Your Complete Revenue Cycle,
Expertly Managed-End to End.
From eligibility verification to denial management, NetGainRCM handles every stage of your revenue cycle with AAPC-certified precision — so you can focus entirely on patient care.
Every Service. One Trusted Partner.
We don’t believe in one-size-fits-all RCM. Every service we offer is tailored to your practice’s size, specialty, and workflow — with full transparency and a performance guarantee built in.
From your first patient interaction to your final payment — we handle it all.
Eligibility Verification & Prior Authorization
We confirm patient insurance coverage, benefits, and co-pays before every appointment — and secure prior authorizations for all required services. This front-end precision eliminates surprise denials before a single claim is submitted.
Medical Coding
Offering E&M and Multi-Specialty service coding, our AAPC-certified coders deliver accurate ICD-10 and CPT coding across E&M, ED, ASC, oncology, cardiology, orthopedics, and more. With 24–48 hour turnaround and a first-pass accuracy above 95%, your claims go out clean every time.
Charge Entry & Revenue Integrity
We capture every billable service with same-day charge entry and conduct regular audits to identify missed charges and billing gaps. Nothing that was earned gets left behind.
Medical Billing & Claims Management
From claim preparation to submission and tracking, our billing team ensures every claim is accurate, complete, and submitted to the right payer — the first time. We monitor claim status proactively so nothing falls through the cracks.
Payment Posting & Remittance Processing
We process all EOBs and remittance advice with same-day accuracy, ensuring payments, adjustments, and write-offs are posted correctly. Your books always reflect the true state of your revenue.
Denial Management & AR Follow-up
Every denial is appealed within one business day — no exceptions. Our dedicated AR team pursues outstanding claims with payer-specific strategies, keeping your Days in AR under 45 and your cash flow consistently strong.
Patient Collections & Statements
Our team handles patient balance follow-up and statement management with professionalism and empathy — recovering patient-responsibility balances while protecting the doctor-patient relationship your practice has built.
Provider Enrollment & Credentialing
We manage end-to-end provider enrollment and credentialing with all commercial payers, Medicare, and Medicaid — cutting onboarding time from months to weeks so you start collecting from day one.
RCM Analytics Dashboard
Our custom-built dashboards give you real-time visibility into collections, claim status, denial trends, AR aging, and KPIs — all in one place. Know exactly where your revenue stands, anytime, from any device.
Healthcare IT Consulting
Our technology should work for you — not against you. We guide healthcare practices through the selection, implementation, and optimization of clinical and administrative software systems. Whether you are adopting a new EHR, integrating third-party tools, or troubleshooting workflow inefficiencies, our team ensures your technology investment delivers real, measurable results.
HL7 v2 & FHIR Integration
Seamless data exchange. Zero disruption. We provide expert consultation on HL7 and FHIR integration — helping healthcare organizations connect disparate systems, enable interoperability, and ensure clean, compliant data flow across platforms. From API design guidance to integration testing support, we help your systems talk to each other so your team doesn't have to bridge the gaps manually.
Regulatory & Compliance Advisory
Stay ahead of the rules — not behind them. Navigating CMS, ONC, and evolving healthcare IT regulations is complex and constantly changing. Our regulatory advisory services help practices and healthcare technology organizations understand compliance requirements, prepare for audits, align with Meaningful Use and USCDI standards, and implement workflows that keep you protected — today and as regulations evolve.
How It Works
Getting started with NetGainRCM is simple, risk-free, and built around your practice — not a template.
Free Revenue Cycle Performance Check
Free Revenue Cycle Performance Check We find the gaps — at no cost to you. Share your last 90 days of claims data and we'll conduct a comprehensive, no-obligation RCM health check. We identify exactly where your revenue is leaking — denials, coding errors, slow AR — and show you the dollar value of what's being left on the table. If everything looks great, you get confirmation of strong operations. If we find opportunities, we show you a detailed plan to fix them.
Your Custom Transition Plan
A tailored roadmap built around your workflow. No two practices are the same — so we don't treat them that way. Based on your audit findings, we design a custom service plan that fits your EHR, your team, and your goals. We are fully software-agnostic, integrating seamlessly with Athena, Epic, eClinicalWorks, or any platform you use. Your 90-day zero-downtime onboarding plan ensures your billing cycle never skips a beat.
We Go to Work
You Watch Collections Grow Full visibility. Zero surprises. Once live, our US-India hybrid team handles every step of your revenue cycle — 24/7. You get a dedicated US-based revenue partner as your single point of contact, plus a real-time dashboard so you can see exactly what's happening with your claims at any moment. Our 24-hour denial response protocol means no claim ever sits unworked.