Cashflow
Revenue Cycle Management
End-to-end billing that protects your revenue.
Tristate delivers end-to-end Revenue Cycle Management, charge capture, claim submission, denial management, payment posting, and monthly financial reporting. We manage your entire claims lifecycle so you get paid faster and keep more of what you earn.
What You Get
- Charge capture & reconciliation, claim scrubbing & submission via clearinghouse
- Rejection and denial management including appeals and underpayment recovery
- Payment posting (ERA/EOB), adjustments, refunds, and credit-balance management
- Secondary/tertiary billing, patient statements, and inbound billing call support
- Monthly KPI reporting: cash, charges, A/R aging, denial trends
- Quarterly business review with action plan
- Benchmarks: First-Pass Acceptance ≥95%, Denial Rate ≤6%, Net Collection ≥96%, Days in A/R 35–45
What We Need From You
EHR/PM system access, payer contracts and fee schedules, provider NPIs and taxonomy codes, clearinghouse credentials, and a designated billing contact.
Typical Timeline
Active billing within 45 days of onboarding.
Why Tristate
“Flat fee structure, not a percentage of collections, keeping our arrangement fully compliant and our incentives aligned with your practice’s long-term health, not just claim volume.”