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Pathways Revenue Performance

Revenue Cycle Management, end to end.

TRIARQ runs the full revenue cycle for independent specialty practices, eligibility through analytics, one connected workflow, specialty expert teams. Delivered at the level of partnership you choose: you do it, we share it, or we do it.

End-to-end services

One cycle. One team. No handoffs.

Most revenue loss happens in the handoffs: between the front desk and the coder, the coder and the biller, the biller and the payer. Pathways Revenue Performance removes the handoffs. Front, mid, and back office run as one connected workflow on one platform.

Front office

Before the visit

Where the largest share of preventable denials starts, and ends.

  • Eligibility & benefits verification real-time, before services are rendered
  • Prior authorization management requirements at the point of order, live payer tracking, expiration management
  • Registration quality assurance demographic and coverage accuracy at intake
  • Referral coordination authorization-linked, closed-loop
  • Patient estimates & upfront collections clear expectations before care
Mid cycle

From care to claim

Capturing the full complexity of specialty care, accurately, the first time.

  • Specialty coding & documentation improvement calibrated to your specialty's coding depth
  • Charge capture & reconciliation every service delivered, billed
  • Claim edits & scrubbing payer-specific rules engines before submission
  • Clean claim submission first-pass acceptance as the standard
Back office

From claim to cash

Working every recoverable dollar, and preventing the next loss.

  • Payment posting & variance detection underpayments flagged against contracted rates
  • Denial prevention & appeals root-cause analysis, prioritized payer-specific appeals
  • A/R follow-up & aging workdown disciplined, payer-specific strategies
  • Patient billing & support clear statements, respectful follow-up
  • Analytics & reporting live dashboards for collection rate, denials, A/R, authorizations
The engagement models

You draw the line. We meet you at it.

Not every practice needs the same help, and a real partner does not pretend otherwise. Choose the model that matches how your practice runs today; move between them as you grow.

Why TRIARQ

Expertise built for independent specialty medicine.

We work only with independent specialty practices, and only on the problems that threaten their independence. That focus is what lets us go deep where generalist partners stay shallow.

Specialty expert teams

Coders, billers, and authorization specialists trained to the specialty they support: the infusion and drug complexity of oncology, the surgical and implant coding depth of orthopedics, the device and procedure rules of cardiology, the office and OR mix of urology, the modifier and screening discipline of gastroenterology, and more.

Specialty nuance is the difference between a clean claim and a denial. There is no complexity TRIARQ Health teams cannot handle.

One platform, real-time visibility

The Pathways platform connects the whole cycle and reports it continuously: net collection rate by payer, denial trends, A/R aging, authorization status. You see what we see, always. No monthly-report surprises.

AI-forward revenue cycle

TRIARQ is an AI-forward organization and the revenue cycle is where we put it to work: eligibility and authorization automation, coding and documentation support, payer-specific claim edits, denial prediction, underpayment detection, and pattern analytics that see problems before they reach your bank account.

We also help your practice adopt AI throughout the financial nucleus of the practice, from the front desk to the close, so the capability compounds inside your operation and not just ours. Experienced revenue cycle professionals govern every model and make the judgment calls automation should not.

Partnership at the level you choose

TRIARQ Health exists to enable and strengthen independent medicine. Partnership comes in levels: the platform and expert guidance behind your own team, shared ownership of the functions that need it most, or the full revenue cycle run for you.

You pick the level, you can change it as the practice changes, and the practice stays yours throughout: your patients, your team, your terms, with the operational muscle that scale usually buys.

What to expect

A deliberate path. Thoughtful implementation.

Engagement is designed to prove value before it asks for commitment, and to protect your operations at every step.

1

Revenue Cycle Assessment

A comprehensive review of your current performance: where revenue is leaking and what the opportunity is worth. Complimentary, and the findings are yours to keep.

2

Performance plan

A roadmap built for your specialty mix, payer landscape, and team, including the engagement model that fits.

3

Phased transition

Deployment sequenced to your capacity. Your systems stay, your team keeps what it does well, and nothing breaks mid-cycle.

4

Continuous optimization

Ongoing measurement, review, and refinement together. Revenue performance is an operating discipline, not a project.

Find your specialty

RCM for your specialty.

Every specialty earns and bills differently. Choose yours and see how we run the revenue cycle for it.

Analytics and insight

See the economics of your practice like never before.

Most practices run on a monthly report that arrives after the month it describes. Pathways turns the revenue cycle into a live picture of your medical economics: what you earn, from whom, for what, and where it is being lost. More insight into the financial engine of the practice than most practice leaders have ever had.

Live, not monthly

Dashboards update as claims move. You can see today what used to take a month-end close to reveal, and act while it still changes the outcome.

Payer by payer

Yield, denial behavior, and days to pay broken out by payer and plan, with underpayments measured against your contracted rates. Contract conversations backed by your own data.

Provider and service line

Revenue per provider, per location, and per service line, with the drivers behind each number. The insight that tells you where to add capacity and where to fix process.

Net collection rate
The share of collectible revenue actually collected, the clearest single signal of revenue cycle health.
Days in A/R
How fast care becomes cash, and the earliest warning when something upstream is wrong.
Initial denial rate
The measure of front-end and mid-cycle discipline: prevention upstream, not heroics downstream.
Clean claim rate
Claims accepted on first submission, the standard our edits and scrubbing are built to.
Resources

Go deeper on your own time.

RCM Revenue Calculator
Estimate your revenue opportunity in under three minutes.
Launch ›
Financial Health Amplified
The Revenue Optimization Blueprint ebook for independent practices.
Download ›
Talk to a specialist
Direct line to a revenue cycle expert. No forms, no scripts.
Book time ›
Common questions

Asked by every practice we meet.

What is included in TRIARQ's revenue cycle management service?

The full cycle: eligibility and benefits verification, prior authorization management, specialty coding and documentation improvement, charge capture, claim edits and submission, payment posting with underpayment detection, denial prevention and appeals, A/R follow-up, patient billing, and real-time analytics, delivered at the engagement level you choose.

Do we have to replace our billing team or our practice management system?

No. The engagement models exist so the service matches your practice. Core empowers your in-house team with the platform and expert guidance, Collect shares specific functions, Complete is full revenue cycle outsourcing, and Flex adds transaction-based capacity for volume peaks. Your systems stay in place. We integrate, we do not rip and replace.

How long does transition take?

It depends on the engagement model and practice complexity, which is why deployment is phased and sequenced to your capacity, front-end disciplines first, so improvements start while the transition completes. The assessment produces a specific plan and timeline for your practice before anything changes.

How is the service priced?

Pricing follows the engagement model: platform-based for Core, shared-scope for Collect, full-service for Complete, and per-transaction for Flex. It is scoped in the assessment conversation, where it can reflect your actual volumes and mix.

How do we start?

With a complimentary Revenue Cycle Assessment: a clear review of how your practice is actually performing and what the gap is worth. You keep the findings whether or not we work together.

Your next move

See exactly where your revenue cycle stands.

Start with a complimentary RCM Assessment: a clear-eyed review of your practice's performance, and a plan for closing the gap. The findings are yours to keep.