG Advance provides hands-on billing oversight designed to improve claim accuracy, reduce reimbursement delays, and strengthen collections performance across all payer categories.
Our team works proactively to support authorization management, payer communication, claim resolution, and reimbursement visibility throughout the revenue cycle.
Key Support Areas
- Traditional Medicare billing and claims management
- Medicare Advantage / replacement plan billing support
- Managed care and MCO reimbursement coordination
- Medicaid billing and Medicaid pending oversight
- Commercial and secondary insurance billing support
- Prior authorization and payer verification assistance
- Triple-check coordination and billing review
- Electronic billing and clearinghouse management
- Denial tracking and reimbursement recovery support
- Claims reconciliation and payment verification
- Medicare bad debt support and Exhibit 5 preparation
- Coordination with facility and corporate operational teams
Accurate census and payer information are essential to clean claims, timely reimbursement, and effective revenue cycle performance.
RMG Advance provides ongoing oversight of admissions, payer setup, eligibility verification, and census reconciliation to help reduce billing disruptions and prevent avoidable reimbursement delays.
Key Support Areas
- Daily census reconciliation and payer verification
- Admission, discharge, and transfer (ADT) oversight
- Insurance eligibility and benefits verification
- Primary and secondary payer validation
- Authorization tracking and coordination support
- Medicaid eligibility and pending status monitoring
- Resident demographic and insurance accuracy review
- Managed care payer setup verification
- Coordination with facility admissions and business office teams
- Census reporting and reimbursement visibility support
Consistent payment posting and financial reconciliation are critical to maintaining accurate accounts receivable visibility and identifying reimbursement issues quickly.
RMG Advance provides detailed payment reconciliation and posting oversight designed to improve financial accuracy, strengthen reporting visibility, and support timely revenue recovery.
Key Support Areas
- Daily cash posting and payment reconciliation
- Electronic remittance advice (ERA) management
- Insurance and payer payment verification
- Patient liability and private pay posting support
- Contractual adjustment and balance review
- Identification of payment variances and discrepancies
- Credit balance and unapplied payment monitoring
- Coordination of payer corrections and reprocessing support
- Revenue reporting and reconciliation visibility
- Month-end reimbursement support and balancing
Ancillary services often involve complex reimbursement requirements, multiple vendors, and additional coordination that can impact collections and financial performance if not properly managed.
RMG Advance provides billing support and reimbursement oversight for ancillary and specialty service lines to help improve claim accuracy, reduce missed revenue opportunities, and strengthen overall reimbursement visibility.
Key Support Areas
- Ancillary payer coordination and billing support
- Therapy and consolidated billing oversight
- Hospice carve-out coordination support
- Pharmacy and IV therapy billing review
- Oxygen and respiratory service billing support
- Transportation and specialty service coordination
- Vendor reimbursement communication and reconciliation
- Supporting documentation and claim review assistance
- Resolution support for ancillary claim denials and variances
- Coordination with facility, vendor, and corporate operational teams
Effective revenue cycle management requires ongoing visibility into collections performance, reimbursement trends, and operational bottlenecks that impact cash flow.
RMG Advance provides reporting and revenue oversight designed to help operators identify trends, strengthen accountability, and maintain clearer visibility across the reimbursement cycle.
Key Support Areas
- AR aging and collections visibility
- Denial tracking and reimbursement trend reporting
- Cash collections and payment monitoring
- Payer mix and reimbursement analysis
- Outstanding claims and aging review
- Revenue reconciliation and variance reporting
- Workflow accountability and operational observations
- Facility and corporate reporting support
- Identification of reimbursement delays and process gaps
- Collaboration with operational and financial leadership teams
Successful revenue performance depends on more than billing activity alone — it requires operational alignment, accountability, and consistent communication between facility and corporate teams.
RMG Advance provides hands-on operational support designed to strengthen business office workflows, improve reimbursement processes, and support long-term financial stability across the organization.
Key Support Areas
- Business office workflow evaluation and support
- Revenue cycle process improvement assistance
- Billing and reimbursement operational guidance
- Support during ownership transitions and organizational change
- Coordination with facility and corporate leadership teams
- Business office training and onboarding support
- Accounts receivable workflow accountability
- Assistance with payer communication processes
- Operational collaboration related to census and reimbursement performance
- Ongoing partnership and revenue cycle support
Let’s Improve Your Revenue Performance
Whether you need full revenue cycle support, AR recovery assistance, or operational consulting, RMG Advance can help identify opportunities to improve collections, reduce denials, and strengthen financial performance.
We’ll review your current workflows, payer challenges, and reimbursement opportunities to determine where we can add value.