Medical Billing & Revenue Cycle Management — Percentage of Collections | Rezolv Health MSO

Full-service billing and RCM for independent practices from a physician-founded, physician-led MSO — on a percentage of collections. No minimum volume. No setup fees. We get paid when you get paid.

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The case for outsourcing medical billing

In-house billing is expensive, time-consuming, and difficult to staff well. A billing team requires ongoing training to keep up with payer rule changes, coding updates, and denial management workflows. Staff turnover in billing roles is high. And when a biller leaves, the institutional knowledge of your payers, your denial patterns, and your outstanding AR goes with them.

Outsourced billing eliminates the staffing problem entirely. You pay a percentage of what is actually collected — not a flat fee regardless of performance. That alignment of incentives means your billing partner has a direct financial stake in maximizing your collections.

Rezolv Health MSO manages billing for our own clinical network across four states and multiple payers. We apply that same infrastructure to our client practices.

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What we handle

Charge capture and claim submission Claims submitted within 24 hours of visit documentation. Clean claim rate tracked and maintained above industry benchmarks.

Denial management Every denial is reviewed and worked. We track denial patterns by payer, by code, and by provider — and use that data to reduce future denials at the source.

Payment posting and reconciliation ERA and EOB processing, patient payment posting, and account reconciliation.

Accounts receivable management Active follow-up on all outstanding AR. Aging reports reviewed regularly and escalated appropriately.

Patient billing and collections Patient statements, balance billing, and collections coordination handled professionally and in compliance with applicable regulations.

Reporting Monthly practice performance reports covering collections, denial rates, days in AR, and payer mix.

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Pricing

Billing services are priced as a percentage of net collections. The exact rate depends on your specialty, payer mix, and volume. Contact us for a quote.

There are no setup fees and no minimum volume requirements. We work with solo practitioners and small group practices as well as larger organizations.

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Frequently asked questions

What specialties do you bill for? All specialties. We have particular depth in behavioral health billing — including substance use disorder treatment, psychiatric medication management, and collaborative care — but we work with practices across all clinical areas.

How does the transition work if I am switching from in-house billing or another vendor? We conduct an AR audit on intake to establish a baseline and identify any outstanding claims that need to be worked. Transition timelines vary based on your EHR and current billing situation, but most practices are fully transitioned within 30 days.

What EHR systems do you work with? We work with most major EHR and practice management platforms. Contact us to confirm compatibility with your specific system.

How do you handle denials? Every denial is reviewed within 48 hours. We categorize denials by type, track patterns by payer, and file appeals on all clinically appropriate denials. Denial rate and appeal success rate are included in your monthly reporting.

What is your clean claim rate? We target and maintain clean claim rates above 95%. Your monthly report will show your actual clean claim rate and highlight any coding or documentation patterns contributing to denials.

Can you handle behavioral health billing, including substance use disorder codes? Yes. Behavioral health billing — including SUD treatment, MAT, psychiatric medication management, and collaborative care — is an area of particular expertise for us.

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