RCM
Capture more, deny less, collect faster.
Five agents run your revenue cycle end to end — eligibility, coding, denials, and collections — on your EHR, today.
Revenue leaks out of the cycle at every stage — before a claim is even coded, most practices are already losing money to front-end errors and under-documented encounters. What doesn’t leak out gets denied, and most of what’s denied never gets reworked.
| Stage | Agent | Before Shift | With Shift |
|---|---|---|---|
| Eligibility | Insurance Verification | 68% of providers name bad intake data a top denial driver — the #3 cause overall (Experian, 2025) | Coverage confirmed before every claim is coded |
| Coding | Charge Capture | ~3–5% of revenue lost to under-coding and missed charges (HFMA) | Every encounter coded from scratch, full code set, nothing skipped |
| Authorization | Prior Auth | ~13 hrs/week per physician spent on ~40 prior authorizations (AMA, 2025) | Auth cleared before service, before it can deny |
| Denials | Denial Management | 11.8% of claims denied on first submission — up to 65% never reworked, lost for good (Kodiak, HFMA) | Denials corrected and resubmitted before they age out |
| Collections | Patient Balances | MGMA median is ~13.5% of AR over 90 days — many practices run above the <15% best-practice benchmark (MGMA) | Balances collected before they age into bad debt |
The journey, step by step
- 1Verify eligibility up front Insurance Verification
Front-end errors (the #3 denial cause) prevented
Coverage: active - 2Code every encounter Charge Capture
Under-coded/missed charges captured; clean claims out
CPT 99214 assigned - 3Protect scheduled revenue Prior Auth
Auth-related denials prevented before service
Auth cleared - 4Recover denials + chase unpaid claims Denial Management
Denied and unpaid/no-response claims worked to resolution
Claim corrected, resubmitted - 5Collect patient balances Patient Balances
Aged balances recovered before they become bad debt
Balance: $0
The outcome for this journey
Every figure above is a cited industry benchmark, not a Shift claim.
How it works together
These five agents share the same eligibility data, the same fee schedule, the same payer rules, and the same audit trail — a denial gets resolved with the same coverage record that verified the visit, not a re-lookup. One system, not five point tools.
Explore the platform →Control & trust
You choose the autonomy tier per agent — start with coder/biller review on everything, move to exception-based routing as accuracy proves out. Every write is confidence-checked and logged.
Security & compliance →See it work on your claims.
Connect your EHR and watch the RCM journey run on your own encounters.