Managed revenue cycle services
A full billing team, strengthened by AI
Rinova's billing team operates the day-to-day revenue cycle while using AI throughout its internal workflows. This option is designed for practices that want one accountable team to handle billing from eligibility through accounts receivable follow-up.
End-to-end operational coverage
- Eligibility and benefits verification
- Medical coding
- Claim preparation and submission
- Prior authorization workflows
- Payment posting and reconciliation
- Rejection and denial management
- Accounts receivable follow-up
- Credentialing
Final scope is defined around the practice's specialty, systems, payer mix, staffing model, and current agreements.
People for judgment and AI for repeatable work
Rinova's billing and engineering teams work closely together. AI supports high-volume internal tasks, monitoring, data movement, and quality checks. Experienced billing staff handle exceptions, payer nuance, sensitive communication, and decisions that require context.
What AI handles
- Reads the upcoming schedule and assembles the day's verification list
- Runs routine coverage and benefit checks against available payer sources
What billing staff handle
- Resolves plans the payer source could not confirm
- Contacts the practice when patient information is missing
Know what is moving and what needs attention
The operating model gives the practice a clear view of workload, exceptions, submissions, denials, payments, and follow-up.
Suggested reporting topics
- Claim submission volume and timeliness
- First-pass acceptance and front-end rejection trends
- Denial categories and open actions
- Payment posting and reconciliation status
- Accounts receivable aging and follow-up activity
- Credentialing tasks and outstanding requirements
The exact reporting cadence and format are agreed with each practice during implementation.
Designed for practices that want operational ownership
Managed RCM is often the best starting point for smaller practices or teams that do not want to operate billing in house. Larger organizations that want to retain their staff and automate selected workflows may be better suited to the AI Agent Suite.
Focused on clean, timely billing
Rinova uses AI-enabled workflows and active billing oversight to support timely claim submission and low denial rates.
3%
No current manual billing client has recorded a denial rate above 3 percent
0.7 to 1%
Revenue cycle management expenditure as a share of revenue at suitable volume
Results vary by organization, specialty, payer mix, claim volume, system access, workflow scope, and starting performance.
Managed RCM questions
No. With managed RCM, Rinova's team operates the agreed billing scope. With the AI Agent Suite, Rinova deploys agents into the organization's existing operation while its staff remains responsible for exceptions and oversight.
The final scope is agreed during discovery. Rinova will map ownership, handoffs, access, and reporting before work begins.
Managed RCM is often a practical fit for smaller practices that want a single team to run billing. Fit also depends on specialty, claim volume, systems, payer mix, and the current operating model.
Discuss the billing work you want to hand off
We will review your current operation, clarify the scope, and explain how Rinova's team and technology would work together.