Enterprise revenue cycle performance,
for hospitals of every size.
From rural and critical access hospitals to large academic medical centers, Knack delivers comprehensive revenue cycle solutions that integrate with your current processes — trusted by some of the nation’s premier healthcare providers for over a decade.
Rural and critical access to academic medical centers
AI² — automation tuned by real RCM expertise
Trusted by premier providers for over a decade
Reduction in A/R > 90 days
Improvement in collections
Clean claim rate improvement
The most complex revenue
cycle in healthcare —
under the most pressure.
Hospitals and health systems run multiple facilities, hundreds of providers, both hospital and professional billing, and payer mixes spanning government, commercial, and managed care. Hospital-employed physicians have nearly doubled — but billing infrastructure hasn’t kept pace.
If any single process in the cycle fails to deliver, revenue is lost — and your facility may be forced to compromise the standard of care your community depends on. The complexity of the revenue cycle should never compromise what your hospital does best: caring for patients.
Where margin gets squeezed
- Labor shortages and rising denial rates compressing margins
- Backlogs in coding, A/R, and credentialing that compound daily
- Billing infrastructure that hasn't scaled with employed-physician growth
- Government, commercial, and managed-care payer mixes to reconcile
- Hospital and professional billing running in parallel across facilities
Coverage across the full hospital revenue cycle.
End-to-end or targeted — many systems engage Knack for a single function (backlog resolution, denial management, credentialing) while internal teams focus on the most complex work.
01
Patient access
Scheduling, eligibility, accurate billing and insurance information capture, and prior authorization support — clean data at the front end that protects every downstream claim.
02
Mid-cycle
Medical coding by AAPC/AHIMA-certified coders, charge capture, coding reviews, and clinical documentation support that keep coding accurate and defensible.
03
Billing & claims
Clean claim submission with pre-submission edits that reduce rejections and denials before a claim ever leaves your system.
04
Denials & underpayments
Root-cause denial management, appeals, and underpayment recovery — turning avoidable write-offs back into collected revenue.
05
A/R management & wind-down
Disciplined follow-up on aging A/R, plus dedicated A/R wind-down support for transitions, conversions, and closures.
06
Credentialing & enrollment
Provider enrollment, primary source verification, and continuous expirables monitoring — so no provider sits unbilled.
07
Advisory & assessments
Revenue cycle assessments that uncover opportunities, with prescriptive solutions and interim leadership support.
AI² — Artificial Intelligence, optimized by Actual Intelligence.
Our team empowers yours to unlock the full potential of artificial intelligence and automation — driven by deep, hands-on RCM knowledge and specialized expertise. Together, we optimize, integrate, and elevate your operations for real-world success.
The automation suite behind AI²
Patient registration
AVID Bot
Employs advanced tools to verify coverage and discover additional insurance, helping maximize revenue capture.
Billing
Bill Smart Bot
Edits and optimizes the 837 file to reduce rejections and denials prior to claim submission, speeding claim payment.
Posting
AMP Bots
Eliminates manual effort by automating payment data entry from EOBs and ERAs, ensuring faster and more accurate posting.
Denials
DBOT
Automates the extraction and routing of denials from 835 files, resulting in faster root-cause analysis and denial resolution.
A/R
Claims Status Automation
Automates denial and A/R claims status checks and routes claims to the right agents, boosting A/R efficiency.
The same rigor for a 25-bed critical access hospital as for a multi-state system.
Rural & critical access hospitals
Enterprise-grade RCM capability at a cost model a community hospital can sustain.
Community health centers
Experienced teams who understand the higher burden of collecting accurate information while serving patients of every means.
Regional systems & academic centers
Scaled delivery across facilities, specialties, and billing environments — hospital and professional alike.
Hospital-employed physician groups
Physician billing built as infrastructure, not an afterthought — sized for scalable, sustainable growth.
Hospital-owned DME & ancillary
Aligned with your HIS/ERP environment, so ancillary operations don’t leak revenue.
Five years of the CACH Forum — free, for the hospitals that need it most.
For five years, Knack has hosted the CACH Forum — an ongoing forum serving community and critical access hospitals — sharing revenue cycle best practices, payer intelligence, and peer benchmarking at no cost to participants. It reflects how we work: subject-matter experts first, vendors second.
5
years hosted
free of charge
Subject-matter experts first.
Automation with judgment.
Proven outcomes.
Decades of hospital RCM experience
Seasoned teams who know firsthand what it takes to maintain steady revenue flow and eliminate billing-cycle pitfalls.
AI² — automation with judgment
Proprietary bots across registration, billing, posting, denials, and A/R, tuned by real-world RCM expertise.
Proven, verified outcomes
Up to 50% reduction in aged A/R, 15–20% collections improvement, and +25-point clean claim rate gains.
All sizes, genuinely
The same rigor for a 25-bed critical access hospital as for a multi-state academic system.
A true partner
Dedicated teams, 24/7 support, and community investment — like the free CACH Forum for critical access hospitals.
Scale on demand
4,000+ RCM experts absorb volume spikes, conversions, and backlogs without straining internal teams.
What hospital clients achieve with Knack.
Verified outcomes across aged A/R, collections, and clean claim rates — the numbers that move a hospital’s margin.
Outcomes
- Reduction in A/R > 90 days of up to 50%
- Improved collections of 15–20%
- Clean claim rate improved by 25 percentage points
- Internal teams freed to focus on the most complex work
Credentialing at scale
Facing the complexity of managing credentials for over ninety providers, a leading surgical center automated its credentialing with Knack — automated notifications, proactive reappointments, and continuous expirables monitoring eliminated potential revenue losses.
Where clients are unnamed, every case study we publish is a real, referenceable engagement — prospective clients can speak with references during evaluation.
The Provider Power Shift: 5 Smart Moves to Reclaim Revenue from Payers
Claim denials and underpayments are built into how payers manage risk. Here are 5 structural moves providers use to reclaim
Why You’ll Never Outpace the Payers — and What to Do Instead
You can’t outpace payer rule changes by working faster. Learn why speed fails — and how internal RCM structure
Scaling Smart: Aligning Physician Billing for Growth
Hospital-employed physicians nearly doubled, but billing hasn’t kept pace. See how to build physician billing as infrastructure for scalable, predictable growth.
Turn your revenue cycle into a strategic advantage.
Tell us your denial pattern, aged A/R position, or conversion timeline — and we’ll show you exactly where we move the number.
Rural & critical access to academic centers
AI² automation across the full cycle
End-to-end or targeted engagements
What is hospital revenue cycle management?
IN SHORT
Hospital revenue cycle management (RCM) is the end-to-end financial process that carries a hospital or health system from patient access through final payment — scheduling and prior authorization, coding and clinical documentation, clean claim submission, denial and underpayment recovery, A/R follow-up, and provider credentialing. Because hospitals run multiple facilities and payer mixes, a failure in any single step directly reduces collected revenue.
Why hospital billing is more complex than physician billing
What makes hospital revenue complex
Dual billing
Hospital (facility) and professional claims run in parallel across the same encounters.
Scale of providers
Hundreds of employed and affiliated physicians, each requiring enrollment and credentialing.
Payer complexity
Government, commercial, and managed-care mixes with distinct rules and timelines.
Compounding backlogs
Coding, A/R, and credentialing delays multiply daily across multiple facilities.
How the hospital revenue cycle works
Six stages carry an encounter from registration to final payment — each one a place revenue can leak, and a place Knack protects it.
1
Patient access
Scheduling, eligibility, insurance capture, and prior authorization — accurate data at the front end so downstream claims hold up.
2
Mid-cycle coding & documentation
AAPC/AHIMA-certified coders, charge capture, coding reviews, and clinical documentation support keep coding accurate and defensible.
3
Billing & claims
Clean claim submission with pre-submission edits — AI² bots optimize the 837 file to reduce rejections before claims go out.
4
Denials & underpayments
Root-cause denial management, appeals, and underpayment recovery — automated 835 routing accelerates resolution.
5
A/R management
Disciplined follow-up on aging A/R with automated claims-status checks, plus dedicated wind-down support for transitions and conversions.
6
Credentialing & enrollment
Provider enrollment, primary source verification, and continuous expirables monitoring — so no provider sits unbilled.
— FAQ
Hospital revenue cycle management, answered
Straight answers to the questions hospital and health-system leaders ask most.
What is hospital revenue cycle management?
Hospital revenue cycle management (RCM) is the end-to-end financial process that carries a hospital or health system from patient access through final payment — scheduling, eligibility and prior authorization; medical coding, charge capture and clinical documentation; clean claim submission; denial and underpayment recovery; A/R follow-up; and provider credentialing. Because hospitals run multiple facilities, both hospital and professional billing, and complex payer mixes, a failure in any single step directly reduces collected revenue.
What makes hospital billing more complex than physician billing?
Hospitals bill at a scale and complexity physician practices don't: multiple facilities and service lines, both hospital (facility) and professional billing, hundreds of employed and affiliated providers, and payer mixes spanning government, commercial, and managed care. Coding, A/R, denials, and credentialing all compound across that footprint, so small process gaps translate into large, recurring revenue loss.
Can Knack work alongside our in-house revenue cycle team?
Yes. Many systems use Knack for targeted functions — backlog resolution, denial management, A/R wind-down, credentialing — while internal teams focus on the most complex work. Others engage Knack across the full revenue cycle.
Do you support rural and critical access hospitals?
Yes — and we've hosted a free forum for community and critical access hospitals for five years. Our model gives smaller facilities enterprise-grade capability at a sustainable cost.
We're a hospital system with an internal DME operation. Does Knack work in our environment?
Yes. We support hospital-owned DME programs and align our workflows with your hospital information system and ERP processes, alongside DME-specific platforms.
Will your automation work with our HIS?
Our AI² approach layers automation onto your existing systems and processes — bots handle registration verification, 837 optimization, EOB/ERA posting, 835 denial routing, and claims status, integrated with your environment.
How quickly can Knack scale a team?
Knack has onboarded 400+ FTEs in 45 days for a national client while meeting quality and performance SLAs.
Turn your revenue cycle into a strategic advantage.
Tell us your denial pattern, aged A/R position, or conversion timeline — we’ll show you where we move the number.