RCMGen Medical Billing and Revenue Cycle Management

RCMGen is a U.S. revenue cycle management and medical billing company serving hospitals, critical access hospitals (CAHs), rural health clinics (RHCs), FQHCs, and physician groups. We run the full claim-to-cash lifecycle: insurance eligibility verification, prior authorization, medical coding, claim scrubbing, medical billing, denial management, aging A/R recovery, payment posting, and underpayment recovery, delivered end-to-end or as discrete functions.

What sets RCMGen apart is a deliberate hybrid model. Our senior revenue cycle specialists each bring 25+ years of hands-on U.S. RCM experience, and we apply AI cautiously, combining human clinical and payer judgment with AI assistance at every layer of the workflow rather than replacing expertise with automation. Each engagement is staffed by AAPC and AHIMA-certified coders, CDI specialists, CAH cost report analysts, HCC coders, and payer-specific appeal writers, backed by 650+ years of combined team experience.

We operate 24/7 on a continuous sun-cycle across U.S. and global delivery centers, so providers wake to a reconciled ledger. RCMGen is Delaware-incorporated, HIPAA-aligned, and SOC 2 Type II compliant, with U.S. data residency and Business Associate Agreements in place.

Outcomes are written into our contracts. Clients see a 99.2% clean claim rate, 18 to 22% more net revenue recovered, and KPI-linked commitments on denial rate, days in A/R, clean claim rate, and net collection rate. Our teams are system-agnostic across Epic, Oracle Health (Cerner), Athenahealth, eClinicalWorks, NextGen, Meditech, AdvancedMD, and Allscripts. New partners onboard in 3 business days with $0 setup fees.

Explore hospital RCM, clinic and physician group RCM, payer-specific denial management, and our pricing. Meet our leadership team or request a proposal.