Madison RCM

Clarity. Intelligence. Results.

Turning Revenue Cycle Management into a Competitive Advantage for Primary Care,
Behavioral Health, and Gynecology.

You Deliver Excellent Care. We Make Sure You Get Paid for It.

Most independent practices lose 5–15% of potential revenue to errors, denials, or missed follow-ups. Madison RCM helps you reclaim that margin — and replace confusion with confidence.

Denied Claims

We fix root causes and reduce denial rates across your top payers.

Aged A/R

We shorten the payment cycle and turn stalled dollars into real cash.

Staff Gaps

We fill skill gaps with expert advisors and transparent reporting.

We’re Not a Billing Company. We’re Your RCM Advisory Team.

Our team has led revenue cycle operations across hospitals, MSOs, and medical groups. We know what great looks like — not just “good enough.”

Advisors First

We don’t just process claims—we elevate your operation with weekly KPIs, open dashboards, and measurable outcomes.

Real-World Experience

Decades inside provider organizations.

Transparency

Weekly KPIs, open dashboards, measurable outcomes.

Onshore Expertise

100% U.S.-based analysts and advisors, fluent in your workflows.

Our Playbook for a Healthier Revenue Cycle

Assess

Baseline your current denials, A/R days, and collection rate.

Optimize

Redesign workflows and address bottlenecks at their source.

Manage

Operate with precision, accountability, and real-time reporting.

Improve

Continuous auditing and performance improvement — every month.

Full-Service Revenue Cycle & Advisory Support

A modular model for independent practices, behavioral health, and home health agencies.

Billing & Collections

End-to-end claims management with a focus on clean claims and faster cash.

  • Eligibility & pre-submission edits
  • Denial management & appeals
  • Patient billing & follow-up

Coding & Compliance

Chart audits, coder education, and revenue integrity checks.

  • HCC/Risk & specialty coding support
  • Audit findings → training plan
  • Documentation improvement

Payer Contracting & Credentialing

Negotiate smarter and enroll faster with a former-provider-side team.

  • Rate & term reviews
  • Negotiation strategy & modeling
  • Roster & enrollment management

Analytics & Reporting

Transparent dashboards and KPI scorecards — weekly and monthly.

  • AR aging, NCR, denial rate
  • Root-cause analytics
  • Executive readouts

Practice Optimization

Staffing models, workflows, and technology to scale performance.

  • Intake → Scheduling → Billing
  • RACI and SOP development
  • System optimization (EMR/PM)

About Madison RCM

We’re advisors first. Our careers were built inside provider organizations — medical groups, MSOs, and hospitals — so we solve problems that we’ve actually lived.

Our Mission

Help independent providers thrive by turning revenue cycle into a reliable, data-driven engine.

What We Believe

Transparency, measurable outcomes, and respectful partnership. Onshore teams. Professional standards.

Credentials

Leadership with advanced degrees (MBA, MHA, CPA) and multi-specialty experience across 35+ fields.

Knowledge That Pays — Literally.

Come back daily for fresh insights, payer updates, and real-time billing advice — or ask Madison your revenue cycle questions.

Today’s Tip

3 ways to reduce denials for behavioral health claims.

Ask Madison

Send us a billing or payer question and get an expert response.

Go to Ask Madison →

Ready to See What Great Looks Like?

Let’s uncover your missed revenue and build a system that performs as hard as you do.