Revenue confidence for the communities that rely on you.

CA & Rural Health expertise

Medicare and Medicaid focus

Practical, affordable partnership

EqualizeRCM

a KNACK RCM company,
delivers rural health services

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Critical Access & Rural Health Hospitals

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Hospital team with CA & Rural Health Hospital experience

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years of experience

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Associates

$ 1 B+

Annual charges billed

Practical support. Clear accountability. Better financial control.

Rural healthcare leaders do not need another generic vendor relationship. They need a partner that understands the connection between business-office performance and the ability to sustain care in the community.

EqualizeRCM, a Knack RCM company, combines deep rural-health experience with hands-on execution. Our specialists work alongside internal leaders and teams to assess performance, identify revenue opportunities, resolve operational barriers and create a practical path forward.

What makes us different?

Proprietary Automation and AI Innovation
System Agnostic – seamless integration with minimal operational disruption
Stronger cash flow
Fewer preventable denials
Greater Medicare and Medicaid confidence
More capacity without adding permanent overhead
Better visibility into revenue performance
An RCM partner that truly understands rural care

Three pillars, one

accountable partner

EqualizeRCM supports rural and community healthcare providers with a complete set of RCM capabilities, delivered as a focused engagement, an extension of an internal business office, or a broader end-to-end partnership.

01 · Billing, collections and A/R

Turn outstanding balances into a more predictable revenue stream.

Aging A/R strains rural providers’ cash flow. We strengthen claim submission, prioritize follow-up, resolve denials, and drive collections through disciplined billing and account management. Our focus: root causes, not just backlogs so you gain lasting revenue integrity and less preventable A/R.

EqualizeRCM brings deep rural-health expertise across billing, collections, denial management, and A/R follow-up for Critical Access and Rural Health Hospitals.

Clean-claim billing support
A/R follow-up and account resolution
Denial prevention and denial management
Payment posting and collections support
Root-cause analysis for recurring revenue leakage
Automated A/R tools and workflow support

02 · Coding and charge capture

More accurate coding. Fewer returned claims. Stronger reimbursement.

Coding quality has a direct effect on reimbursement, compliance, and claim velocity. EqualizeRCM’s coding teams support accurate, efficient documentation-to-claim workflows designed to help rural providers reduce rework, avoid preventable denials, and better align services delivered with charges submitted.

Our coding professionals include AAPC/AHIMA-certified coders and hospital experience includes coding, coding reviews and charge-capture analysis.

Medical coding services
Coding quality reviews and audits
Documentation and coding feedback
Charge-capture analysis
Coding education and payer-guideline support
Denial reduction through coding accuracy

03 · Credentialing and operational support

Keep providers enrolled, teams supported, and revenue moving.

For rural organizations, a delayed enrolment or credentialing issue can have outsized consequences. EqualizeRCM helps support provider enrolment, payer credentialing, primary-source verification, and the business-office workflows that keep reimbursement operations moving.

When internal resources are stretched, EqualizeRCM can serve as an experienced extension of the team bringing interim support, functional leadership, consulting, and day-to-day operational expertise where it is needed most.

Provider enrolment and payer credentialing
Credentialing process management
Registration and front-end revenue-cycle support
Extended business-office services
Interim leadership and staffing support
RCM performance consulting

Real Results for Rural Healthcare

Real rural and community health outcomes from EqualizeRCM, a Knack RCM company; proof that specialty-focused RCM moves the needle for Critical Access Hospitals and rural facilities.

Cedar County Memorial Hospital

Critical Access Hospital · El Dorado Springs, Missouri

EqualizeRCM replaced an underperforming outsourced revenue cycle vendor for Cedar County Memorial Hospital — deploying a rapid-response team, a dedicated Client Service Manager, and AI-enabled automation (AVID® and OptimusAR®) to stabilize billing, AR follow-up, denial management, and payment posting.

26 days

Reduction in outstanding insurance A/R days

41%

Reduction in insurance A/R aged over 90 days

25%

Reduction in unbilled accounts receivable

Read the full case study →

Highland Hills Medical Center

Senatobia, Mississippi · Rural Hospital / County-Owned Acute Care Facility

After reopening in 2021 and transitioning to local county ownership in 2023, Highland Hills Medical Center partnered with EqualizeRCM for revenue cycle project management, EHR conversion support, and AI-enabled automation (AVID®, Bill Smart, OptimusAR®) to stabilize and standardize revenue cycle operations.

38%

Increase in cash collections

39 days

Outstanding insurance days
(down from 63)

80%

Reduction in Discharge Not Final Billed (DNFB) days

Read the full case study →

The people behind your revenue

Amy Gaudet

Hospital VP, HIM/Operations

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Chad Feldman

GM Hospital | Madison, MS

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Daniel Thiry

Managing Principal

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Darya Khirpkova

EVP Operations | Washington, DC

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Katrina Makey

Senior Director – Rural
Hospitals | Houston, TX

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Mike Evans

Managing Principal

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Empowering Rural Hospitals Through Shared Knowledge

EqualizeRCM believes that by sharing knowledge and ideas, we can create a strong network of rural and community hospitals providing essential care in rural America. Through our free quarterly Critical Access and Community Hospital Forum (CACH Forum) our goal is to help CFO’s, CEO’s and administrators of Critical Access Hospitals and Community Hospitals around America connect and work with one another.

See how your rural health

Revenue compares.

Share a few high-level metrics and we’ll benchmark your Critical Access Hospital, rural clinic, or FQHC against top-performing peers and show where rural-focused RCM can move the needle.

Trusted by 30+ Critical Access Hospitals

Full-cycle support:billing, coding, denials, credentialing

Rural & community health focus, built in

— FAQ

Built for Rural.

Backed by Results.

We help Critical Access Hospitals, rural clinics, and FQHCs strengthen their revenue cycle without adding to their workload

Does EqualizeRCM specialize in Critical Access Hospitals?

Yes. Critical Access Hospitals are a core focus area for us, and we currently support more than 30 CAHs nationwide. Our hospital team brings deep experience across billing, coding, coding reviews, payer credentialing, registration, denial management, A/R follow-up, business-office operations, RCM performance consulting, and charge-capture analysis

Can EqualizeRCM support rural health clinics and FQHCs?

Yes. We serve rural health clinics, federally qualified health centers, Critical Access Hospitals, PPS hospitals, physician clinics, laboratories, DME companies, ASCs, and a wide range of other healthcare providers.

What rural-health revenue-cycle services does EqualizeRCM provide?

We deliver a full suite of rural and community-health capabilities, including billing and collections, medical coding, coding reviews, denial management, A/R follow-up, credentialing and provider enrollment, registration support, extended business-office services, charge-capture analysis, and RCM consulting.

Why does a rural-specific RCM approach matter?

We understand that rural providers face a distinct set of challenges: specialized reimbursement requirements, staffing limitations, a higher reliance on Medicare and Medicaid, and less room to absorb payment delays or revenue leakage. That's why we've built our rural-health approach around streamlined, affordable support designed specifically for these operating conditions.

Can EqualizeRCM work as an extension of our existing business office?

Yes. Our teams are made up of qualified personnel who can seamlessly become an extension of your business cycle. We also offer consulting and interim support to help you optimize your revenue cycle from the ground up.

How do we begin?

We start by listening. Tell us about your organization's most pressing financial and operational challenges — whether that's aging A/R, denials, coding, credentialing, billing workflow, registration, or a broader RCM performance concern. From there, we'll help determine the right level of support for your hospital, clinic, or community health organization.