Full revenue cycle management.Built around your specialty.
From eligibility checks to denial follow-up to monthly reporting, we handle the work that keeps specialty practices paid accurately and on time.
Founder-led. Serving practices across the United States.
A hands-on team, backed by revenue intelligence.
Our team works your claims every day. AHR's AI-assisted revenue intelligence platform acts like an expert revenue cycle manager for the team, helping us see what needs attention first so nothing gets lost.
Set up
We learn your specialty, payers, and contracted rates, and get your claims and payment data in place.
Review
Claims, payments, denials, payer behavior, and A/R aging are looked at together.
Follow up
Our team works the flagged items with payers, starting with what matters most.
Report
The platform tracks claim activity daily, so your monthly report holds no surprises. You see what we found, what we did, and what we recommend.
Why we work this way
AI is useful in revenue cycle work, but only when experienced people stay in charge. Fully automated, unsupervised AI can introduce mistakes that a trained specialist would catch, and in billing those mistakes tend to show up as denials and lost revenue. Complex cases are where this matters most.
- Experts make the calls. Every recommendation is reviewed by our team before anything is acted on.
- AI keeps the team organized. It surfaces what to work first, so people spend their time on judgment, not searching.
- Errors are caught early. A human check keeps small mistakes from becoming denials.
Where revenue slips through, and how we look for it.
Once your data is loaded, our team can ask the platform plain-language questions and get a prioritized answer, instead of digging through reports.
Ask what to work first. Get a clear answer.
Revenue cycle teams juggle hundreds of claims, payers, and deadlines. Our platform helps them stay organized and focused on the work that matters most. It is a support tool for our specialists, not an autopilot.
Were you paid what your contracts say?
We compare payments with your contracted rates by CPT code, so possible underpayments can be raised with the payer.
Which claims are sitting too long?
Claims pending past 14 days are flagged, and our team watches timely filing limits, so "pending" does not turn into aged A/R or write-offs.
Why are claims being denied?
We track denial reasons by payer, so repeat causes are fixed upstream instead of re-worked one claim at a time.
Where does your A/R stand?
Aging, payer performance, and collections in one monthly view, so you can see where revenue is stuck.
What full RCM includes.
Full RCM is our main offer. Scope is set with you, and not every service is part of every agreement.
Billing and payment posting
Clean claims out the door, and every payment matched to the deposit.
- Claim submission and scrubbing
- Payment posting and reconciliation
- Patient statements and balances
Denials and appeals
We find why claims are denied and fix the cause, not just the claim.
- Denial investigation and appeals
- Repeat-denial pattern tracking
- Feedback to your front desk and providers
A/R follow-up
Aged balances worked by payer and age, with status confirmed.
- Payer follow-up by age bucket
- Underpayment review
- Pending claims confirmed, not assumed
Eligibility and prior authorization
Fewer surprises after the visit.
- Benefit verification before visits
- Prior authorization tracking
- Authorization status on every claim
Credentialing and enrollment
Providers enrolled correctly and started early.
- New provider and new practice enrollment
- Payer follow-up until effective dates are set
- Revalidation tracking
Reporting and guidance
A monthly picture you can act on.
- Collections, denials, and A/R aging
- What we found, what we did, what we recommend
- Documentation and coding guidance
Already have a billing team? We can help alongside them.
Not every practice needs full RCM. These can be scoped on their own.
Coding and documentation review
An outside check on coding accuracy and documentation, with plain recommendations your team can use.
Denial and appeals support
Help with a backlog of denials or a specific payer problem, alongside your current billing team.
Credentialing and enrollment
Standalone enrollment for new providers, new locations, or new practices.
Revenue cycle consulting
A review of workflows, reporting, and payer performance, with a prioritized list of what to fix first.
Specialty billing takes specialty knowledge.
Credentialing, prior authorizations, and time-based coding.
Authorizations, modifiers, and payments that reconcile.
Modifier and documentation denials, and A/R stuck in "pending."
Maternity episodes tracked from the first visit.
Vaccine and preventive visit denials, and coding gaps at high volume.
Exam-versus-visit coding, injections, and authorizations.
Multispecialty group? We report across specialties and respect each one's billing rules. We do not offer DME or NEMT billing.
Know your numbers in 2 minutes.
Our free Revenue Leak Calculator gives a directional estimate of where your revenue cycle stands. No patient data, and you see your result before we ask for anything.
Try the calculatorEstimates only. Not an audit or confirmed recoverable revenue.
What practices ask us first.
Do you replace my billing team?
What is your revenue intelligence platform?
Which specialties do you work with?
How does pricing work?
What do I get each month?
Do I need to send patient information to start?
Tell us where revenue is getting stuck.
Start with a conversation about your revenue cycle. We will discuss whether AHR is a good fit.
Or reach us at 415.857.2854 or info@ahrevenue.com. Please do not include patient information.