- End-to-End RCM Services
Every Dollar You
Earned Collected Every Time.
From patient registration to final payment, KandR manages your complete revenue cycle with AI-powered precision, certified expertise, and a commitment to your financial outcomes — not just your claim count.
- Our Service
Comprehensive RCM — Configured for Your Practice.
Click any service to see the problem it solves, how we solve it, and the measurable outcomes your practice can expect..
We offer end-to-end healthcare revenue cycle management services designed to improve cash flow, reduce claim denials, and ensure full regulatory compliance for healthcare providers.
Accurate, timely, AI-scrubbed claims across all payers — submitted clean the first time.
🚫The Problem
he average healthcare practice loses 15–30% of its earned revenue to billing errors, missed deadlines, and claim rejections. Payers have become increasingly sophisticated at finding reasons to deny or delay payment — and manual billing teams simply cannot keep pace with the volume of rules, edits, and payer-specific requirements involved. Every day a claim sits unsubmitted or incorrectly coded is a day your cash flow is being eroded. And every denied claim that goes unworked is revenue permanently lost.
✅The KandR Solution
Our billing specialists combine certified expertise with our proprietary AI claim scrubbing engine — validating every claim against 1,000+ payer-specific rules, modifier logic, and real-time eligibility data before a single claim is submitted. The result: a 97% clean claim rate that keeps your cash flowing consistently. We submit claims within 24–72 hours of charge capture, track every claim from submission to payment, and follow up proactively on all pending accounts — so nothing falls through the cracks.
WHAT YOU GET
AHIMA & AAPC certified specialists assigning precise, compliant codes across all specialties.
🚫The Problem
Inaccurate coding is one of the most expensive problems in healthcare billing — causing denials, underpayment, and compliance exposure simultaneously. Overcoding triggers audits; undercoding leaves earned revenue on the table. And with ICD-10 containing over 70,000 codes, generic billers simply cannot maintain the specialty depth required for accurate, defensible code assignment.
✅The KandR Solution
Our coding team holds active RHIA, CCS, and CPC certifications across 20+ specialties — from complex surgical coding to behavioral health, oncology, and cardiology. Every coder works with clinical context, not just mechanical code selection. Our AI coding assistant cross-checks every code assignment against payer LCD/NCD policies and clinical documentation — catching both undercoding and compliance risks before submission.
WHAT YOU GET
Proactive prevention, root-cause analysis, and aggressive AI-assisted appeals that win.
🚫The Problem
The average practice writes off 60–70% of denied claims without ever filing an appeal — leaving enormous sums of legitimately earned revenue permanently uncollected. Denial management is time-consuming, technically complex, and payer-specific. Most billing teams simply don't have the bandwidth or the payer policy expertise to fight every denial effectively.
✅The KandR Solution
We attack denials at two levels. First, we prevent them: our AI platform analyzes your historical denial patterns and payer behavior to flag high-risk claims before submission. Second, when denials do occur, our appeal team performs root-cause analysis within 24 hours and generates compelling, clinically grounded appeals — using our AI appeal writer and our team's deep payer policy knowledge to win 89% of the appeals we file.
WHAT YOU GET
Systematic, AI-prioritized AR recovery that ensures no balance ages past its collection window.
🚫The Problem
Accounts receivable aging is a silent revenue killer. The longer a claim goes unworked, the lower its probability of collection — dropping from 95% at 30 days to less than 50% beyond 120 days. Most practices lack the dedicated staffing to work AR accounts systematically and proactively, resulting in millions of dollars aging into uncollectible territory.
✅The KandR Solution
Our AI AR management system ranks every outstanding account by recovery probability, payer deadline urgency, and claim value — generating a prioritized work queue for our AR specialists every morning. No account ages without action. Our team makes calls, sends appeals, coordinates with patients, and escalates to supervisors when payers are non-responsive. Nothing gets written off without a fight.
WHAT YOU GET
Same-day, accurate charge entry ensuring every billable service is captured without exception.
🚫The Problem
Charge capture failures are among the most common — and most invisible — sources of revenue loss in healthcare. Studies show that 3–10% of billable services go completely uncaptured, either through documentation lapses, late charges, or workflow gaps between clinical and billing teams. Revenue that was earned but never billed is revenue permanently lost.
✅The KandR Solution
Our charge entry team processes charges same-day with complete reconciliation against procedure documentation — flagging discrepancies, unbilled encounters, and missing modifiers before they become missed revenue. We integrate directly with your EHR and practice management system to ensure every procedure, every supply, and every visit generates a corresponding, correctly coded charge.
WHAT YOU GET
Real-time eligibility checks and authorization management that stop denials at the source.
🚫The Problem
Nearly 40% of all claim denials originate from errors made before the patient is even seen — incorrect insurance information, lapsed coverage, missing authorizations, or registration errors that are only discovered after the service has been rendered and the claim has been filed. These are completely preventable failures that cost practices enormous time and money to correct retroactively.
✅The KandR Solution
We verify insurance eligibility and benefits in real time — for every patient, before every visit — catching coverage issues, authorization requirements, and demographic errors upstream before they become downstream denials. Our team also manages prior authorization workflows, reducing the administrative burden on your clinical staff and ensuring services are approved before they're rendered.
WHAT YOU GET
Compassionate, compliant patient billing that maximizes self-pay revenue without damaging relationships.
🚫The Problem
With high-deductible health plans becoming the norm, patient responsibility is now the fastest-growing segment of healthcare revenue. Yet most practices struggle to collect from patients effectively — either through impersonal, confusing statements that patients ignore, or through aggressive collection tactics that damage the patient relationship.
✅The KandR Solution
We handle patient billing with the same professionalism and care that defines your clinical practice. Clear, easy-to-understand statements. Flexible payment plan options. Friendly but persistent follow-up. And when accounts require escalation, we do so within FDCPA compliance guidelines — protecting your patient relationships while maximizing collection rates.
WHAT YOU GET
Expert-led strategy, workflow audits, and internal team training that create lasting improvement.
🚫The Problem
Many healthcare organizations have internal billing staff who are well-intentioned but under-trained, under-resourced, or operating on outdated workflows. The result is consistent underperformance — not through any fault of the team, but because RCM best practices evolve rapidly and most organizations don't have the time or infrastructure to keep pace.
✅The KandR Solution
Our senior RCM consultants conduct comprehensive workflow audits — reviewing your billing processes, denial patterns, coding accuracy, and AR performance against current industry benchmarks. We deliver a detailed findings report with prioritized remediation steps, and then work alongside your team to implement those improvements through hands-on training, process redesign, and ongoing coaching.
WHAT YOU GET
- Who We Serve
Tailored for Your
Provider Type.
Every healthcare setting has unique billing complexity. Our services are configured — not just customized — to match the specific challenges and revenue profile of your organization.From patient registration to final payment, KandR manages your complete revenue cycle with AI-powered precision, certified expertise, and a commitment to your financial outcomes — not just your claim count.
Hospital System
End-to-end revenue cycle management engineered for acute care, specialty, and multi-facility hospital systems — built to handle high volume, complex payer mixes, and intense regulatory scrutiny.
- Inpatient & outpatient billing (UB-04 & CMS-1500)
- Clinical Documentation Improvement (CDI)
- DRG optimization & case mix analysis
- Multi-payer contract management
- Cost report & Medicare compliance support
Clinics & Physician Practices
Hospital-grade RCM performance for independent physician groups and specialty clinics — without the overhead of a large billing department or the risk of a generalist vendor who doesn’t understand your specialty.
- Specialty-specific CPT & ICD-10 coding
- EHR-integrated workflows (Epic, Cerner, eCW & more)
- Patient collections & payment plans
- Credentialing & enrollment support
- MIPS/MACRA quality reporting assistance
Ambulatory Surgery Centers
High-velocity billing strategies designed for the fast-paced ASC environment — where same-day coding accuracy and rapid claim turnaround directly determine your operating margin and facility competitiveness.
- Same-day charge capture & coding
- Implant, supply & device billing
- Bundled payment & global period management
- Payer-specific ASC fee schedule optimization
- Modifier 50, 51, 59 & TC/PC split billing
- Industries & Specialties
Coding Expertise Across Every Specialty.
What makes KandR’s workflow unique is not the steps — it’s the people, the offices, and the handoffs. Here is exactly how our India and U.S. teams work together every single day to keep your revenue moving without gaps or delays.
KandR coders are trained not just in billing mechanics — but in the clinical context behind every code. Because accuracy in healthcare billing requires understanding medicine, not just processing paperwork.
Our Specialty Depth
- Surgical Specialties
- Evaluation & Management
- Behavioral Health
- Oncology & Radiation
- Cardiology & Procedures
- CPC · CCS-P · RCS
- CPC · CPMA · CDI
- CCS · CPBH
- CCS · RHIA · OCS
- CPC · CCS-P · CCC
20+ Specialties Coded
Every coder on our team holds active certifications specific to the specialties they serve — no generalists coding complex surgical or oncology charts.
🤰
OB / GYN
The challenge: Global OB packages, split-care billing between providers, and payer-specific maternity policies create constant underpayment. KandR’s OB/GYN specialists track every antepartum visit and delivery component to ensure the full global fee is always captured.
❤️
Cardiology
The challenge: Cardiology’s high-complexity procedures and device implants attract aggressive payer scrutiny. Without coders who understand cardiac anatomy and procedure intent, undercoding and compliance risk run simultaneously. Our cardiology team eliminates both.
👶
Pediatrics
The challenge: Medicaid plans for pediatric patients vary dramatically by state, and well-child visit billing is frequently under-reimbursed through missed preventive care codes. KandR’s pediatric billers know every state plan’s rules — and bill accordingly.
🩺
Internal Medicine
The challenge: Chronic care management, transitional care, and annual wellness visits are routinely underbilled in internal medicine practices — either from documentation gaps or coder unfamiliarity with these high-value codes. Our IM specialists recover this revenue consistently.
☢️
Radiation Oncology
The challenge: Radiation treatment planning, simulation, and delivery billing is among the most technically complex in medicine — with weekly physician management codes that are easily missed. Errors here mean significant, recurring revenue loss per patient course.
🧠
Mental Health
The challenge: Mental health parity law violations by insurers are common and often go unchallenged. KandR’s behavioral health team identifies discriminatory denials, files parity complaints, and wins appeals that most billing teams never attempt.
🦴
Orthopedics
The challenge: Surgical global periods, post-op visit billing, and implant cost reporting create complexity that causes consistent revenue leakage. Orthopedic practices frequently miss revenue they’ve earned simply because the billing rules for surgical episodes are poorly understood.
🔬
Dermatology
The challenge: The line between cosmetic and medically necessary dermatology procedures is constantly challenged by payers. KandR’s dermatology coders understand the documentation requirements that make the clinical case — preventing denials before submission.
🏠
Family Medicine
The challenge: Primary care practices often undercode E&M visits from fear of audits — and leave significant annual revenue on the table. Our CDI specialists review documentation patterns and help providers capture the level of service they actually delivered and documented.
🔪
Surgical Practices
The challenge: Assistant surgeon billing, facility vs. non-facility fee differentials, and global period management are sources of constant revenue loss in surgical practices. KandR’s surgical billing team manages every post-operative component to ensure complete episode capture.
The Healthcare Revenue Cycle — How KandR Billing Manages Every Stage
From the moment a patient is registered to the day payment posts — KandR’s AI platform and specialist teams manage every touchpoint in the revenue cycle.
Hospitals & Health Systems
High-volume inpatient & outpatient billing
Physician Group Practices
Multi-specialty, multi-provider groups
RCM Partner Organizations
White-label RCM support & overflow
Clearinghouses & Payers
Claims submission & EDI integration
Eligibility & Benefits Verification
Real-time insurance verification pre-service
⚕️
Healthcare Revenue Cycle Management
Powered by KandR AI
Patient Pre-Authorization
AI-assisted prior auth & payer follow-up
Claim Submission & Scrubbing
1,000+ rule AI validation before submission
Payment Posting & Reconciliation
ERA processing, variance analysis & audit
Denial Management & Appeals
Root-cause analysis + AI appeal writing
Analytics & Revenue Reporting
Real-time dashboards, trends & QBRs
- Our Process
How Every Dollar Moves Through Our System.
Eligibility & Access
Real-time insurance verification before every visit
Charge Capture
Same-day charge entry with complete reconciliation
Medical Coding
Certified, AI-validated CPT & ICD-10 assignment
Claim Submission
AI-scrubbed, clean claim submitted within 72 hrs
Denial Management
Root-cause analysis & appeal filed within 24 hrs
AR & Reporting
Systematic follow-up + transparent revenue dashboard
- KandR vs. The Rest
Why Providers Switch to KandR.
| FEATURE / CAPABILITY | KANDR BILLING | OTHERS |
| Proprietary Al billing platform | Built in-house | Off-the-shelf software |
| Denial prevention (before submission) | Al-predictive | Reactive only |
| Clean claim rate | 97% | 74% industry avg |
| Denial appeal success rate | 89% | 51% industry avg |
| 24/7 global operational coverage | India + U.S. teams | Business hours only |
| Dedicated U.S. account manager | Every client | Shared support team |
| Real-time revenue dashboard | Live 24/7 | Monthly PDF reports |
| AHIMA/AAPC certified coders | 100% of coding team | Varies widely |
| Outcome-based pricing model | Performance-aligned | Flat fee regardless |
| RCM training & consulting included | Available to all clients | Separate engagement |
- RCM Service
Let's Start Recovering the Revenue You've Already Earned.
Schedule a free RCM assessment. Our senior team will review your current performance, identify gaps, and show you exactly what KandR can do for your practice — at no cost and no obligation.