Who Advanced RevCycle is best for
Advanced RevCycle (ARC), formerly Advanced Revenue Cycle Management (ARCM), is a revenue cycle services company focused only on post-acute care. Agencies hand ARC some or all of their billing, coding and credentialing work, and ARC staff do it in the agency's own EMR.
Best for
- Hospice agencies that want claims, posting and A/R follow-up handled by specialists
- Home health agencies that need ICD-10 coding and OASIS review alongside billing
- Agencies that want to keep their current EMR rather than convert
Not ideal for
- Physician practices and outpatient clinics, which ARC does not serve
- Agencies looking for billing software to run with their own staff
- Buyers who need published, flat per-claim pricing
Advanced RevCycle pros and cons
Pros
- Focused entirely on hospice, home health and palliative care billing
- Works in more than ten named post-acute EMRs, so no conversion is needed
- Covers Medicare, Medicare Advantage, Medicaid, VA and commercial claims, payment posting, compliance oversight and live billed and unbilled A/R reporting
- Tiered coding and OASIS review service, from coding only up to a fully built plan of care
- Authorization, eligibility, payer contracting and credentialing available from the same vendor
Cons
- No published prices; fees are a percentage of collections set by quote
- Headline results (the vendor says it has a 99%+ collection rate and has collected over $5 billion for agencies) are its own claims, not independently audited
- Little public detail on security controls beyond a general HIPAA statement
- The company has changed its name twice since 2023, which can make older references confusing
Advanced RevCycle pricing
Advanced RevCycle does not publish prices. Its website says its approach "follows a percentage of your collections." It offers a complimentary billing analysis before quoting and can act as a backup resource for in-house billing teams. Expect the percentage to depend on claim volume, payer mix, which services you outsource and how much backlog needs cleanup.
Key features
ARC organises its work by line of care, with dedicated teams for each:
- Hospice billing: Medicare, Medicaid, VA and commercial claim submission and verification, clean claim confirmation, electronic and manual payment posting, compliance oversight and detailed A/R reporting
- Home health billing: Medicare, Medicare Advantage, Medicaid, VA and commercial claims with follow-up through payment, payment posting and A/R reporting
- Palliative care billing: claim submission and follow-up through payment, payment posting, financial reporting and live billed and unbilled A/R reporting
- Coding and OASIS review: ICD-10 coding with PDGM-aligned primary diagnosis, in four levels that add assessment review, plan of care review and a fully built plan of care
- Authorization and eligibility: eligibility verification, prior authorization support, authorization management and appeals management
- Contracting and credentialing: contracting assistance, credentialing support, provider enrollment and payer relations
HIPAA, security and integrations
ARC states that it adheres to HIPAA regulations and uses data security measures, and says its team works remotely across the U.S., but publishes no SOC 2 or HITRUST certification. ARC installs no software; its staff work in the agency's existing EMR, and the vendor lists KanTime, Complia Health, Netsmart, MatrixCare, Mumms, WellSky, Axxess, Careficient, Homecare Homebase, HospiceMD and Delta Health Technologies.
Advanced RevCycle alternatives
- Ventra Health — outsourced RCM aimed mainly at physician groups and hospital-based specialties rather than hospice.
- R1 RCM — large-scale outsourced revenue cycle for hospitals and health systems.
- Human Medical Billing — U.S.-based billing and coding services for general provider practices.
- Waystar — revenue cycle software for agencies that want to keep billing in-house.
- RCM Matter — outsourced billing and coding service for a broader mix of specialties.
