ALERT: U.S. practices lose $262B annually to preventable billing errors — Change Healthcare 2025 | 86% of claim denials are completely preventable — MGMA National Report Card | Average practice loses 10–15% of gross revenue every month — MGMA 2025 | 65% of denied claims never reworked — MGMA | Up to 80% of medical bills contain at least one coding error — MGMA Research | ALERT: U.S. practices lose $262B annually to preventable billing errors — Change Healthcare 2025 | 86% of claim denials are completely preventable — MGMA National Report Card | Average practice loses 10–15% of gross revenue every month — MGMA 2025 | 65% f denied claims never reworked — MGMA | Up to 80% of medical bills contain at least one coding error — MGMA Research
LIVE ⚡ MGMA & HFMA 2025 Benchmarks

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Bleeding Revenue?

Answer 7 quick questions built on verified MGMA, HFMA & AMA benchmarks. Instantly discover how much your practice may be losing — and exactly what to do about it.

💸 U.S. Healthcare Revenue Lost Annually to Preventable Billing Errors $262,000,000,000 Source: Change Healthcare 2025  ·  ~$8,300 lost every second
$262BLost AnnuallyChange Healthcare 2025
86%Preventable DenialsMGMA Report Card
80%Bills Contain ErrorsMGMA 2025
65%Never ReworkedMGMA
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Answer 7 quick questions based on MGMA, HFMA, and AMA benchmarks. Get your instant score and see exactly where your practice ranks against top performers.

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1Question 1 of 7
What is your practice’s current claim denial rate?
📊 Benchmark: Top performers maintain denial rates below 5% — MGMA 2025
Below 5% — we rarely get denialsTop Performer
5–10% — occasional denials we resolveAverage
10–15% — denials are a regular problemBelow Average
Above 15% or I don’t track thisHigh Risk
2Question 2 of 7
What is your first-pass claim acceptance rate?
📊 Benchmark: Top performers achieve 95%+ first-pass rate — HFMA 2025
Above 95% — most claims pass first timeTop Performer
85–95% — good but room to improveAverage
70–85% — frequent resubmissions neededBelow Average
Below 70% or I don’t track thisHigh Risk
3Question 3 of 7
What is your average Days in Accounts Receivable (A/R)?
📊 Benchmark: Top performers keep A/R Days below 30 — MGMA 2025
Under 30 days — cash flow is excellentTop Performer
30–45 days — manageableAverage
45–60 days — cash flow is strainedBelow Average
Over 60 days or I don’t track thisHigh Risk
4Question 4 of 7
What is your net collection rate?
📊 Benchmark: Top performers collect 97%+ of all collectible revenue — MGMA 2025
97% or above — near-perfect collectionTop Performer
90–97% — solid performanceAverage
80–90% — leaving money on the tableBelow Average
Below 80% or I don’t track thisHigh Risk
5Question 5 of 7
How often does your practice conduct coding audits?
📊 Benchmark: Top practices audit coding quarterly — AAPC Guidelines 2025
Quarterly — we audit regularlyBest Practice
Annually — once a year reviewAdequate
Rarely — only when there’s a problemAt Risk
Never — we don’t audit codingHigh Risk
6Question 6 of 7
What is your practice’s approximate annual gross revenue?
📊 Helps calculate your estimated revenue leakage accurately
Over $5 million annuallyLarge Practice
$1M – $5M annuallyMid-Size Practice
$500K – $1M annuallyGrowing Practice
Under $500K annuallySolo / Small Practice
7Question 7 of 7
What is your biggest revenue cycle challenge right now?
📊 Select the issue causing the most pain in your practice today
Claim denials and rejections
Slow payments and cash flow
Coding errors and compliance
Staff capacity and billing backlog
📊

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0/28 Your Score

💰 Estimated Annual Revenue at Risk Based on your practice size and performance vs. MGMA & HFMA benchmarks
🎯 Your Priority Action Items

    Ready to Stop the Revenue Leak?

    Our RCM specialists have helped practices recover an average of $180K in their first year. Book a free 30-minute strategy call — no obligation, no contracts required.

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    Data Sources

    MGMA 2025 Cost & Revenue Survey  ·  HFMA Revenue Cycle Benchmarking 2025  ·  AMA National Health Insurer Report Card  ·  Change Healthcare 2025 Annual Report  ·  AAPC Coding Guidelines 2025  ·  RevCycleIntelligence Industry Data

    US-Standard Medical Billing & RCM—Powered by a Global High-Performance Team

    You’ve Been Let Down by Billing Before. We Know. Here’s How We’re Different.

    We partner with small and mid-size clinics to eliminate revenue leakage, cut denial rates below 5%, and give you complete visibility into every dollar with no long-term contracts and no surprises.

    “If we don’t hit the benchmarks we set on day one, we’ll be the first to tell you why.”

    — The RCAceSolutions Commitment
    ✓No long-term contracts ✓HIPAA compliant ✓Results in 90 days
    96.5%
    First-Pass Claim Rate
    Industry avg. is 85%
    +23%
    Collections Increase
    Measured within 90 days
    <5%
    Target Denial Rate
    vs. 10–15% national avg.
    90d
    Days to Positive ROI
    Guaranteed performance
    We Serve | 🏠 Private Practices | 🏥 Multi-Specialty Clinics | 📱 Telehealth Providers | 🦷 Dental & Specialty | 🚀 New Clinic Owners
    Why Good Clinics Lose Good Money

    The Real Problem Isn’t Your Billing.
    It’s That Nobody’s Been Honest With You About It.

    Most billing vendors process your claims and move on. They don’t tell you why the same denials keep coming back. They don’t flag the coding pattern quietly costing you thousands every month. They don’t show you the benchmark your practice should be hitting — or how far off you are. So the leaks keep growing. And you keep wondering why the numbers never quite add up. That ends here.

    Denials that keep coming back

    Not just rejected claims — a pattern nobody’s bothered to explain. 30% of denials trace to a single intake error. — MGMA 2025

    Rework that costs more than you think

    Every denied claim costs $25–$117 to reprocess — and 65% are never reworked at all. — MGMA

    A/R aging past the point of recovery

    Once a claim hits 90 days, your recovery chance drops below 40%. Time is the enemy here. — HFMA

    No real picture of where you stand

    Monthly PDFs aren’t reporting. You need live numbers — so you can act before the leak compounds.

    30%
    Revenue Lost Annually

    The average medical practice loses up to 30% of collectible revenue every year. For a $1M practice, that’s $100K–$300K walking out undetected.

    Find My Revenue Leaks →
    Full-Spectrum RCM

    Every Stage of Your Revenue Cycle.
    Every Dollar You’ve Earned.

    From patient registration through final reimbursement — precision, compliance, strategic intent.

    Our Framework

    A Three-Level Revenue Control System

    No disruption. No lengthy setup. Measurable improvement — fast.

    1

    Diagnose

    Deep revenue audit to uncover denial patterns, underbilling, workflow gaps, and compliance risks.

    Start your audit →
    2

    Optimize

    Structured billing corrections, workflow redesign, and denial prevention with lasting results.

    See how it works →
    3

    Scale

    Your billing becomes a predictable revenue engine built for long-term profitability and growth.

    Book a strategy call →
    Why RCAceSolutions

    Not Just a Billing Vendor.
    Your Strategic Revenue Partner.

    Pillar 01
    🔍

    Root-Cause Consulting

    We fix the system, not just the symptom — diagnosing denial patterns at their structural root.

    Pillar 02
    🤝

    Embedded Partnership

    Our specialists embed in your workflow as trusted partners who know your payers and goals.

    Pillar 03
    🎯

    Strategy Behind Every Claim

    Every claim backed by a deliberate strategy designed to grow collections month over month.

    Pillar 04
    📊

    Full Financial Transparency

    Live dashboards and dedicated account manager — complete visibility always, without asking.

    Pillar 05
    🛡️

    HIPAA-Compliant Always

    Every process and team member under strict HIPAA standards — protecting practice and patients.

    Pillar 06
    ⚡

    Faster Time to Revenue

    Streamlined billing so reimbursements arrive faster and cash flow becomes predictable.

    RCAceSolutions vs. Typical Billing Vendor

    Feature
    ✦ RCAceSolutions
    Typical Vendor
    Root-cause revenue analysis
    ✓ Every engagement
    ✗ Rarely offered
    Dedicated Account Manager
    ✓ Assigned Day 1
    ✗ Shared queue
    Real-time KPI dashboard
    ✓ Live, always on
    △ Monthly PDF only
    Payer-specific denial strategy
    ✓ Built per your payer mix
    ✗ Generic templates
    First-pass claim rate
    ✓ 96.5% target
    △ Industry avg. ~85%
    Complimentary · No Obligation

    Is Your Practice Collecting Everything It’s Already Earned?

    Our RCM experts deliver a detailed, complimentary audit — identifying exactly where revenue is leaking and providing a concrete recovery roadmap at zero cost.

    • ✓Root cause analysis of your revenue leaks
    • ✓Denial trend and claim performance breakdown
    • ✓Eligibility, coding & workflow assessment
    • ✓Delivered within 48 hours of your call

    Your Free Revenue Audit

    30 minutes. No cost. No obligation. A clear picture of your revenue health and a roadmap to improve it.

    Book Your Free Audit Call Free Revenue Audit Calculator
    🛡 100% HIPAA-compliant process ✅ No contracts required to start 📞 +1 (240) 393-9664 — Call or text anytime
    Ready to Operate with Revenue Certainty?

    Revenue. Clarity.
    Freedom.

    Stop leaving revenue on the table. Book a free 30-minute call and discover exactly how much your practice can recover.

    Or call / text: +1 (240) 393-9664 — Mon–Fri, 9am–5pm EST

    Free Resource — No Call Required

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    Score Your Practice Free.

    Complete each section one at a time — your score updates live. Download your personalized PDF with your exact results. Built on MGMA, HFMA & AMA 2025 benchmarks.

    1
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    3
    4
    5
    6
    Total Score
    0  / 33
    Start Checking →
    1
    Claims & Denial Management
    6 pts
    Claim denial rate is consistently below 5%
    MGMA 2025: Top performers <5% denial rate
    +1
    First-pass clean claim rate is 95% or above
    HFMA 2025: Best-in-class ≥95% first-pass rate
    +1
    Denial root-cause analysis conducted monthly
    Categorize by payer and code type
    +1
    All appeals filed within payer timely-filing limits
    Missing deadlines = permanent revenue loss
    +1
    Denial overturn rate tracked and above 50%
    MGMA: High performers overturn >60% of appeals
    +1
    Zero-pay and underpayment claims are auto-flagged
    HFMA: underpayments avg 3–5% of net revenue
    +1
    Section: 0 / 6
    2
    Front-End Eligibility & Intake
    5 pts
    Insurance eligibility verified before every appointment
    Real-time verification reduces front-end denials by up to 30%
    +1
    Patient demographics validated at registration
    Incorrect DOB/member ID = auto-denial
    +1
    Prior authorizations obtained and documented
    Missing auth = #1 avoidable denial category
    +1
    Copays and deductibles collected at point of service
    MGMA: Best practices collect >90% at POS
    +1
    Coordination of Benefits confirmed for dual-coverage patients
    COB errors create significant underpayment risk
    +1
    Section: 0 / 5
    3
    Coding Accuracy & Compliance
    6 pts
    Coding audits conducted at minimum quarterly
    AAPC Guidelines 2025: quarterly = best practice
    +1
    E/M leveling is consistent with documentation
    Under-coding = revenue loss; over-coding = audit risk
    +1
    Modifier usage reviewed for accuracy regularly
    Incorrect modifiers = denials + compliance exposure
    +1
    ICD-10 codes verified to highest specificity
    Unspecified codes trigger payer scrutiny
    +1
    Unbundling and upcoding risks assessed regularly
    OIG actively targets both — quarterly review essential
    +1
    NCCI edits applied before claim submission
    CMS NCCI edits prevent bundling-related rejections
    +1
    Section: 0 / 6
    4
    A/R Management & Cash Flow
    6 pts
    Days in A/R is consistently below 30 days
    MGMA 2025: Top quartile <30 days; avg = 35–45
    +1
    A/R aging over 90 days is below 15% of total A/R
    RevCycleIntelligence: <40% recovery chance past 90 days
    +1
    Net collection rate is 97% or above
    MGMA 2025: Top performers collect ≥97% of collectible revenue
    +1
    Write-off rate reviewed and justified monthly
    Unexplained write-offs mask systemic denial problems
    +1
    Payer-specific payment posting reconciled daily
    Delayed posting distorts A/R reporting accuracy
    +1
    Patient balance follow-up process is documented
    Patient A/R growing? Needs a dedicated workflow
    +1
    Section: 0 / 6
    5
    Reporting & KPI Visibility
    5 pts
    Real-time KPI dashboard accessible to leadership
    HFMA 2025: Live visibility = 20%+ faster issue resolution
    +1
    Monthly financials reviewed within 10 business days
    Delayed reviews let leaks compound undetected
    +1
    Payer contract rates loaded and tracked in PM system
    Without it, underpayments go undetected for months
    +1
    Charge capture lag monitored (target: same-day)
    Delays in charge entry = delayed cash flow
    +1
    MGMA/HFMA benchmark comparison done annually
    Knowing your rank drives targeted improvement
    +1
    Section: 0 / 5
    6
    Credentialing & Payer Enrollment
    5 pts
    All providers credentialed with all active payers
    Billing without credentials = 100% rejection rate
    +1
    Credentialing expiration dates tracked proactively
    Lapses can retroactively void paid claims
    +1
    New provider enrollment initiated 90+ days before start
    Average enrollment: 60–120 days per payer
    +1
    Medicare and Medicaid revalidation calendar maintained
    Missed revalidation = billing suspension
    +1
    Delegated credentialing agreements reviewed with MCOs
    Reduces time-to-bill for HMO/PPO networks
    +1
    Section: 0 / 5
    Your Performance Tier
    📊
    —
    Check items to see your score
    Start checking items to calculate your real-time score.
    Your Progress
    1
    Claims & Denial Mgmt
    0/6
    2
    Front-End Eligibility
    0/5
    3
    Coding & Compliance
    0/6
    4
    A/R Management
    0/6
    5
    KPI Visibility
    0/5
    6
    Credentialing
    0/5
    Your Personalized PDF
    Revenue Cycle Health Checklist™
    Generated with your exact responses
    📄
    0 checked · 33 to improve Score: 0/33 · —
    • ✓ Checked & ○ unchecked items — exactly as you filled it
    • Your score, tier and personalised action plan
    • Your name and audit completion date
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