AI-Driven Revenue Cycle Management
End-to-end RCM from registration support to claims, payments, AR follow-up, denials, patient billing, and revenue recovery.
Resolute MSO delivers front-end, mid-cycle, back-end, technology, digital and staffing support under one operational strategy.
Every service is built to improve claim quality, accelerate reimbursement, reduce workflow friction, and increase leadership visibility.
End-to-end RCM from registration support to claims, payments, AR follow-up, denials, patient billing, and revenue recovery.
Professional and institutional billing, ICD-10, CPT, HCPCS support, charge capture, coding audits, documentation review, and compliance monitoring.
Structured insurance follow-up, aging analysis, underpayment identification, escalation management, collection optimization, and AR trend reporting.
Denial analytics, root-cause identification, appeals, resubmissions, corrective action planning, and preventive workflow improvement.
Benefits verification, plan rules mapping, authorization tracking, intake cleanup, and payer-specific workflow support before claims move downstream.
ERA/EOB posting, adjustment review, payment reconciliation, underpayment discovery, and financial performance reporting.
Workflow automation, task automation, process mapping, AI-assisted workflow design, dashboards, data validation, and productivity optimization.
Practice management, EHR/EMR, patient/provider portals, telehealth platforms, healthcare CRM, LIS, analytics, and custom software development.
HL7/FHIR integration, PMS/EHR integration, clearinghouse integration, lab system integration, API development, and healthcare data exchange.
Revenue dashboards, AR reports, denial trends, productivity analytics, executive KPI reporting, operational analytics, and predictive insights.
Healthcare website development, SEO, content strategy, reputation management, social media, patient acquisition campaigns, and brand support.
Medical billers, coders, AR specialists, denial specialists, payment posters, prior auth experts, credentialing staff, eligibility specialists, and RCM managers.
Scheduling support, referral coordination, patient communication assistance, documentation management, credentialing, provider enrollment, and back-office operations.
A Windows-based automation platform for OfficeAlly claim entry from Excel charge sheets, supporting parallel agents and local/private data handling.
| Operational Area | What Resolute MSO Supports | Business Outcome |
|---|---|---|
| Front-End Revenue Cycle | Patient registration support, eligibility, benefits verification, referral coordination and prior authorization workflows. | Cleaner intake, fewer preventable denials and improved claim readiness. |
| Billing & Claim Submission | Charge entry, claim scrubbing, payer rules checks, clearinghouse management and electronic submission. | Higher clean-claim discipline and faster movement from service to submission. |
| Back-End RCM | Payment posting, AR follow-up, denial appeals, underpayment review, patient billing and revenue recovery. | Reduced aging, improved collections and stronger cash-flow visibility. |
| Technology & Automation | AI-assisted workflows, RPA, dashboards, data validation, HL7/FHIR integrations and custom healthcare software. | Fewer manual bottlenecks, more scalable delivery and better decision support. |
| Workforce Extension | Medical billers, coders, AR specialists, prior-auth staff, payment posters, credentialing specialists and admin support teams. | Flexible capacity without losing process control. |
Resolute MSO can begin with a practice health review, AR assessment, denial trend review, workflow audit or ChargePilot demo before moving into a full-service operating model.
Review current billing process, payer pain points, tools, specialty mix and operational bottlenecks.
Map workflows, roles, escalation points, reporting cadence and automation opportunities.
Launch team, dashboards, QA checks, weekly visibility and continuous improvement routines.