Revenue Cycle Management
Managed revenue cycle management for independent specialty practices.
We run billing, coding, denials, AR, prior auth, and credentialing for physician-owned practices with 3 to 25+ providers.
- 3 to 5% of what we collect, with a $500 monthly minimum
- Month to month with 30 days' notice, no setup fee
- We work inside the EHR you already use
- Free 48-hour audit with a written report
Prefer to talk? Call (202) 490-9406 or book 15 minutes.
“I appreciate that you did an audit and found out the root causes of a lot of my problems which are preventable.”
What Quilven does
Quilven is a managed revenue cycle management (RCM) company. We run the billing department for independent specialty practices and are paid a percentage of what we collect.
- What we do
- Run your billing department end to end: medical billing, certified coding, denial management, AR recovery, prior authorization, provider credentialing and reporting.
- Who it is for
- Independent, physician-owned specialty practices in the US with 3 to 25+ providers. Solo practices are welcome.
- Who does the work
- A dedicated account manager, AAPC-certified coders (CPC, COC), credentialing specialists, and AR and denial analysts.
- Price
- 3 to 5 percent of what we collect, with a $500 monthly minimum. The same rate for every specialty.
- Terms
- Month to month with 30 days' written notice. No setup fee and no platform fee.
- Your systems
- We work inside your EHR, including Athenahealth, eClinicalWorks, Epic, Tebra and Kareo, AdvancedMD and NextGen. No data migration.
- Reporting
- Apex, a live view of collections, days in AR, denial rate and claim status.
- Compliance
- HIPAA. We sign a Business Associate Agreement before any patient data is shared.
- How to start
- A free 48-hour audit with a written report you keep either way.
- Based in
- Cheyenne, Wyoming, working with practices across the United States.
Services and prices
Each function is staffed, documented and reported through Apex, so nothing falls between vendors.
Medical billing
Claims sent through clearinghouses such as Availity and Optum, payments posted, and every claim followed to resolution.
Certified medical coding
AAPC-certified coders turn your documentation into compliant CPT and HCPCS codes.
Denial management
Denials worked by CARC and RARC code, root causes fixed and appeals filed, so the same denial does not come back.
AR recovery
Aged AR worked by payer and aging bucket until each claim is paid, appealed or written off with a reason.
Prior authorization
Authorizations secured before the visit, so procedures are not denied for lack of approval.
Provider credentialing
Payer enrollment and recredentialing, so claims are not held or denied for credentialing gaps.
Revenue cycle optimization
Charge capture, coding and denial patterns reviewed to recover missed revenue and lower your cost to collect.
Reporting and analytics
Collections, days in AR, denial rate and claim status in Apex, updated continuously.
What it costs
Revenue cycle management
3 to 5%
of what we collect
A $500 monthly minimum applies. The rate is set by monthly volume and is the same for every specialty.
AR recovery
12 to 15%
of what we recover
No fee on balances that do not come back, and no monthly minimum on recovery work.
Provider credentialing
$150 to $200
per payer application
$200 each, or $150 each for 8 or more. Payer and state fees are paid by the practice.
48-hour audit
Free
written report in 48 hours
Where revenue is leaking, what we would recover and what the work would cost. No obligation.
How our prices compare
| Term | Typical billing company | Quilven |
|---|---|---|
| Fee | 4 to 9% of net collections, most competitive quotes 5 to 7% | 3 to 5% of collections |
| Contract | Often annual | Month to month, 30 days' notice |
| Setup fee | Varies | None |
Industry range: A3 Medical Billing, 2026; Neolytix, 2026.
Specialties we bill for
Each specialty has its own payer mix, coding rules and denial patterns, and each has its own page. Every specialty pays the same rate.
- Orthopedics billing
- Cardiology billing
- Gastroenterology billing
- Dermatology billing
- Ophthalmology billing
- OB/GYN billing
- Urology billing
- Neurology billing
- ENT billing
- Behavioral health billing
- Physical medicine and rehab billing
- General surgery billing
- Podiatry billing
- Primary care billing
- Internal medicine billing
Your specialty not listed? We work with others too, including family medicine, so ask in the free audit. Or compare them all on the specialties overview.
How working with Quilven works
Free audit
Share your AR aging totals. Within 48 hours you get a written report: where revenue is leaking, what we would recover and what the work would cost. You keep it either way.
Scope, rate and a BAA
If you go ahead, we agree the scope and your rate, and sign a HIPAA Business Associate Agreement before any patient data is shared.
Set up inside your EHR
We work in the system you already use, so you do not change software. Most practices are live within a few weeks.
Live reporting in Apex
Collections, days in AR, denial rate and claim status, updated continuously. Your account manager is your single point of contact.
- Net collections
- 97.4%
- Days in AR
- 27
- Denial rate
- 4.1%
- Claims in queue
- 312
Payer mix
- Medicare38%
- BCBS24%
- Aetna14%
- Cigna9%
- UnitedHealth9%
- Self-pay6%
Reviews and proof
What clients say
I appreciate the professionalism, the courtesy, the knowledge.
What you have provided for me was a detailed of things that are going wrong that needed to change in our practice.
I appreciate that you did an audit and found out the root causes of a lot of my problems which are preventable.
Read our reviews on TrustpilotFollow Quilven on LinkedIn
How to check a billing partner you just met
We do not publish client results yet because we have not earned the right to. When we do, each will be named, dated and stated with its sample size. Until then, these are things you can check.
Month-to-month terms
No multi-year contract. We have to earn your business every month, or you leave.
HIPAA and a signed BAA
Before any protected health information is exchanged, we sign a Business Associate Agreement under 45 CFR 160.103.
Documented workflow
Denials, appeals and AR follow-up follow a fixed cadence you can inspect, not a black box.
Cited benchmarks
Industry figures are cited to their source: MGMA and HFMA for definitions and benchmarks, HBMA for billing standards.
Who does the work
Your revenue cycle is run by named people with real credentials, not an anonymous queue. Named leads and their certifications are introduced during onboarding, with photos and direct contacts.
Raief Shick
Owner
A long-time business owner who has built and run companies in recruitment and e-commerce before Quilven.
Haris Khan
Client Partnerships Lead
Leads business development, working with U.S. healthcare providers and medical practices from first conversation to signed agreement.
Essa Khan
Head of Growth
Runs Quilven's marketing, SEO and Google Ads. Full-time in SEO since 2022.
Steven Tyler
Client Solutions Director
Works with medical practices on denials, credentialing and full-cycle revenue cycle work. A registered nurse before moving into revenue cycle.
Behind every account
Dedicated account manager
One person owns your account, knows your practice and is your single point of contact.
AAPC-certified coders
Coders holding CPC and COC credentials, with coding experience across the specialties we serve.
Credentialing specialists
Provider enrollment and recredentialing, handled by people who work payers and panels every day.
AR and denial analysts
Analysts who work aged AR and appeals on a set cadence, by code, until each claim resolves.
Free tools and guides
Free to use, with no sign-up. The figures you enter are not sent to us.
Billing performance self-check
Score four numbers from your billing reports as Healthy, Watch or Concern against a stated benchmark.
AR aging benchmark comparator
See AR over 90 days and days in AR against benchmarks, with a ranked list of likely causes.
Timely filing countdown
Enter a payer and a date of service to see the filing deadline and the days left.
Billing contract clause checker
Rate seven contract clauses, from auto-renewal to data return, before you sign or leave.
Credentialing timeline planner
Work back from a new provider's start date to the latest date for each credentialing step.
First 72 hours checklist
An ordered checklist for the first 72 hours after a biller or billing company leaves.
Thirteen more, most of them built for one specialty, from colonoscopy coding to global obstetric packages. See all 19 free tools.
Guides for common problems
Questions practices ask
Free 48-hour AR audit
Find out what your practice is leaving on the table.
Answer three questions. We will run a free 48-hour audit of your accounts receivable and show you what is recoverable. No obligation, no contract.
What the audit covers
- AR aging by payer and bucket
- Top denial reasons by CARC and RARC code
- Payer mix and clean-claim patterns
- Recovery opportunity and cost
You keep the report whether or not you engage Quilven.
Prefer to talk? Call (202) 490-9406, email info@quilven.com or book 15 minutes.
Where is revenue leaking right now?
How long has your oldest unpaid AR been sitting?
How big is your practice?
You told us
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