Revenue Cycle Management

Revenue Cycle Management is the entire financial workflow connecting a patient encounter to a deposited dollar — credentialing, eligibility, coding, claim submission, denial management, payer follow-up, and payment posting. Most practices outsource pieces of it to multiple vendors and wonder why nothing is accountable. Sharp Networks Group runs the whole cycle as a single operation, under one principal who knows your payers, your specialty, and your numbers.

What the Service Covers

Every Sharp RCM engagement includes claim submission, real-time eligibility verification before each encounter, denial management with documented appeal workflows, insurance follow-up through payment, payment posting reconciled to your bank statements, and monthly reporting tied to deposited revenue — not submitted charges.

We operate across specialties including primary care, behavioral health, multi-provider groups, and multi-state organizations. The work is calibrated to your payer mix, your authorization patterns, and your denial history — not a generic process built for the average practice.

Pricing Structure

RCM is priced as a percentage of monthly collections — you pay based on what you actually collect, not on what gets submitted. Rates scale by volume:

The Growth Package Explained

Standard Billing has a lower headline rate at every volume tier — that comparison is accurate and we don't obscure it. The Growth Package is not cheaper on paper. It is engineered to put more total dollars into your account by actively recovering patient balances that Standard leaves on the table.

The typical practice leaves 15–30% of its total receivables in unpaid patient balances. Standard Billing processes claims; it does not recover those balances. The Growth Package runs both under the same team and the same accountable principal, with patient-balance recovery workflows that compound with the RCM operation rather than running parallel to it.

The honest comparison is not Growth versus Standard — it is Growth versus doing nothing with aged patient balances, or versus sending them to a standalone U.S. collection agency at 25–35%. At Sharp's 20–28% recovery rate (by account age), the practice keeps more of every recovered dollar than it would with a separate agency, with no second vendor relationship to manage.

What We Don't Do

We don't submit claims and disappear into a dashboard. Every engagement has a named principal with direct accountability — the person who reviews denials, tracks payer-specific patterns, and responds when you call. We reconcile to deposited revenue, not submitted charges, so the number we report is the number that lands in your bank account.

Annual Commitment Discount

Growth Package clients who commit to a 12-month term have the $500/month collections program fee waived for the first five months — a $2,500 savings in year one, automatically applied at signing. The percentage rate doesn't change; this is a direct reduction in the flat program fee. Month-to-month remains available on every plan; annual is incentivized, not required.

Annual Growth Package clients are also covered by our 90-Day Confidence Guarantee: if the package isn't working for your practice in the first 90 days, you can cancel the annual term with zero early-termination penalty, paying only the month-to-month rate for the months you were with us.