Jusme empowers U.S. healthcare providers with AI-enabled end-to-end Revenue Cycle Management that maximizes every dollar of care. We identify and eliminate hidden revenue leakage within the systems you already trust — Epic, AdvancedMD, eClinicalWorks, athenahealth, NextGen, and more — delivering measurable financial outcomes without replacing your existing technology or disrupting your operations.
Live Client Benchmarks
Clean Claim Rate
97%+
Industry avg: 78-84%
Denial Rate
< 5%
National avg: 12-14%
AR Days Reduced
34 – 39
Down from 70+ days
Collections Ratio
97%+
Target achieved in 90 days
Proof, Not Promises
Three anonymized engagements across three specialties, three EMR platforms, one consistent pattern: denials down, cash cycle shorter, collections up.
28 providers · 6 service lines · ~$22M pre-engagement
30+ providers · multi-location · ~$18M annual revenue
22+ providers · multi-location · ~$14M annual revenue
RCM & Regulatory Insights
Regulatory updates, payer trends, and practical guidance for hospitals, physician groups, and specialty practices navigating an increasingly complex reimbursement landscape.
CMS-0057-F doesn’t eliminate prior authorization — it modernizes it. Here’s what’s changing, when it takes effect, and which services commonly skip PA entirely.
A perfectly coded claim can still generate $0 if it reaches the payer one day late. See typical payer deadlines and how high-performing RCM teams prevent this entirely avoidable loss.
Denials sit at 8–12%, but 60–70% are preventable. See the consistent pattern behind stuck revenue across Epic, athenahealth, and eClinicalWorks practices.
Even with modern EMRs in place, most practices still leak 8–12% of revenue to denials. The real issue isn’t the platform — it’s execution.
Up to 60% of denied claims are never reworked, and 65%+ are preventable. See the most common denial drivers — and why they keep happening.
Your team is working, your vendor is delivering, your reports look detailed — and revenue is still leaking. That’s a design problem, not a people problem.
About Us
Jusme Healthcare Solutions helps hospitals, physician groups, specialty practices, and RCM companies across the U.S. recover revenue that’s quietly being lost to preventable process gaps — without asking anyone to change platforms.
We act as an extension of your finance and billing team. Combining AI-augmented claim scrubbing with certified AAPC coders, we ensure clean claims, lower AR days, and eliminate the backlogs dragging down your practice cash flow.
End-to-end encrypted infrastructure aligned with U.S. healthcare laws.
Enterprise-grade security controls and annual third-party audits.
CPC & CPMA certified professionals across all major specialties.
We log directly into your existing EHRs; no software migration needed.
Complete Revenue Cycle Management
Targeted interventions or complete cycle management designed to stop revenue leaks.
Preventing denials before the patient is seen. Eligibility & benefits verification, prior authorization, and patient demographic validation.
Accurate CPT, ICD-10, and HCPCS coding by AAPC-certified coders. Medical necessity verification and comprehensive charge entry.
Aggressive denial appeals, aging AR follow-up (30/60/90+ days), payment posting, and transparent payer reconciliation reports.
Tailored Partnerships
Custom workflows tailored specifically to your organization's specialty and operational scale.
Enterprise scalability to clear aging AR backlog and accelerate cash flow.
Clean claim submission and rapid denial appeals for multi-specialty practices.
Specialized coding for Cardiology, Orthopedics, Pediatrics, and Surgery.
White-label backend staffing and overnight claims processing support.
Tell us where it hurts. We'll show you what's recoverable — before you commit to anything. Speak directly with an RCM specialist today.
Phone: +1 302-330-2088
Email: contact@jusmehealthcare.com
Compliance: HIPAA, SOC 2, ISO 27001 Aligned