PACE Revenue Cycle Management

From Claim to Collection. With Precision at Every Step.

Revenue cycle management is more than submitting claims. Every step—from authorization and documentation to coding, billing, payment posting, denials, and A/R follow-up—affects what happens next.

PACE RCM provides healthcare organizations with focused revenue cycle support designed around accuracy, accountability, communication, and appropriate reimbursement. Whether you need comprehensive revenue cycle management or support in a specific area, PACE RCM can work alongside your organization to help keep the revenue cycle moving.

Your Trusted Partner in Revenue Cycle Management

PACE RCM, a specialized division of PACE Consulting, LLC, delivers comprehensive Revenue Cycle Management services for healthcare providers, clinics, and medical practices. We combine healthcare expertise, proven processes, and technology-driven solutions to help providers improve billing accuracy, accelerate collections, reduce administrative burden, and build a healthier revenue cycle.

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Healthcare Expertise

Experienced healthcare professionals.

Technology Driven

Smart tools for better efficiency.

Dedicated Support

Responsive support for your goals.

Better Outcomes

Solutions that improve collections

Revenue Cycle Management With a Different Perspective

We don’t just work the claim. We understand the cycle.

Authorization

Documentation

Coding

Claim Submission

Payment

Denials

A/R

Reconciliation

PACE RCM Services

Prior Authorization

PACE RCM can support prior-authorization workflows by helping practices obtain and track required authorizations, identify missing information, document authorization activity, and communicate outstanding requirements.

Coding Support & Validation

PACE RCM provides coding support and validation designed to help ensure that reported services are supported by provider documentation and coded according to applicable guidelines. Code what is documented. Bill what is supported.

Medical Billing & Claims Management

PACE RCM supports claim preparation, submission, rejection management, corrected claims, payer follow-up, claim-status review, and documentation of billing activity.

Payment Posting & Reconciliation

PACE RCM can support ERA/EOB posting, payments, adjustments, denial identification, account reconciliation, and posting review so that A/R reflects payer activity accurately.

Accounts Receivable Follow-Up

PACE RCM works assigned A/R to identify outstanding balances, determine claim status, investigate barriers to payment, perform appropriate follow-up, and document actions taken. Recurring A/R patterns should also tell us where the revenue cycle may need attention.

Denial Management

PACE RCM works denials while looking for recurring patterns that may point to authorization, documentation, coding, claim-submission, payer, or workflow issues. Identify → Correct → Resubmit/Appeal → Track → Analyze.

Revenue Recovery

PACE can perform focused recovery work involving aged A/R, underpayment investigation, unresolved denials, payment discrepancies, and other identified reimbursement opportunities. Recover what is appropriately owed. Understand why it was missed.

Reporting & Revenue Cycle Visibility

PACE RCM uses reporting and communication to help clients understand revenue-cycle activity, trends, barriers, and priorities. Communication isn’t an add-on. It’s part of revenue cycle management.

Your Team + PACE RCM

PACE RCM does not have to replace your team to strengthen your revenue cycle. Engagements can be structured around Prior Authorization Only; Coding Only; Billing Only; Billing + Payment Posting; A/R & Denial Support; Coding + Billing + A/R; or Comprehensive Revenue Cycle Management.

PACE RCM engagements can be structured around the functions your organization actually needs.

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Your Revenue. Our Focus

Compliance Is Part of the Revenue Cycle

PACE RCM approaches revenue cycle management with the understanding that reimbursement must be supported by the medical record, appropriate coding, applicable requirements, and responsible billing practices.

Revenue optimization does not mean finding the highest-paying code. It means identifying the most accurate and appropriately supported path to reimbursement.

#1 Rule of Coding: If it's not documented don't code it!

Backed by PACE Consulting

Routine revenue-cycle work can reveal recurring coding errors, documentation deficiencies, compliance concerns, unusual denial patterns, charge-capture issues, workflow breakdowns, or provider education needs. When appropriate, those issues can be escalated to the consulting, auditing, coding/compliance, or education expertise available through PACE Consulting.

RCM manages the cycle. Consulting helps investigate what the cycle reveals.

Your Revenue. Our Focus.

A strong revenue cycle requires accurate coding, disciplined billing, consistent follow-up, reliable payment posting, effective denial management, meaningful communication, and a team that understands how those functions connect.