At MedCycle Solutions, our mission is to empower healthcare organizations through innovative revenue cycle solutions built on industry best practices, helping protect and strengthen their financial well-being.
Guided by our core values of Trust, Teamwork, Optimism, Balance, and Growth-Minded, we partner with practices to bring clarity to their financial position, enabling informed, strategic decision-making. We are committed to working transparently with our clients through open, honest communication—fostering trusted relationships, sustainable growth, and long-term success.
Trusted by healthcare leaders to improve financial performance
98%
Clean Claims Rate
$10M+
Recovered in Lost Revenue
200+
Payors Worked With
Our Services
A Smarter Approach to Revenue Cycle Performance
Strategic services engineered to strengthen every stage of your revenue cycle.
Revenue Cycle Management
Maximize Revenue. Improve Performance. Reduce Risk. Every step of the revenue cycle impacts your organization’s financial health. MedCycle Solutions helps healthcare organizations identify revenue leakage, reduce denials, improve cash flow, and optimize operational performance through customized revenue cycle management and consulting services.
Simplify enrollment, accelerate approvals, and protect your revenue. Provider credentialing and payor enrollment are essential to maintaining uninterrupted reimbursement and ensuring providers can deliver and bill for services without unnecessary delays. Our experienced specialists manage the enrollment, credentialing, recredentialing, and maintenance process, helping reduce administrative burden, minimize errors, and keep providers compliant with payor requirements.
Strengthen payor agreements and maximize reimbursement opportunities. Payor contracts have a direct impact on your organization’s financial performance. Our experienced consultants evaluate reimbursement methodologies, analyze contract performance, and identify opportunities to improve payment terms and optimize revenue. Using data-driven insights and industry expertise, we help organizations make informed decisions and negotiate agreements that better support their operational and financial goals.
Improve cash flow with efficient billing and proactive A/R management. Your medical billing process plays a critical role in your organization’s financial success. MedCycle Solutions provides comprehensive medical billing and accounts receivable (A/R) services designed to streamline workflows, improve claim accuracy, reduce denials, and accelerate reimbursement. Whether you need full-service billing support, assistance with aging accounts receivable, or targeted A/R cleanup, our experienced team delivers customized solutions that strengthen your revenue cycle.
Protect revenue, strengthen compliance, and improve coding accuracy. Accurate coding and complete clinical documentation are essential to ensuring appropriate reimbursement, maintaining regulatory compliance, and reducing audit risk. MedCycle Solutions’ certified coding professionals perform comprehensive coding and documentation audits to identify inaccuracies, compliance risks, revenue leakage, and opportunities for operational improvement.
Interim Staff and Management Solutions helps prevent workflow disruptions and keeps your revenue cycle moving. This flexible model allows you to access experienced healthcare staff without the cost or commitment of a full-time hire.
Electronic Medical Billing Platform Advisory Services
Choose the right technology to support your revenue cycle success. Selecting, implementing, or optimizing an electronic medical billing platform is one of the most important decisions for your organization’s financial and operational success. Whether you’re evaluating a new electronic health record (EHR), practice management system (PMS), or medical billing platform, MedCycle Solutions provides independent, vendor-neutral advisory services to help you identify solutions that align with your workflows, financial goals, and long-term growth strategy.
Empower your team with the knowledge and skills to succeed. Healthcare regulations, coding guidelines, payer requirements, and revenue cycle best practices are constantly evolving. MedCycle Solutions provides customized education and training programs designed to keep physicians, providers, coders, billers, administrative staff, and leadership teams current, compliant, and confident.
I think I mentioned that insurance/claims are not my strongpoint so if you have any suggestions, I am more than open to hearing and learning all that I can about the subject. This is why we love working with you. You come highly recommended and in the little bit of time we have worked with you, you have more than proven yourself to be very knowledgeable. We are grateful for that.
We are a nonprofit who outsourced billing and credentialing to Randi’s team in the Fall of 2022, and we cannot be happier! The team researched and problem solved issues that allowed them to bring our systems to 100% accuracy. This is a game changer in regard to efficient reporting. They collaborated with kindness to help us create efficient workflow and negotiated rate increases. We see regular payments and are confident in MedCycle’s ability to successfully appeal when they are needed. We are experts in our field, and Randi and her team are in theirs – every nonprofit should consider MedCycle’s professional billing and credentialing services allowing everyone to stay focused on what they do best.
MedCycle was able to help us credential a hard-to-credential provider. It was a difficult process, but MedCycle was persistent and expertly navigated the insurance carrier appeals processes. MedCycle gave this provider their life back, by getting their credentialing approved, so that they could serve our rural community which was in desperate need of providers.
Insurance/claims are not my strong point, so when MedCycle Solutions made suggestions – I was more than open to hearing and learning all that I could about the subject. Their knowledge & expertise in this world of billing & reimbursement is exceptional – just one reason we love working with them! MedCycle Solutions came highly recommended – and in our time working with you, have more than proven yourself to be very knowledgeable. We are grateful for that.
It is a pleasure to work with MedCycle Solutions for our billing needs. Your services have always been timely and your accommodation to special requests is much appreciated.
Your staff has been delightful to work with, and very professional.
From day one, MedCycle Solutions has assisted us in so many ways. From setting up our practices’ paperwork, to providing us with ongoing updates regarding our specialty, to obtaining information for us at our request. I don’t know WHAT I’d do without your continued guidance! Thank you for all that you do – you truly make my job easier and easier to manage!
Thank you MedCycle Solutions for all you have done to help me with the billing problems. I have always felt that you treat me with kindness, patience and friendliness. It is greatly appreciated!
Healthcare organizations often view payor contract negotiations and billing or coding audits as two separate functions. Contract negotiations typically focus on reimbursement… Read more: The Connection Between Payor Contract Negotiations and Billing & Coding Audits
In the fast-paced world of healthcare administration, managing provider data efficiently and accurately is crucial. Enter CAQH—the Council for Affordable Quality Healthcare—a… Read more: Understanding CAQH: Simplifying Provider Data Management in Healthcare
In today’s highly regulated healthcare environment, ensuring that providers are properly qualified isn’t just important—it’s essential. With credentialing requirements growing more complex… Read more: What Is a Credentials Verification Organization (CVO) and Why Healthcare Providers Rely on Them