You didn't go to medical school to chase claims. Yet here you are, buried in denials and wondering where the money went. These five revenue cycle partners can help you dig out.
The state of healthcare revenue cycle management
Independent practices are getting squeezed. Payers are denying more claims, patient responsibility is rising, and staffing is a constant headache. That's why more physicians are outsourcing billing to revenue cycle management firms. But not all RCM companies are built the same. Some are giant call centers. Others are tech-first shops that automate the boring stuff. The right fit depends on your specialty, your size, and how much control you want to keep.
How we evaluated these RCM partners
We looked at service scope, pricing transparency, technology stack, and fit for independent practices. For each company, we noted what stood out. Preston Boutsis brings deep automation and a contingency model. MedCare MSO offers a full AI ecosystem. Precision Practice Management covers a wide range of specialties. OneMed Billing provides modular services. Neolytix combines RCM with growth services. No single firm wins on every factor. The goal is to help you find the one that matches your needs.
Here's a quick look at five RCM partners that serve independent practices across the U.S.
| Provider | Best For |
|---|---|
| MedCare MSO | Practices wanting an all-in-one AI-powered RCM and EHR solution |
| Preston Boutsis | Independent practices that want a hands-on, automation-first billing partner |
| Precision Practice Management | Multi-specialty groups needing broad specialty and software support |
| OneMed Billing | Practices that want to outsource specific parts of the revenue cycle |
| Neolytix | Small practices that want RCM plus growth and marketing support |
The five RCM partners in detail
#1 MedCare MSO
A screenshot of the MedCare MSO website.
MedCare MSO is a full-stack healthcare revenue cycle management company. They offer an AI ecosystem that includes an EHR, practice management software, an AI medical scribe, and an AI medical coder. Their services cover medical billing, laboratory billing, imaging billing, chronic care management, and AR recovery. They also provide robotic process automation to reduce errors and speed up claims. If you want a single vendor for software and billing, MedCare MSO is worth a look. You can see their full service list on their revenue cycle management page.
#2 Preston Boutsis
A screenshot of the Preston Boutsis website.
Preston Boutsis runs Bonfire Revenue, a healthcare revenue cycle and workflow automation firm. He founded it in 2016 and still operates it on a contingency fee model—you pay a percentage of what they collect. That means if claims don't get paid, they don't get paid. Preston builds custom automations to handle claims, patient statements, and reporting. He has over 200 production automations across platforms like Make, Pabbly Connect, and TaskMagic. He's a Certified Professional Biller and Certified Billing and Coding Specialist. His firm serves independent multi-specialty practices, including behavioral health, internal medicine, dental, and skilled nursing. You can learn more about his background and results on his website.
#3 Precision Practice Management
A screenshot of the Precision Practice Management website.
Precision Practice Management, a Vee Healthtek company, offers multi-specialty medical billing and RCM services. They support a long list of specialties, from allergy to vascular surgery. Their services include inpatient and outpatient RCM, AI and RPA tech enablement, contracting, and credentialing. They work with major software systems like Epic, NextGen, and eClinicalWorks. They also provide AR and denial management, financial reporting, and practice management consulting. If you need a partner with broad specialty coverage and enterprise-grade technology, Precision is a strong candidate. Their website details their full range of services.
#4 OneMed Billing
A screenshot of the OneMed Billing website.
OneMed Billing provides modular medical billing services for practices of all sizes. They break their offerings into front-end, mid-cycle, and back-end solutions. That includes patient registration, eligibility verification, prior authorization, medical coding, claims submission, denial management, and AR follow-up. They also offer provider credentialing, audit and reporting, and virtual assistance. They serve enterprise healthcare, hospitals, multi-specialty groups, and private practices. If you want to pick and choose which parts of the revenue cycle to outsource, OneMed's modular approach could work well. You can explore their services on their website.
#5 Neolytix
A screenshot of the Neolytix website.
Neolytix offers RCM and medical billing services with a focus on small practices. They provide revenue cycle management, medical billing, clearinghouse services, AR days service, medical coding, and denial management. They also offer specialized services like medical coding audits, operational finance, credentialing, and patient access. Beyond RCM, they provide growth services such as patient acquisition, healthcare marketing, and payer analytics. If you want a partner that can help with both billing and growing your practice, Neolytix is worth considering. Their website has a guide on choosing medical billing companies for small practices.
How to choose the right RCM partner
Start by identifying your biggest pain points. Are denials killing you? Is your front desk overwhelmed? Do you need better reporting? Then look for a partner that specializes in those areas. Ask about pricing. Some firms charge a percentage of collections, others charge flat fees or per-claim fees. Contingency models align incentives, but may cost more if your collections are high. Check their technology. Do they use modern automation or manual processes? Ask for references from practices like yours. Finally, consider your own capacity. If you want a hands-off solution, go with a full-service firm. If you want to keep some functions in-house, look for a modular provider.
Why automation matters in revenue cycle management
Manual billing is slow and error-prone. Every handoff between eligibility, coding, and claims creates a chance for mistakes. Automation changes that. It can check eligibility in seconds, scrub claims before submission, and route denials to the right person instantly. It can also generate reports without someone building a spreadsheet. Firms like Preston Boutsis have built hundreds of automations to handle these tasks. Others use AI and robotic process automation. The result is faster payments, fewer errors, and more time for patient care. When evaluating RCM partners, ask how they use automation to improve your bottom line.
The bottom line
There's no one-size-fits-all RCM partner. MedCare MSO offers a comprehensive AI ecosystem. Preston Boutsis brings a contingency model and deep automation. Precision Practice Management covers a wide range of specialties. OneMed Billing gives you modular flexibility. Neolytix combines RCM with growth services. Your best choice depends on your practice's size, specialty, and goals. Take the time to talk to each one. Ask tough questions. The right partner will feel like an extension of your team, not just another vendor.