Our Services

Full-Cycle RCM Built for
Fertility Practices

Every service we offer is calibrated for the unique payer rules, coding complexity, and patient journey of fertility medicine. We handle the revenue cycle so your team can focus on care. New here? Start with our guide to choosing a fertility billing company.

What a full fertility RCM engagement covers

Short answer: a full engagement runs the eight-stage revenue cycle from cycle intake through payment posting, closed out only when every service line across the treatment episode is reconciled. That is the boundary of a full fertility RCM contract — you can also engage us for a single stage (coding only, denials only, AR-recovery only), but the pages below show the pieces of the same lifecycle.

Eligibility & benefits verification — active coverage, fertility riders, deductibles, OOP maximums, lifetime cycle limits, and FBM carve-outs (Progyny, WINFertility, Carrot, Maven, Kindbody) identified before each cycle.
Prior authorization management — separate auths for IVF, FET, PGT, donor cycles, and sperm retrieval, each tracked and renewed on its own expiry.
CPT and ICD-10 coding — AAPC-certified coders working the ART code set (58970, 58974, 58976, 89250, 89258, 89290, 76830) with the correct diagnosis pairing (N97.x, N46.x, E28.2, Z31.x) across every service line.
Claim submission and scrubbing — payer-specific edits, modifier accuracy, and dual NPI routing so physician and embryology-lab claims file on the correct tax ID track.
Payment posting and reconciliation — ERA/EOB auto-posting reconciled against expected reimbursement schedules, with underpayments flagged automatically.
Denial management and appeals — denials worked within 48 hours, split by root cause (medical-necessity vs. technical vs. authorization) and returned as corrected claims, clinical appeals, or peer-to-peer coordination.
Patient financial services — benefit explanations, cost-of-care estimates, plain-language statements, and payment plans that reduce front-desk load.
AR recovery and reporting — aged-AR cleanup on the historical book plus monthly dashboards on collection rate, denial rate, AR aging, and first-pass yield.

The services grid below links each stage to its own page. If your practice already runs a stable in-house billing team and only needs one segment covered, start on the individual service page and skip the full-RCM contract — the boundary is set by scope, not vendor preference.

How we are priced — FTE vs. percentage of collections

Short answer: fertility billing vendors price either as a percentage of collections (typically 4–8%) or as a flat monthly FTE-based rate. EasyRCM uses FTE-based pricing — you pay for the billing resources your practice needs, not a slice of every dollar we help you collect.

The two models diverge sharply as revenue grows. A clinic collecting $2M annually on a 5% contract pays $100K per year in billing fees; that same clinic scales to $4M and now owes $200K on the same contract without receiving proportionally more work. An FTE-based engagement is sized against the actual claim volume, denial mix, and AR footprint of the practice — so the monthly fee moves when scope moves, not when collections do.

The full cost breakdown — including how outsourced pricing compares to in-house salary plus overhead plus turnover — is on our fertility billing outsourcing guide. For a side-by-side against the industry, see the fertility billing company comparison. No long-term lock-in, no minimum collection guarantee — the audit that scopes the engagement is free before you commit.

Onboarding timeline — 2 to 4 weeks to go-live

Short answer: a standard EasyRCM onboarding takes 2–4 weeks from signed engagement to live-claim submission when EHR access and payer credentialing are already in order. A full in-house-to-outsourced transition with credentialing changes and EDI/ERA re-enrollment runs 30–90 days — the difference is scope, not effort.

Week 1 — Access and configuration. EHR access provisioning (eIVF, IMS, Artisan, Epic, eCW, and the other systems we support), payer credential review, fee schedule alignment, and named-team introductions on your side and ours.
Week 2 — Payer enrollment refresh. Any EDI/ERA re-enrollment needed, provider-NPI vs. tax-ID mapping confirmed for the dual-claim tracks (physician vs. embryology lab), and the current AR book snapshotted so nothing is lost in cutover.
Weeks 3–4 — Parallel run. We work new claims alongside your existing process, catching payer-specific edits and coding gaps in real time before they reach the clearinghouse. Cash flow stays continuous — there is no gap between old and new.
Go-live and first close. Full cutover to EasyRCM, first month-end close on our workflow, first monthly dashboard delivered within 30 days of go-live.

The 12-week transition timeline covering credentialing, EDI setup, parallel run, and full handoff is documented in detail on our outsourcing guide — refer to that when the scope is a full team replacement rather than a single-service engagement.

Reporting cadence — what you see, and when

Short answer: denials and AR are worked continuously and reported weekly; claim performance and cycle economics are reported monthly on a full dashboard; posture and payer-mix changes are reviewed quarterly with your leadership team.

Default reporting cadence for a full RCM engagement. Individual-service engagements report on the same cadence for the scope covered.
Cadence	What ships	What the practice does with it
Daily / on-event	Denial worklist updates, auth-expiry alerts, high-dollar claim flags.	Clinical team intervenes on peer-to-peer requests and expiring auths before they lapse.
Weekly	Denial-rate trend by payer, aged-AR working list by dollar priority, pending-authorization report.	Practice manager reviews escalations and approves next-week priorities.
Monthly	Collection rate by CPT, denial rate by payer, AR aging by bucket, days-to-pay, first-pass resolution rate, cycle-level economics.	Finance and clinical leadership reconcile revenue against cycle volume; underpayments actioned.
Quarterly	Payer-mix shift review, fee-schedule benchmarking, new-mandate exposure, staffing scope check.	Leadership adjusts payer contracting priorities and confirms engagement scope for the next quarter.