Your Medicare Advantage A/R is Worth $2.4 Million More Than You Think

We Recover Aged Claims (1-5 years) that you've Written Off. 90% Success Rate. Zero Risk. Payment in 45-60 days

The Hidden Revenue Problem

THE PROBLEM

Every year, RCM companies and Healthcare Providers write off millions in aged Medicare Part C and Managed Care Receivables assuming the money is lost forever.

THE SOLUTION

RCM 365 has a proprietary, federally-compliant process to recover these funds. We are a specialized financial recovery firm that audits claims from the last 5 years and pursues insurance plans directly.

KEY METRICS

With a 90%+ success rate and a 100% contingency-based model , we provide a zero-risk, zero-effort way to add significant revenue to your bottom line.

Our Process is Effective and Risk-Free

1. Claims Audit

3. Revenue Recovery

2. Direct Pursuit

We conduct a comprehensive audit of your aged receivables from the past 5 years, identifying recoverable Medicare Part C and Managed Care claims.

2. Direct Pursuit

3. Revenue Recovery

2. Direct Pursuit

Our specialists pursue insurance plans directly using our proprietary, federally-compliant process.

Zero patient contact, ever.

3. Revenue Recovery

We recover your funds

You only pay when we succeed

100% Contingency-Based with

No upfront costs. 45-60 days on avg.

Frequently Asked Questions

Please reach us at Admin@RCM365.com if you cannot find an answer to your question.

This sounds too good to be true. What's the catch?

No catch. Here's why this works: Medicare Advantage plans systematically underpay by 23%, and most facilities don't have the specialized knowledge, payer relationships, or the leverage to recover these funds. We do.

We only work aged claims (1-5 years) that you've already written off, so there's zero opportunity cost. You pay nothing unless we recover.

Our $343K recovery from Optum in 46 days isn't unusual - it's typical.

How is this different from my current RCM company or billing service?

Your RCM company focuses on current claims and getting them paid the first time. We focus exclusively on aged claims (1-5 years old) that have already been denied or underpaid and written off.

We use forensic accounting, direct payer executive relationships, and leverage they don't have.

Think of us as specialists who come in after everyone else has given up.

Do you contact our patients?

90% success rate on aged claims. Average recovery is $867,000 per facility. Our largest single recovery was $3.4M for a hospital system. Smallest was $147K for a 3-physician practice.

Most facilities have $800K-$3.2M in recoverable aged claims they don't know about.

How can you recover claims that are 1-5 years old?

Medicare Advantage plans have a federal lookback period.

Most facilities don't know this or don't have the expertise to pursue old claims.

We use forensic accounting and new AI to identify patterns, documentation issues, and systematic underpayments that can be recovered years later.

Plus, we often recover interest on these aged claims.

What's your fee structure?

Pure contingency - recovered funds depend on claim age and complexity. You pay absolutely nothing upfront.

No monthly fees. No setup costs. If we don't recover, you don't pay. Period.

Most clients see this as found money since they'd already written it off clients see this as found money since they'd already written it off.

And in 45-60 days.

How much staff time will this require from my team?

Zero. We need one data export to start (usually takes 15-30 minutes). After that, we handle everything - audit, appeals, payer negotiations, follow-up.

Your team focuses on current revenue while we recover your past revenue.

How do I know you're legitimate?

Fair question. We're HIPAA compliant, fully insured, and can provide references from facilities we've helped including paid EOB's.

Our $343K recovery from Optum is documented and verifiable.

Plus, with our contingency model, you have zero financial risk.

What types of facilities do you work with?

Any facility with Medicare Advantage contracts: hospitals, SNFs, surgery centers, large physician practices, specialty clinics.

Our sweet spot is facilities with $1M+ in annual Medicare Advantage revenue. Specialties that see the best results: Cardiology, Orthopedics, Oncology, Ophthalmology, Gastroenterology, Neurology, Pulmonology, Urology, Nephrology, and Rheumatology.

How quickly will I see results?

Full recoveries in 45-60 days.

What if the payers refuse to pay?

Rather than react to payer refusal, our AI-enhanced claim analysis predicts denial probability and pre-emptively addresses the specific objection vectors before initial submission.

When refusal occurs despite optimization, we know precisely which technical, regulatory, or procedural vulnerabilities to exploit because our system has already mapped the payer's decision algorithms and approval thresholds.

What information do you need to get started?

Just a basic claims export: claim number, payer, amount, date of service, current status and appeal dates.

Takes about 15 minutes to pull this data.

Are there any hidden costs or long-term contracts?

No hidden costs. No contracts.

No minimums.

You can stop anytime. That's it.

Why haven't I heard of this before?

Most recovery services focus on patient collections or current claims. Very few firms have the expertise to do forensic recovery on aged Medicare Advantage claims.

It requires specialized knowledge of payer systems, federal regulations, and specific appeal processes that traditional RCM companies don't have.

We've perfected this narrow specialty.

Your Medicare Advantage A/R is Worth $2.4 Million More Than You Think

The Hidden Revenue Problem

THE PROBLEM

THE SOLUTION

KEY METRICS

Welcome to RCM 365

Our Story

Our Process is Effective and Risk-Free

1. Claims Audit

3. Revenue Recovery

2. Direct Pursuit

2. Direct Pursuit

3. Revenue Recovery

2. Direct Pursuit

3. Revenue Recovery

3. Revenue Recovery

3. Revenue Recovery

Frequently Asked Questions

Schedule a Confidential Consultation

RCM 365

Discover Your Hidden Revenue

Discovery Form

Your Medicare Advantage A/R is Worth $2.4 Million More Than You Think

The Hidden Revenue Problem

THE PROBLEM

THE SOLUTION

KEY METRICS

Welcome to RCM 365

Our Story

Our Process is Effective and Risk-Free

1. Claims Audit

3. Revenue Recovery

2. Direct Pursuit

2. Direct Pursuit

3. Revenue Recovery

2. Direct Pursuit

3. Revenue Recovery

3. Revenue Recovery

3. Revenue Recovery

Frequently Asked Questions

Schedule a Confidential Consultation

RCM 365

Discover Your Hidden Revenue

Discovery Form

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