MetRCM

MetRCM is a medical billing and revenue cycle management company that has served healthcare providers across the United States since 2012. The company provides end-to-end billing services spanning claims submission, accounts receivable recovery, credentialing, and practice management support for healthcare organizations of varying sizes and specialties.

The company reports serving nearly one million physicians, nurse practitioners, and healthcare professionals through software deployed in over 80,000 healthcare facilities. MetRCM offers specialized billing services for more than 51 medical specialties, including hospice care, home health agencies, ambulatory surgery centers, and various clinical specialties. Their approach emphasizes a performance-based, pay-for-paid pricing model that includes free software setup and denied claims appeals support.

MetRCM reports key performance metrics including a 98% first-pass clean claims rate, 7-10 day turnaround times, and up to 30% revenue increases for clients. The company maintains HIPAA compliance and provides secure electronic billing systems with integrated Electronic Remittance Advice (ERA) for payment processing.

MetRCM positions itself for healthcare organizations that want to fully outsource billing operations under a performance-aligned pricing structure. The pay-for-paid model may appeal to practices concerned about upfront costs or those seeking vendor accountability tied to collections performance.

Providers operating hospice or home health programs may find particular value given MetRCM's specialized focus in these areas. The company's comprehensive service scope—from credentialing through denial management—suggests suitability for organizations seeking a single vendor for multiple RCM functions rather than managing multiple point solutions.

MetRCM operates exclusively in healthcare, providing medical billing and RCM services tailored to clinical practices, hospice agencies, and home health organizations. The company demonstrates healthcare-specific compliance through HIPAA-compliant operations and offers specialized services including medical credentialing, MIPS consultation for quality reporting, and billing across 51+ medical specialties ranging from cardiology and oncology to behavioral health and geriatrics.

Their service delivery includes healthcare-specific workflows such as prior authorization management, eligibility verification, payer enrollment, and denial resolution processes aligned with insurance claim requirements and clinical documentation standards.

Small to mid-sized healthcare practices, hospice agencies, and home health organizations seeking to outsource revenue cycle operations. Providers experiencing high denial rates, aging accounts receivable, or administrative bottlenecks in billing workflows. Organizations preferring outcome-based vendor relationships where payment is tied to collections rather than fixed service fees.