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Revenue cycle work, run end to end —
by people who know the work.

Data Solutions works with billing companies, technology platforms, and provider groups — the organizations running US healthcare revenue cycles. We run the full cycle: from front-office eligibility through mid-office submission to back-office denials, posting, and AR recovery. Every stage handled with the same operational discipline. Every claim handled like it's our problem to solve.

Front-office RCM

Clean claims, before they're submitted.

  • Eligibility
  • Prior authorization
  • Demographics verification

The challenge

Most revenue leakage doesn't happen at the back end of the cycle. It happens at the front — when eligibility is missed, prior authorization is incomplete, or patient demographics carry errors that won't surface until the claim gets denied weeks later.

How Data Solutions handles it

We handle eligibility verification and benefits checks before the patient encounter, coordinates prior authorization where required, and captures patient demographics with the accuracy that makes downstream submission clean. Our agents handle the work end-to-end: coordination of benefits, complex authorization requirements, payer follow-ups, and any verifications that require direct payer contact.

Mid-office RCM

Paid claims, on the first pass.

  • Coding validation
  • Scrubbing
  • Claims submission

The challenge

Most teams treat coding and claims submission as a transactional function. The ones that consistently get paid treat it as the core operational discipline of the revenue cycle. Coding accuracy, scrubbing rigor, and submission cleanliness are the three levers that determine how much revenue a practice actually realizes — and how fast.

How Data Solutions handles it

We ensure that the coded claim is right before it goes out. Our claims team reviews coding accuracy against payer-specific rules — the nuances that drive denial-versus-acceptance decisions. Every claim runs through pre-submission scrubbing; high-volume categories run through our in-house submission automation, with human review on anything that flags. We don't assign codes from the chart — we make sure the codes that are there will hold up, and that the claim is clean before it's submitted. The result is a higher first-pass acceptance rate and fewer claims that come back for rework.

Back-office RCM

Recovered revenue, when claims don't pay.

  • Posting
  • Denials
  • AR follow-up
  • Aging

The challenge

Submitted claims are not paid claims. The gap between the two is where most teams lose revenue — to denials that don't get worked, to AR that ages past timely-filing windows, and to payment posting that's slow enough to obscure the picture of what's actually been collected. Back-office RCM is where partnership and operational discipline either show up or don't.

How Data Solutions handles it

We manage the full back-office cycle: payment posting reconciled the same day, denial management investigated to root cause and worked through appeal, AR follow-up worked daily against aging targets, and aging management with explicit workflows for 30-, 60-, 90-, and 120-day buckets. Our denial workflow is structured around root-cause categorization — not just appeal-and-resubmit — which is what allows us to bring denial rates down structurally over time. Aging AR is treated as a recoverable asset, not a write-off candidate. Posting is reconciled against ERAs and EOBs the same business day they're received.

What sits across every stage of the work.

Systems & clearinghouse fluency

Our teams operate fluently across the PMS systems and clearinghouses your operations run on. New client onboarding starts with an integration into your existing stack.

In-house automation

Automation handles the high-volume, repeatable work such as claims submission and payment posting, so our agents can focus on the work that needs judgment. We use automation where it truly earns its place.

Compliance & security

All work runs under HIPAA-compliant infrastructure and ISO/IEC 27001:2021 certification, with operational controls that match. Compliance isn't a feature — it's the floor.

Capability tells you we can do the work.
Partnership tells you whether the work will deliver outcomes.

A real RCM partnership shows up in the operating details — onboarding measured in weeks not quarters, dedicated teams who learn your payer mix before they touch a claim, escalation paths that don't dead-end in a ticket queue, and accountability for the metrics that actually move your cash flow.

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