Revenue Cycle Management Services
Pinetree provides end-to-end medical revenue cycle management solutions including coding, claims, billing, A/R follow-up, denial appeals, patient billing and reporting. Works with your existing systems. Starts without the fuss.
"Pinetree reduced our denials from 12% to under 4% without changing our EHR."
"Our revenue went up 30% compared to our previous vendor and we stopped burning out on payer follow-up."
Median client performance after six months
Coding accuracy
First-pass clean claim rate
Denial win rate
A/R reduction
End-to-end revenue cycle management services
Charge capture
We reconcile encounters and charges within your EHR to identify missing revenue before it goes unbilled.
Medical billing and coding services
Our speciality-trained CPC/CCS coders review documentation, modifiers and payer rules, supported by regular QA sampling.
Claims submission
Every claim is reviewed for coding, eligibility and payer edits before submission to reduce avoidable rejections and delays
A/R follow-up
We prioritize accounts by balance, age, payer behavior and recoverability rather than working chronologically.
Denial appeals
Every denial is categorized, appealed and traced back to upstream issues, preventing repeat denials.
Patient billing
We simplify patient billing with understandable statements, self-service payments and professional collections support.
We operate inside any system your team already uses.
$1.5M collected per physician in 6 months: 31% revenue lift, 84% of denials recovered.
We took over backend RCM for an oncology group without changing their EHR. Denial appeals, coding QA, and A/R prioritization went live in six days.
From contract to recovery in days, not quarters.
- 1
Assess
Tell us where your revenue cycle is falling short. We assess your needs and identify the highest-impact opportunities.
- 2
Onboard
We securely access your existing EHR or PM system and go live within a week, no migration or complex integration required.
- 3
Operate
Day-to-day RCM operations run through one accountable team, from charge review and claim submission to collections and appeals.
- 4
Optimize
We track the KPIs that matter, address recurring issues and continuously refine your revenue-cycle performance.
Designed for secure, HIPAA-compliant outsourcing.
From security documentation to access controls, we complete compliance early so your team can review, approve and launch efficiently.
Request BAA & security packet →HIPAA-compliant operations
Administrative, physical and technical safeguards protect ePHI throughout every workflow.
BAA with every engagement
A Business Associate Agreement is executed before we receive or access any ePHI.
Controlled, traceable system access
Role-based controls, least-privilege by default, fully auditable.
Measurable results with one accountable team
Regular KPI reporting and a named operations lead keep progress, issues and accountability visible.
We win when your practice wins.
For groups needing a focused fix on aged A/R and denial appeals.
- Denial management
- A/R 60+ workdown
- Low balance processing
End-to-end coding, claims, A/R, denials, patient billing, reporting.
- Everything in rescue, plus:
- Certified coding & QA
- Payer-tuned claims
- Patient billing & collections
- Executive analytics
For multi-site and health-system ambulatory divisions.
- Dedicated ops lead
- Custom SLAs & reporting
- Payer contract support
- Credentialing services
Everything to know before we work together.
Which specialties do you support?
We support a wide range of medical specialties, including oncology, cardiology, orthopedics, gastroenterology and other multi-provider specialty practices. Our workflows are adapted to each specialty's coding requirements, payer rules and reimbursement processes.
Do we have to switch EHR or PM systems?
No. Our solution is compatible with any EHR including Epic, Athenahealth, eClinicalWorks, NextGen and specialized or in-house systems. No migration or system integration required
How fast can we go live?
Denial & A/R rescue engagements can be live in a few days. Full backend cycle typically requires 1-2 weeks depending on integration scope.
Are there implementation or onboarding fees?
No. We do not charge separate implementation, integration or onboarding fees. Setup, workflow alignment and system access are included as part of the engagement.
How is pricing structured?
Our fees are calculated as a tiered percentage of net collections, with lower rates at higher revenue volumes. You pay only on funds successfully collected.
Are you HIPAA compliant?
Yes. We sign a Business Associate Agreement, apply minimum-necessary access, role-based controls, and full audit logging on every ePHI touchpoint.
How is data transferred securely?
Data is encrypted at all times, with role-based access controls, audit logging and secure transfer protocols to prevent unauthorized access.
What reporting do we get?
Regular KPI emails (clean claim rate, denial rate, A/R days, net collection rate) plus a monthly executive review with our RCM director.
Start building a stronger, more reliable revenue cycle.
Connect with our team to discuss how end-to-end RCM support could reduce revenue leakage, accelerate collections and ease the workload on your internal team.