Expert RCM services that run inside eClinicalWorks
We handle your complete revenue cycle directly within your eCW environment, claims, denials, payment posting, and AR follow-up. No platform change. No learning curve for your team.
Charge Entry & Claim Scrubbing
We review and enter charges within 24 hours of encounter, catching missing modifiers, unbundling issues, and diagnosis-procedure mismatches before submission to the clearinghouse.
eCW Denial Worklist
We work the eCW denial queue every business day, sorting by root cause (authorization, coding, eligibility, timely filing), correcting errors, and resubmitting claims the same day.
ERA & EOB Payment Posting
Electronic remittances auto-posted and reconciled daily. Paper EOBs keyed within 48 hours. Every contractual adjustment reviewed: underpayments appealed before the window closes.
AR Follow-Up & Collections
Systematic follow-up on all outstanding claims using eCW's AR aging module, prioritized by balance and days outstanding. No balance over $200 goes 30 days without a documented action.
Insurance Eligibility Verification
Real-time and batch eligibility checks through eCW for all scheduled patients, run 48 hours before appointments. Coverage gaps, plan changes, and high-deductible flags reported to your front desk.
eCW Reporting & Analytics
Weekly KPI reports built from eCW data, clean claim rate, denial rate, collection rate, AR aging by payer, and provider-level productivity metrics. Delivered every Monday before 9 AM.
eClinicalWorks-specific billing optimizations
eCW has powerful billing features that most practices never fully configure. We set them up and actively maintain them, each one directly reduces denials or accelerates collections:
PM Billing Module Daily
Charge entry, claim scrubbing, batch submission, and clearinghouse monitoring, worked daily to maintain a <48-hour claim turnaround.
Denial Management Queue Daily
Every denial categorized, corrected, and resubmitted within 24 hours. Root-cause analysis reported weekly so patterns get fixed at the source.
AR Aging Report Weekly
Systematic follow-up using eCW's aging buckets, 0-30, 31-60, 61-90, 90+ days. Priority given to balances over $500 or approaching timely-filing limits.
ERA / EOB Management Daily
Auto-post rules configured and maintained. Unmatched ERA transactions and paper EOBs resolved same-day. Contractual underpayments flagged for appeal.
eCW Reports Module Weekly
Provider productivity, payer-level collection rate, denial rate by category, and AR aging snapshots, formatted and delivered to practice leadership weekly.
Eligibility Hub Pre-visit
Batch eligibility checked 48 hours before all appointments. Real-time verification at check-in for walk-ins. Coverage issues escalated to front desk with exact plan details.
Billing inside eClinicalWorks without the usual backlog
eClinicalWorks practices tend to hit the same wall: charges enter on time, claims go out, and then the denial queue and the A/R aging report grow quietly because the same two people are also running the front desk. Denials age. Underpayments get posted as paid. Nobody sees the trend until collections drop.
Daily queue ownership fixes most of it. A denial worked within a day is usually a correction. A denial worked after a month is usually an appeal, and appeals cost more time for less money. Industry data puts the initial denial rate at roughly 12% (Experian Health State of Claims 2025), so the queue never empties by itself.
We operate inside your eCW account with role-based access. Your clinicians keep their workflow, and your staff keeps the EHR they know.
How we start working in your eCW account
- Week 1: Access and agreementsBusiness associate agreement signed, role-based access set up, and a read of your current denial and A/R worklists.
- Week 1 to 2: BaselineWe measure clean claim rate, denial rate, days in A/R and the oldest unworked balances so improvement is measurable.
- Week 2 to 3: Clear the backlogStale denials and aged balances are triaged by dollar value and filing deadline, with the highest-value, closest-deadline items first.
- Week 3 onward: Daily queue workCharge review, denial worklist, ERA posting and A/R follow-up run on a fixed daily rhythm with documented actions on each account.
- Every Monday: KPI reportWeekly performance numbers arrive before the week starts, so you can see what moved.
What eClinicalWorks billing costs
Full-service billing is priced as a percentage of collections: roughly 5% to 7% for solo and small practices, 3.5% to 5% for mid-size groups, and 2% to 3.5% for large groups. There are no setup fees, no minimum monthly charge and no long-term lock-in; you can leave with 30 days notice. The full breakdown is on our pricing page.
There's no eCW-specific surcharge and no change to your eCW license. You keep your contract with eClinicalWorks; we work inside it.
Questions we hear most
Will my staff need to learn a new system?
No. We use your eClinicalWorks account. Your team keeps the same screens and workflow, and we handle the billing queues behind them.
How quickly are denials worked?
Denials are worked each business day, sorted by root cause and dollar value, with same-day resubmission when the fix is a correction.
How do you check for underpayments?
We compare each posted payment with your contracted rate and flag shortfalls for dispute before the appeal window closes.
What reports will I receive?
A weekly KPI report covering clean claim rate, denial rate, collection rate, A/R aging by payer and provider productivity, delivered on a fixed schedule.
Related: Denial management · Analytics and reporting · EHR integrations · Free revenue assessment.
Running eClinicalWorks? Let us audit your current billing performance.
We'll review your eCW data (clean claim rate, denial patterns, and AR aging), and show you exactly where revenue is being lost and what we'd do to fix it. Free, no commitment.
Get Free eCW Billing Audit →