Get Paid More, Faster
Athelas RCM Managed Services handles your full billing cycle, from charge capture to claims submission and denial appeals. It helps you recover more revenue, reduce write-offs, and give your billing team its time back.
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How OneAccord Physical Therapy Increased Their Reimbursement Rate by 115% with Athelas RCM
“The thing I enjoyed the most about working with Athelas is it’s always like we’re in sync with where we’re going, and it excites me because Athelas has become a part of our culture, our organization, and our daily workflows.”
Sean Flannagan, Founder and CEO
We configure the platform, and you start collecting more.
LLM-Based 835 & 837 Backtesting
During onboarding, we process your historical 835 and 837 files to surface trends that directly impact your bottom line. These inform how we configure your billing rules and collection strategies, so you go live with a system built around your data.
Role-Based Access Control
Permissions are managed per role across your system. This keeps your billing operations secure while eliminating unnecessary access friction.
Customized Alerts & Blocks
Intelligent alerts and blocks are set up across every stage of your workflow, from front desk check-in through submission to patient collection. You’ll catch revenue leaks and compliance issues in real time without manual monitoring.
A complete revenue cycle that's unified, automated, and transparent.
The Complete Revenue Cycle, Handled
Athelas manages eligibility, submissions, reconciliation, denial management, and collections as a fully managed baseline. 90% of claims require zero human touch. Coding suggestions, autonomous appeals, Hydra's self-learning engine, and remittance retrieval sit on top, maximizing collections and minimizing manual work.
Portal Scrapers
Triggered directly from your AR workflow, Athelas automatically authenticates with payer portals, pulls every matching remittance, and posts the data — no manual downloads, no staff time spent chasing EOBs. Your team sees what they need, when they need it, without touching a payer portal.
Proactive Coding Suggestions
As your provider sees the patient, Athelas Ambient AI listens in real time and automatically suggests the most accurate CPT codes based on the encounter. Nothing gets missed, and your billing team never has to chase down codes after the visit.
Rules Engine
Our team encodes your existing billing logic directly into the platform so every claim is auto-scrubbed against your clinic's specific requirements from day one. Global rules handle common payer policies out of the box, while site-specific rules apply your unique billing preferences to every submission and posting. Fewer rejections, faster collections, no manual intervention.
Hydra Self-Learning LLM
Hydra is an AI system that autonomously handles RCM workflows and gets smarter with every claim. It learns continuously from your billing team, our team, and payer feedback — surfacing patterns that would take months of manual analysis to identify on their own.
Eligibility Enrichment
Athelas validates eligibility and coding before every claim is submitted, catching the two biggest sources of preventable denials before they leave your office. Coverage status, payer routing, subscriber mismatches, diagnosis placement, and age/sex conflicts are all flagged and resolved. Your team spends less time on rework and more time collecting.
AI Appeal Generation
For supported payers, Athelas automates the entire appeals workflow — extracting records and timely filing documents directly from your EHR, assembling appeal-ready packets, and submitting them to payer portals automatically. No manual intervention required.
Patient Payment Suite
Every payment method covered: cards via Stripe, checks, cash, ACH, and online portal. Auto-charge, payment plans, and subscription billing built in. SmartPay automates pre- and post-visit collection reminders via SMS, email, and physical forms. For outstanding balances, Julia, our AI Voice Agent, handles outbound collections so your team never has to chase a payment.
Cleaner claims out the door, faster payment reconciled to your bank.
Same-day claim submission and live reconciliation
A patented engine that analyzes every claim, and optimizes each claim's submission payload to maximize reimbursement.
Integrated right into your EHR
No double entry, no switching screens. Claims flow directly from your EHR into RCM Insights. Designed to integrate with leading systems. Your staff can focus on patient care while revenue capture happens automatically in the background.
Real-time data transparency at your fingertips
Get a 30,000-foot view of overall financials, or zoom into the individual claim level, with one click.
With bulk denial management, never make the same mistake twice
Bulk resubmissions of denials and rejections, with stress-tested solutions.
Automated patient collections: set it and forget it
Text, email, and physical mail reminders on preset cadences. Payment plans via Affirm get you paid now while patients pay over time. Autodebit saved cards to maximize patient payments.
Frontier LLMs generate your appeals
Leverage large language models to automatically create, edit and grade appeals in bulk.
Financial outcomes you can measure.
Fewer denials, faster resolution
Shorter time to payment
Lower cost to collect
Higher reimbursement accuracy
Clear payer performance insights
Transparency from Athelas
