Frequently Asked Questions

A revenue cycle management company handles the financial side of patient care, from checking eligibility and authorizations before a visit through coding, claim submission, payment posting, denial follow-up, patient billing and reporting. Ace can run the whole cycle for you or take on the specific stages where your team needs help.

Yes. Our team works inside your existing EHR, practice management and clearinghouse systems, so your providers and staff keep the tools they already use.

The full cycle: eligibility and authorization support, coding, claim submission, payment posting, denial management, A/R follow-up, patient collections and reporting. You can also start with the stages where you need the most help and add others later.

You receive a regular KPI report covering clean-claim rate, denial rate, days in A/R, net collection rate and A/R over 90 days, and we review it with you every month.

Pricing depends on your claim volume, specialty and the services you need. You receive a written quote after the free RCM assessment, before any work begins.

Onboarding begins with discovery, system access and baseline KPIs in the first 30 days, followed by workflow set-up and backlog clean-up.

RCM pricing depends on claim volume, specialty and which stages of the cycle we manage. We share a written quote after the free assessment.

Most onboarding follows a 90-day plan: discovery and baseline KPIs in the first 30 days, workflow set-up and backlog clean-up by day 60, then full operations with a monthly KPI review by day 90.

We begin by defining the roles and hours you need, then match and train staff before they start.

We work inside your existing EHR, practice management and clearinghouse systems rather than asking you to switch.

Claims are scrubbed and submitted promptly once complete charges are received, and charge lag is part of your regular reporting.

We do. Clearinghouse and payer rejections are corrected and resubmitted by our team, and recurring causes are reported back so they can be fixed at the source.

Regular reports on claims submitted, payments posted, rejections, denials and A/R, plus a monthly KPI review.

Our coders work across specialties with CPT, ICD-10 and HCPCS codes and follow the payer-specific requirements for each one. Tell us your specialty during the free RCM assessment and we will confirm the fit.

When documentation does not support a code, the coder sends a query to the provider through the channel you prefer and holds the claim until it is answered, so nothing is guessed.

Through regular quality reviews of coded claims and by tracking coding-related denials.

Missing or incorrect patient information, eligibility and coverage problems, missing prior authorizations, coding errors, duplicate claims and missed filing deadlines. Most are preventable with checks before submission.

Appeals are prioritized by deadline and value, so time-sensitive and high-dollar denials are worked first.

Yes. We categorize the backlog, appeal claims still within their filing limits first and report what can still be recovered.

Yes. We review older balances by payer and filing limit, work the ones that are still recoverable and tell you plainly which ones are not.

By recovery value: balance size, age, payer and how close each claim is to its filing deadline.

Every month in the KPI review, including days in A/R, A/R over 90 days and amount recovered.

With clear statements and reminders, followed by courteous calls or messages when needed. Our staff explain balances plainly and are trained to stay patient and respectful.

Yes. We set up payment plans patients can realistically manage, within the guidelines you approve.

Promptly. We check the claim, the payer's explanation of benefits and the statement, explain the outcome to the patient and correct anything that was wrong.

Every patient conversation follows the tone and policies you approve, and sensitive situations are escalated to your team rather than pushed for payment.

It varies by payer and state, commonly from several weeks to a few months. Complete applications submitted early are the biggest factor we control.

Typically state licenses, DEA and board certifications, malpractice insurance, work history, education and training records and NPI details. We send a checklist at the start so nothing is missing.

Yes. We keep CAQH ProView profiles complete and re-attested on schedule so payers can rely on them.

Yes. We track expiration and re-credentialing dates and start renewals ahead of time so providers stay in network.

Staff work the hours you need, including your local business hours.

Staff go through screening and role-specific training in billing, coding and payer rules, plus data-security training before they access your systems.

Yes. Virtual staffing can scale up for a short project, such as an A/R clean-up or a system migration, and back down afterwards.

Common EHR, practice management and clearinghouse systems, connected so data moves where it is needed.

With encryption, role-based access controls, staff training and regular audits.

Yes. We set up video conferencing and remote patient monitoring, integrated with your existing systems.

Yes, ongoing support and training for the systems we build or manage.