Precision Revenue for Complex Practices.
RCM Sphere brings the full force of AI, predictive analytics, and specialty focused automation strategically combined with deep human expertise to support oncology, urology, and high acuity practices. The result: cleaner claims, faster reimbursements, and more predictable, sustained cash flow.
Built for Complexity
Infusion-Specific Optimized Reimbursement Logic
Proprietary tech leverages intelligent billing for high cost, high risk drug workflows.
Smart Appeals Engine
Auto generated appeal packets with clinical citations pulled directly from your EMR drive increased positive adjudications and revenue.
Real-Time Margin Monitoring
Valuable insight regarding drug level profitability as care is delivered.
Denial Pattern Recognition
AI models identify issues and adapt to payor behavior, flagging risks to ensure they are mitigated by our specialists before submission.
What Makes It Specialty-Ready?
Specialty-Specific Rule Engines
Oncology, urology, and pain management logic baked in.
Predictive Coding Assistance
Reduces downstream corrections and recoding delays.
KPI-Focused Dashboards
Track infusion profitability, payer lag, AR aging, and denial outcomes in real time.
Integrated Quality Reporting
Seamless capture and submission of MIPS and VBC quality measures.