You are leaking medication revenue.
We bring it back
Agate RCM is an end-to-end revenue cycle partner for provider-administered drugs: AI that reads the chart against the claim, the remit, and the payer’s published rate to find what was under-billed, under-paid, or never pursued.
Tackling the complex, big-dollar claims
Oncology
Rheumatology
Ophthalmology
... and more
New technologies, payment methods, and stakeholder expectations are changing everything...
We are here to help
Innovation - Agate*ACCEL
Agate*ACCEL develops and brings to market early-stage healthcare technologies and services. We partner with researchers, entrepreneurs, clinicians, and early-stage companies who have solutions to dramatically improve care quality while reducing costs. Areas of particular interest are connected health, healthcare analytics, population health management, health navigation, senior health, and personalized medicine.
Less audit risk. No staff disruption. Fully HIPAA compliant. More revenue.
We are here to help
Audit & Advisory
Start with a read-only audit of one quarter of claims. We reconcile your clinical notes, 837s, 835s, and payer rate files to find the drug revenue you earned but never collected — under-billed units, unclaimed waste, silent underpayments, abandoned denials — and return a verified, dollar-ranked worklist with the evidence quoted. No integration, no workflow change.
SaaS Platform
Make it continuous. The Agate RCM platform runs every detector on every provider-administered drug claim, before it goes out and after the remit comes back, across oncology, rheumatology, neurology, retina, and any other specialty where you buy and administer the drug. Your coders review findings in a single queue; your contracting team sees what each payer actually pays against the rate.
Managed Coding
Don’t have the staff right now? We do. Agate RCM provides certified coders, on-shore and off-shore, trained on the platform and specialized in provider-administered drugs. They work the findings, file the rebills and appeals, and close the loop with your clinicians on documentation — delivering recovered revenue as a service, with full HIPAA compliance and your compliance team always in control.
New technologies, payment methods, and stakeholder expectations are changing everything...
We are here to help
Audit & Advisory
Start with a read-only audit of one quarter of claims. We reconcile your clinical notes, 837s, 835s, and payer rate files to find the drug revenue you earned but never collected — under-billed units, unclaimed waste, silent underpayments, abandoned denials — and return a verified, dollar-ranked worklist with the evidence quoted. No integration, no workflow change.
SaaS Platforrm
Make it continuous. The Agate RCM platform runs every detector on every provider-administered drug claim, before it goes out and after the remit comes back, across oncology, rheumatology, neurology, retina, and any other specialty where you buy and administer the drug. Your coders review findings in a single queue; your contracting team sees what each payer actually pays against the rate.
Managed Coding
Don’t have the staff right now? We do. Agate RCM provides certified coders, on-shore and off-shore, trained on the platform and specialized in provider-administered drugs. They work the findings, file the rebills and appeals, and close the loop with your clinicians on documentation — delivering recovered revenue as a service, with full HIPAA compliance and your compliance team always in control.
Your partner for long-term RCM improvement