Credentialing · Prior Auth · End-to-End RCM

Stop losing revenue to denials and delays.

OneMed runs your revenue cycle inside the systems you already use — cleaner claims out, payments in on time, and a team that doesn't need the job explained.

Data stays US-hosted HIPAA-compliant workflows Dedicated employees only
Revenue cycle · end to end
● Live
Claim #48213 · Cardiology · $1,240Paid
Auth #71904 · Home HealthApproved
Claim #48219 · DME · $865Submitted
Auth #71911 · Imaging · Prior authCleared
Claim #48224 · RPM/CCM · $412Posted
0%
Clean claim rate
0
Days in A/R
0%
Denial rate
0%
Coding accuracy
Register
Prior Auth
Coding
Charge
Submit
Posting
Appeals
A/R
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Certified RCM experts
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Active providers
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EMR / PMS / LIS platforms
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Specialties served
Where revenue quietly leaks

The cost isn't one big mistake. It's a hundred small ones.

Every stage inherits the errors of the one before it. By the time a denial shows up, the money's already been sitting for weeks.

01

Prior-auth delays

Approvals chased after the date of service push care off schedule and hand payers an easy reason to deny.

02

Staffing that can't scale

In-house billing teams burn out on volume spikes, and every hire carries FICA, benefits, PTO, and ramp time.

03

Underpayments that hide

An underpayment can look exactly like a payment. Without line-by-line posting, it's revenue you never knew you lost.

What we do

Three engines. One accountable team.

Take the whole revenue cycle, or the one stage that's costing you most. These three carry the weight — and everything around them is covered too.

Provider Credentialing

Enrolled and billable as early as payers allow — no revenue lost to a provider who can't yet bill.

  • Payer enrollment & re-credentialing
  • CAQH, PECOS & roster upkeep
  • Expirables tracked to renewal

Prior Authorization

Requirements checked against payer rules, records submitted with the request, and followed up until a decision lands.

  • Eligibility verified before the visit
  • Over-the-call & portal submissions
  • AI-assisted, human-reviewed throughput

End-to-End RCM

From registration through reimbursement — coding, submission, posting, denials, and A/R worked to closure.

  • Claims scrubbed line by line
  • Denials root-caused, not written off
  • Monthly reporting you can act on
Plus eligibility, coding, charge entry, claim submission, payment posting, appeals, AR follow-up, audit & more. All 15 services →
Works inside the platforms you already run
eClinicalWorks Kareo AdvancedMD Athenahealth Brightree NextGen DrChrono Practice Fusion
Built by specialty

Revenue cycle behavior changes by specialty. So do we.

Documentation patterns differ. Payer scrutiny shifts. Our workflows are tuned to each field — with deep benches in the ones that need it most.

High-complexity

Cardiology

Diagnostic testing, procedures, and medical-necessity documentation that protects reimbursement and cuts auth delays.

Episodic

Home Health

OASIS-aware billing, episode management, and timely reimbursement for visit-based care models.

Equipment

HME / DME

Documentation, modifiers, and payer bundling handled so claims align with strict coverage rules.

Recurring

RPM · CCM · Telehealth

Time-based coding and authorization tracking built for recurring remote and chronic-care revenue.

30+ specialties served
Internal MedicineFamily MedicinePediatricsOrthopedics GastroenterologyOB-GYNOncologyBehavioral Health Pain ManagementUrgent CareAnesthesiologyDermatology LaboratoryInfusion TherapyPhysical TherapySkilled Nursing Ambulatory Surgery CentersSpecialty PharmacyUrology+ more
Pricing that fits your model

Three ways to engage. Priced to your volume.

Predictable staffing, pay-for-performance, or transaction-based at scale — matched to your specialty and workload.

Model 01 — Staffing

Dedicated FTE

A trained specialist, assigned to you, working under OneMed's payroll.
$1,200/ month
≈ $6/hour · full-time equivalent
  • 3–4 yrs experience, 12–25 auths/day
  • Direct communication, task them yourself
  • Supervisor at 5+ FTEs, manager oversight
  • US-hosted data via secure RDP, HIPAA
  • Buffer coverage for absences
  • Rolling contract, 30-day notice
Model an FTE plan
Model 02 — Transaction

Per-Auth at Scale

Predictable and scalable. Built for hospitals, groups, and imaging centers.
$3–$5/ auth
Prior authorization · by complexity & volume
  • Standard auths $3–$4, complex up to $5
  • Eligibility verification priced separately
  • Absorb spikes — 10K to 25K+ per month
  • AI-assisted with human quality checks
  • Know your per-unit cost every month
  • Strong KPIs on first-pass collection
Get a volume quote
Model 03 — Collections

Percentage of Collections

Pay for performance. Billing-side, tied to what actually comes in.
2.5–5%of collections
Rate flexes with volume & specialty
  • We get paid when you get paid
  • Focused on billing & collections
  • Lower rate for higher volume
  • Simple, transparent invoicing
  • Full visibility into every claim
  • No long lock-in
Ask about your rate
Not sure which fits? We'll model all three against your actual volume on the discovery call.
Secure & compliant by design

Your data never leaves the country or your control.

Security, coding accuracy, and payer alignment are built into daily execution, not bolted on.

Minimum-necessary access, fully traceable activity
Encrypted channels and controlled environments
Offshore team, US-hosted data via secure RDP
Role-based permissions and audit-ready records
HIPAA compliant
ISO certified
PCI DSS compliant
BSI certified
"
OneMed has truly been a game changer for our cardiology practice. Their team brought real value to our organization and made our billing smoother and more efficient.
CP
Practice AdministratorCardiology · Springfield, Illinois
0
First-pass collections achieved
0
Reduction in prior-auth delays
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Average turnaround time

See where your net revenue is leaking.

Get a claim-level review across coding, level of care, authorization, documentation, and underpayments — by facility and payer. No obligation.