RCM / Revenue cycle management / United States
WNL RCM runs the revenue cycle end to end — eligibility, coding, claims, denials and credentialing — so your practice stops losing money to preventable rework. Charges are filed within 48 hours, and every claim gets worked until it is resolved.
0
Years in revenue cycle
48h
Claim filing window
30d
Target days to payment
HIPAA
Compliant by design
One partner, the whole cycle
Coverage, coding, submission, denials, credentialing and patient balances — handled by one team working in your own system, so nothing falls between vendors.
The lifecycle
Most billing vendors pick up the claim after the damage is done. We work the whole cycle, because a clean claim is built long before it is submitted.
Most denials are created here, before anyone touches a claim.
Where documentation either supports the claim or quietly undermines it.
Persistence here is what separates a worked A/R from an aged one.
Intelligent automation
WNL RCM Intelligent Automation handles the repetitive checks — eligibility responses, claim scrubbing rules, status polling and posting — so specialists spend their time on the claims that actually need a decision. The aim is lower cost and less waste, not fewer people looking at hard claims.
Services
Take all of it, or take the part that is costing you the most.
WNL RCM verifies patient coverage, benefits, plan type, and prior authorization before the visit, so claims go out payable and denials never reach your A/R.
( Service )End-to-end medical billing from WNL RCM: daily charge entry, claim scrubbing, filing within 48 hours, payment posting, patient statements, and denial appeals.
( Service )Certified coders assign accurate CPT, ICD-10, and HCPCS codes with NCCI edit checks, E&M leveling, and documentation queries that cut denials and audit risk.
( Service )WNL RCM works aged receivables and denials to root cause: claim triage, payer escalation, documented appeals, and reporting that stops denials from repeating.
( Service )WNL RCM manages payer enrollment, CAQH and NPI upkeep, re-credentialing deadlines, and contracting so your providers get in network and stay billable.
( Service )Clear credit balance backlogs with WNL RCM: reconcile true overpayments, correct misapplied postings, process compliant refunds, and document every action.
How we work
( 1 )
Your practice management system, your EHR, your clearinghouse, under credentials you issue and can revoke. Nothing is migrated, so nothing is trapped if you leave.
( 2 )
A denial worked once recovers a claim. A denial traced to the step that produced it stops the next several hundred.
( 3 )
Where a claim cannot be filed within 48 hours or paid within 30 days, you get the specific reason rather than a status that reads pending.
Inside the work
Unglamorous on purpose.
Revenue cycle work is reading remittances, chasing payer references and reconciling lines that do not match. None of it photographs well, and all of it decides whether you get paid. We would rather show you an aging report moving than a stock photo smiling.
Specialties
Anesthesia time units, radiology component splits, the therapy 8-minute rule, obstetric global packages. The rules are not the same, so the billing should not be either.
Claim to cash
Charge entry, scrubbing, submission and follow-up on each claim — not a sample of them.
Engagement models
A minimum percentage of your total monthly collection
We take responsibility for all the billing work you hand over, at a single predictable rate.
Suits: Practices handing over the whole revenue cycle
Scope covered4/4
$0.75 per claim · $0.50 payment posting
Pay per claim for defined tasks. Patient demographic entry and charge entry are 75 cents per claim; payment and cash posting entry is 50 cents.
Suits: Practices that need specific tasks covered, not everything
Scope covered1/4
Dedicated staff, pre-defined hours
Full-time equivalent resources working set hours for you. Suited to long-term engagements with large, steady volume.
Suits: Long-term engagements with large, steady volume
Scope covered3/4
Quoted within 1 business day
Pricing built around the service type and the complexity of the work, after we have looked at your actual billing requirements.
Suits: Mixed or complex requirements that do not fit a standard model
Scope covered2/4
Rates as published by WNL RCM. Final pricing depends on specialty, claim volume and scope.
From the insights desk
Plain-language guides to the mechanics that decide whether a practice gets paid. No statistics we cannot source.
How we work
We look at your current A/R, denial patterns, payer mix and billing setup, then tell you plainly where the money is going.
You get a written scope and a pricing model that matches your volume — percentage of collections, per transaction, dedicated FTE or custom.
Proposal within 1 business dayCredentials, system access, BAAs and workflow mapping. We run parallel where it makes sense so nothing drops during the handover.
Charges filed within 48 hours, denials worked on a schedule, and reporting you can actually read at month end.
Charges filed within 48 hoursSystems
No forced migration. Our billers log into your practice management system and work inside your existing setup.
Practice management and EHR platforms our billing team works in: CareCloud, Kareo, athenahealth, AdvancedMD, eClinicalWorks, NextGen Healthcare, Medisoft, Encite, Nextech, CollaborateMD, EZClaim, GE Centricity Practice Solution, Oracle Cerner, Practice Fusion, Epic, Allscripts.
Next step
Send us your specialty, claim volume and current billing setup. We will come back with a proposal you can act on.
FAQ
WNL RCM is a US medical billing and revenue cycle management company. We handle eligibility verification, medical coding, charge entry, claim submission and scrubbing, payment posting, accounts receivable follow-up, denial management, credentialing and credit balance resolution for medical practices and facilities.
Charges received are filed to the payer within 48 hours. Same-day filing is standard for clean charges. The 48-hour window is the outer limit, not the average, and it applies to every charge we receive rather than to a sampled subset.
No. Our billers work inside the practice management and EHR system you already use. You grant scoped user access and we operate in your existing environment, which avoids a migration and keeps your clinical workflow untouched.
Yes. We operate under HIPAA with a signed Business Associate Agreement, encrypted network access, role-based user permissions, device encryption and logged activity audits. Security controls are covered in detail on our security page.
We offer four models: a percentage of monthly collections for full end-to-end billing, per-transaction pricing for specific tasks like charge entry or payment posting, dedicated full-time resources, or a custom arrangement. Pricing depends on specialty, claim volume and scope.
We bill across 25 specialties including cardiology, anesthesia, radiology, OB/GYN, orthopedics, mental health, physical therapy and skilled nursing. Each specialty has its own coding rules and denial patterns, so billing is handled by staff familiar with that specialty rather than a generalist pool.
Transition typically runs a few weeks, depending on system access, credentialing status and how much open A/R needs to move across. We map the workflow first and run parallel where it reduces risk, so claims keep going out during the handover.
Order to intake
Coverage, eligibility and patient responsibility settled at check-in — before a claim exists and long before anyone has to appeal one.
