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Keep authorization and coverage aligned before the appointment is booked.
Drive ACO shared savings, accurate HCC risk adjustment, and HEDIS/MIPS quality measure billing. See why population health practices choose Unlimited Systems for practice management and RCM software.
Population health organizations and accountable care organizations operate under fundamentally different financial incentives than fee-for-service practices, where revenue depends on accurate risk adjustment coding, quality measure performance, and shared savings reconciliation rather than per-claim reimbursement alone. Generic RCM platforms built around fee-for-service claim submission cannot track HCC recapture rates, HEDIS gap closures, or MIPS quality scores in a way that ties directly to the financial outcomes that determine an ACO's annual settlement.
An ACO's shared savings calculation depends heavily on its risk-adjusted expenditure benchmark, which is itself driven by how completely chronic conditions are documented and coded as Hierarchical Condition Categories each calendar year. A patient with diabetes, chronic kidney disease, and congestive heart failure who is seen only for an unrelated acute issue, and whose chronic conditions are not re-documented, causes that patient's risk score to drop the following year, understating the population's true acuity and directly reducing the benchmark against which shared savings are measured, regardless of how well the organization actually managed costs.


Trusted Payer & EHR Integration Partners













Our connected workflows are built to make you and your work easier to do and increase your revenue.
Keep authorization and coverage aligned before the appointment is booked.
Validate population health codes, modifiers, and documentation before submission.
Give teams one view of denials, margin, and A/R priorities.
Routine population health work clears itself. Your team sees only what needs their judgment.
Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.

“As I look back at the transition, the support and the collaboration with the folks at Unlimited really helped make us feel at ease. We had a partner that really wanted us to be successful.”
- CEO
Drag the sliders to estimate how much unrealized cash remains locked in your current specialty billing cycles before optimization.
Adjust both inputs to match your practice.
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Every population health capability, grouped around the way your practice works.
Register, schedule and clear patients before the visit.
Turn documented care into clean claims and work denials.
Post payments, collect patient balances and work open AR.
Measure performance, report it and manage quality programs.
Automation, workflow, integration and the platform underneath.
That's putting it nicely based on what we hear every day.
A support line that never picks up. An overseas call center that's never heard of your account. Errors nobody catches until the denial shows up. We're Midwest-based, not offshore, and the team that answers already knows your account. Practices that switch tend to wish they'd done it sooner.

“I would recommend Unlimited Financials to other specialty practices.”
Michelle LeandriCEO, NEPA
“We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.”
GinaAdministrator, FOUR
“We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.”
Renee BernacchiAccounts Receivable Coordinator, COAS
Each module is configured for the codes, modifiers, and payer rules population health teams work with, not adapted from generic billing software.
These are the places population health practices most often lose revenue when their billing platform wasn’t built for the work. Unlimited Systems closes each one with rules configured for your specialty.
Review your workflowCommon population health revenue leaks
The work that generic platforms leave to your staff is the work population health margin actually turns on.

See why population health practices move off general-purpose billing platforms.
You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many specialty practices talk with us months before a contract renewal, system evaluation, or operational change so they can understand where revenue leakage, denial risk, prior authorization delays, and reporting gaps may already be showing up.
You don't have to wait until your contract is up to start evaluating your options. The best time to assess your revenue cycle technology is before renewal pressure begins. Unlimited Systems can help you understand where your current workflows may be creating avoidable denials, manual work, charge capture gaps, or reporting limitations, so you're better prepared for renewal, replacement, or future planning.
That concern is valid, specialty practice operations are too important to disrupt. A conversation with Unlimited Systems doesn't mean an immediate rip-and-replace. We help teams evaluate workflows, identify gaps, and build a realistic path forward based on specialty, volume, payer mix, locations, integrations, and internal readiness.
Most specialty teams are already stretched thin. That's why the evaluation should focus on where the largest operational burden exists today, prior authorization, denials, charge capture, reporting, manual reconciliation, or payer-specific follow-up. The goal isn't to add work. It's to understand where better systems can remove it.
“Good enough” can still hide revenue leakage. Many practices aren't losing revenue because claims aren't being submitted, they're losing it through preventable denials, underpayments, missed modifiers, incomplete documentation, delayed authorizations, manual workarounds, and limited visibility into payer performance.
Unlimited Systems isn't designed to replace the expertise of your billing team. It's designed to give them better tools, cleaner workflows, better visibility, and fewer manual workarounds. Strong teams still need technology that helps them prioritize the right work, catch issues earlier, and reduce preventable rework.
Cash flow continuity is one of the biggest reasons to evaluate carefully and early. Unlimited Systems can help practices understand potential risk areas before a transition plan is ever built, including claim flow, authorizations, charge capture, payer rules, reporting, and operational dependencies.
Change management matters. The right platform should simplify daily work, not create unnecessary complexity. Unlimited Systems focuses on specialty workflows that align with how teams already manage authorizations, charges, denials, documentation, and financial follow-up.
Reporting is often the first visible symptom of a deeper workflow issue. If leadership can't clearly see denial trends, underpayments, authorization delays, payer behavior, or staff workload, it's harder to know what to fix. Unlimited Systems combines workflow tools with Power BI analytics to help leaders see where performance is improving and where revenue is still at risk.
That's a smart approach. A conversation with Unlimited Systems can help identify the financial case before a buying decision. Common areas to evaluate include denial reduction, staff efficiency, underpayment detection, charge capture improvement, prior authorization turnaround, and reduced manual reconciliation.
Specialty practices often depend on EHRs, clearinghouses, payment tools, drug workflows, and reporting systems. Unlimited Systems is designed to act as a connected financial workflow layer that helps reduce fragmentation, not add more disconnected work.
That caution is healthy. Automation should make decisions easier to see, not harder. Unlimited Systems is designed to surface why a claim is flagged, which payer rule applies, and where a human should step in, so your team stays in control while routine work is handled for them.
You don't need to be ready to buy to have a useful conversation. Many practices start by comparing their current workflows against what specialty-specific revenue cycle technology can support. That gives leadership a clearer view of what to fix now, what to plan for, and what questions to ask before the next renewal.
Specialty rules and connected data keep your team focused on the exceptions that need judgment.
Coverage and authorization stay tied to the order.
Code, unit, and modifier checks happen before filing.
Denials and A/R are ranked by value and filing risk.
The same connected system handles the operational work that sits either side of billing.
Digital intake, eligibility, and demographic capture before the visit.
Explore Patient IntakeSmart calendars and resource scheduling across providers and locations.
Explore Patient SchedulingAutomated eligibility checks and prior authorization management.
Explore Financial ClearancePre-claim scrubbing for coding, modifiers, and compliance accuracy.
Explore Charge ValidationEight stages, one record. Nothing is rekeyed between systems, so a detail captured at the front desk is still there when the claim goes out, and when the remittance comes back.
Walk the workflow with usPart of Multi-Specialty
Family Medicine RCM SoftwareBilling and practice management for family medicine
Internal Medicine RCM SoftwareBilling and practice management for internal medicine
Primary Care RCM SoftwareBilling and practice management for primary care
Geriatrics RCM SoftwareBilling and practice management for geriatrics
Urgent Care RCM SoftwareBilling and practice management for urgent care
General Surgery RCM SoftwareBilling and practice management for general surgery
Ambulatory Surgery Center RCM SoftwareBilling and practice management for ambulatory surgery center
Hospitalists RCM SoftwareBilling and practice management for hospitalists
Hospital Outpatient RCM SoftwareBilling and practice management for hospital outpatient
Emergency Medicine RCM SoftwareBilling and practice management for emergency medicine
Trauma RCM SoftwareBilling and practice management for trauma
Telehealth RCM SoftwareBilling and practice management for telehealth
Home Health RCM SoftwareBilling and practice management for home health
Hospice RCM SoftwareBilling and practice management for hospice
Chronic Care RCM SoftwareBilling and practice management for chronic care
Occupational Medicine RCM SoftwareBilling and practice management for occupational medicine
Clinical Research RCM SoftwareBilling and practice management for clinical research
Oral & Maxillofacial Surgery RCM SoftwareBilling and practice management for oral & maxillofacial surgeryOur engine compares each patient's HCC diagnosis history from the prior calendar year against diagnoses documented in the current year. Any chronic condition that contributed to the prior risk score but has not yet been re-documented is flagged for the care team, ensuring annual recapture and accurate risk-adjusted benchmarks.
The system maintains a real-time registry of open quality measure gaps, such as overdue cancer screenings, diabetic eye exams, or blood pressure controls, for every attributed patient, and automatically generates outreach and scheduling workflows so gaps are closed within the measurement period.
Yes. Our reconciliation engine continuously compares submitted claims and risk adjustment data against the ACO's benchmark methodology, surfacing discrepancies between internal projections and CMS or payer-reported figures well before the annual settlement reconciliation.
Patients eligible for CCM (two or more chronic conditions) or TCM (post-discharge follow-up within required timeframes) are automatically flagged, with time and contact requirements tracked against billing thresholds for codes 99490, 99439, 99487, 99495, and 99496.
The system tracks each attributed patient's AWV eligibility window and prioritizes outreach for patients who have not completed an AWV in the current year, since AWV completion is strongly correlated with both HCC recapture and quality measure closure.
Yes. Our analytics dashboards model how changes in population risk scores, driven by HCC recapture rates, translate into projected adjustments to the ACO's expenditure benchmark and resulting shared savings or shared losses.
Z-codes representing social determinants of health (housing instability, food insecurity, transportation barriers) are tracked as part of comprehensive risk documentation and are surfaced to care management teams to support both coding completeness and care coordination workflows.
Yes. Organizations participating in multiple value-based contracts, Medicare Shared Savings Program, Medicare Advantage risk arrangements, and commercial ACO contracts, can track performance and financial projections separately for each contract within a single unified dashboard.
New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.
Practices like yours, on what changed after moving to Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Connect with a specialized Population Health RCM expert for a personal workflow walkthrough, and see where your current setup is creating avoidable revenue risk.