Claim Denials Are Surging
Nearly 15% of claims to private payers get initially denied. Missing data, authorization gaps, and registration errors create costly rework loops that consume staff hours.
~15% Initial Denial Rate
Trusted by 6+ Healthcare Providers
Stop Losing Revenue to Denied Claims and Billing Rework
Humane RCM delivers end-to-end revenue cycle management that identifies denial root causes, recovers lost revenue, and stabilizes your cash flow — so you can focus on patient care.
LIVE DASHBOARD
Revenue Recovery
Last 90 Days Performance
94%
Clean Claims
28d
Avg. Collection
$2.1M
Recovered
The Revenue Crisis
The Challenges Draining Your Practice Revenue
Healthcare providers face mounting administrative pressure that directly threatens cash flow, staff retention, and patient care quality.
Prior Auth Burden Is Crushing Staff
Practices complete roughly 39 prior authorizations per physician per week, spending ~13 hours on PA tasks alone — fueling burnout and delays in care delivery.
~39 PA/Week per PhysicianBilling Talent Is Impossible to Find
Coders and billers rank among the most difficult revenue cycle roles to hire, driving up operating costs and leaving practices with critical knowledge gaps.
Top-Cited Hiring ChallengeCybersecurity & Vendor Risk
The Change Healthcare breach disrupted claims nationwide. Providers now face heightened scrutiny of vendor chains, subcontractor controls, and HIPAA compliance at every level.
Post-Breach Scrutiny RisingCash Flow Is Unpredictable
Even when patient volume is stable, revenue arrives late. Delayed reimbursements, payer holds, and credentialing gaps turn healthy practices into cash-strapped operations.
$20B+ Admin Waste Industry-WideA/R Aging Keeps Growing
Accounts receivable past 90+ days signal serious collection issues. Manual denial workflows and lack of root-cause analysis keep claims stuck in expensive appeal cycles.
Appeals Overturn Most Denials End-to-End RCM
Comprehensive Revenue Cycle Services
From patient registration to final payment — we manage every step of your revenue cycle to maximize collections and minimize rework.
Claims Management & Submission
Clean claim preparation, accurate coding verification, and timely submission to maximize first-pass acceptance rates across all payers.
- ✓ Pre-submission scrubbing
- ✓ Payer-specific edits
- ✓ Real-time claim tracking
Denial Management & Recovery
Root-cause analysis, categorized denial reporting, strategic appeals, and preventive workflows that reduce recurring denials at the source.
- ✓ Denial root-cause analysis
- ✓ Automated appeal workflows
- ✓ Prevention-first approach
A/R Follow-Up & Collections
Aggressive follow-up on aging receivables, payer escalation, and systematic resolution of outstanding balances to accelerate your cash cycle.
- ✓ 30/60/90+ day prioritization
- ✓ Payer escalation protocols
- ✓ Weekly A/R aging reports
Medical Coding & Audits
Expert CPT, ICD-10, and HCPCS coding with regular compliance audits to prevent undercoding, overcoding, and documentation gaps.
- ✓ Certified coding specialists
- ✓ Quarterly compliance audits
- ✓ Specialty-specific accuracy
Patient Access & Eligibility
Insurance verification, benefits validation, and prior authorization management — catching coverage gaps before they become denied claims.
- ✓ Real-time eligibility checks
- ✓ Prior auth management
- ✓ Patient responsibility estimates
Reporting & Analytics
Transparent dashboards, KPI tracking, and actionable insights that give you full visibility into your revenue cycle performance — no surprises.
- ✓ Custom KPI dashboards
- ✓ Denial trend analysis
- ✓ Payer performance benchmarks
20+
Years of RCM Expertise
94%
Clean Claim Rate
35%
Average Denial Reduction
28d
Average Days in A/R
How It Works
From Assessment to Results in 4 Steps
Our process is designed to deliver value fast — with zero disruption to your practice operations or patient flow.
1
Free RCM Diagnostic
We analyze your A/R aging and denial reports to build a 1-page "RCM Leak" scorecard — pinpointing exactly where revenue is escaping.
2
Custom Recovery Plan
Our team identifies high-leverage fixes, prioritizes denial categories, and designs a pilot scope tailored to your specialty and payer mix.
3
Seamless Onboarding
We integrate with your existing EHR/PM system — no replatforming needed. BAA, security controls, and access protocols are established upfront.
4
Ongoing Optimization
Continuous denial prevention, weekly reporting, and quarterly reviews ensure your revenue cycle keeps improving month over month.
Client Results
What Our Partners Say
Healthcare providers trust Humane RCM to recover revenue, reduce denials, and bring clarity to their billing operations.
DR
Apex Primary Care
Multi-Location Family Practice — 8 Providers
"Humane RCM identified $340K in recoverable denials within the first 60 days. Our A/R over 90 days dropped by 42%. We finally have visibility into where the money was going."
42% Reduction in 90+ Day A/R
SM
Summit Medical Group
Orthopedic Surgery — 12 Providers
"Prior auth was eating 15+ hours a week of staff time. Their team took it over completely. Our denial rate for auth-related claims went from 18% down to under 4%."
Auth Denials Down from 18% to 4%
CV
ClearView Orthopedics
Ophthalmology — 5 Providers
"We were drowning in denials and our biller quit. Humane stepped in, cleaned up 6 months of backlog, and now our clean claim rate stays above 95%."
95%+ Clean Claim Rate Maintained
Why Humane RCM
Built for Physician Practices That Demand Results
We're not a generic billing company. We specialize in physician-owned practices that need a partner who understands the real-world pressures of managing payers, staff, and compliance — all while keeping patients at the center.
HIPAA-Compliant Security
Full BAA coverage, subcontractor flow-down, minimum-necessary access, and safeguards aligned with the HIPAA Security Rule.
U.S.-Based Accountability
You contract with our U.S. entity in Austin, TX. One point of contact, clear SLAs, and no runaround across time zones or vendors.
20+ Years of Domain Expertise
Our team brings two decades of RCM experience across specialties — from primary care to surgical subspecialties.
Diagnostic-First
No-Risk Starting Point
We start with a free "RCM Leak" scorecard before you commit to anything. If it's not useful, we close the file. Zero obligation.
No Disruption
Works With Your Existing Systems
We integrate with your current EHR, PM software, and clearinghouse. No replatforming, no vendor lock-in, no downtime.
Transparent
Full Visibility, No Black Boxes
Weekly reports, live dashboards, and quarterly reviews. You'll always know exactly where your money is and what we're doing about it.
FAQ
Frequently Asked Questions
Answers to the questions healthcare providers ask most before partnering with us.
What types of practices do you work with?
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We specialize in physician-owned practices and small-to-mid-size medical groups (typically 3–15 providers). Our sweet spot includes specialties like orthopedics, ophthalmology, cardiology, primary care, and surgical subspecialties — anywhere denial complexity, prior auth burden, or staffing strain is creating revenue leakage.
How do you handle HIPAA compliance and data security?
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You sign a Business Associate Agreement (BAA) directly with our U.S. entity. We contractually bind all subcontractors with the same restrictions. We enforce minimum-necessary access, role-based data controls, and security safeguards consistent with the HIPAA Security Rule. Our compliance posture has been designed for the post-Change Healthcare environment.
Do we need to switch our EHR or billing system?
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No. We integrate with your existing EHR, practice management, and clearinghouse systems. There is no replatforming required. Our approach is designed to enhance your current workflow, not replace it.
What is the "RCM Leak Scorecard" and is it really free?
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Yes, completely free and no obligation. We review your last 60–90 days of A/R aging and denial data to build a 1-page scorecard showing your top denial categories, whether they're preventable or payer-driven, and which fixes would have the highest revenue impact. If it's not useful, we close the file.
How fast will we see results?
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Most practices see measurable improvement in denial rates and A/R aging within 60–90 days of onboarding. The diagnostic itself delivers actionable insights within the first two weeks. We focus on quick wins first — resolving aged claims and plugging the biggest leakage points — while building longer-term prevention workflows.
Do you use offshore teams?
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We are the U.S. contracting and client-success layer, headquartered in Austin, TX. We use specialized operational teams for parts of delivery. You contract with the U.S. entity, we sign the BAA, and we contractually bind and control all subcontractors with the same HIPAA restrictions and security safeguards.
What data do you need to get started?
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To run the initial diagnostic, we just need your A/R aging summary and a denial report (or screenshots). That's it. No deep EHR access, no system credentials, no disruption to your team. If you decide to move forward, we establish formal access with proper BAA and security protocols.
Ready to Stop Losing Revenue
to Preventable Denials?
Get your free RCM Leak Scorecard. We'll analyze your denial patterns and A/R aging — and show you exactly where the revenue is escaping. No commitment, no disruption.
Schedule Your Free Audit