Revenue Cycle Experts

Your end-to-end solution for seamless medical billing services.

Maximize profits. Streamline operations. Power growth.

Revenue Cycle. Optimized, Streamlined, Accelerated.

Revenex RCM is the leading medical billing and revenue cycle management company serving healthcare providers of all sizes and specialties nationwide— including practices, labs, clinics, urgent care centers, specialty groups, DME, healthcare organizations, hospitals, and health systems.  Our service can be delivered as an End-to-End RCM solution or custom support for only the revenue cycle functions you need.

With over 20 years of RCM leadership, we’re more than just medical billers— we optimize revenue, maximize collections, streamline administrative workflows, and reduce operational costs to accelerate growth. Through our expert insights and tech-enabled solutions, Revenex RCM empowers providers to focus on patient care, not paperwork.

You Focus On Patients. Let Us Focus On Your Revenue.

See How Revenex RCM Transforms Revenue Cycles

See latest blogs to uncover compelling ways how Revenex streamlines your medical billing processes, optimizes your revenue cycle, and significantly reduces operational costs.

Maximize Your Revenue Cycle with Revenex RCM's Medical Billing Expertise

At Revenex, we understand the complexities and challenges of medical billing that can place a significant burden on healthcare providers. Our mission is to relieve that burden by offering comprehensive, customized medical billing services that meet the unique needs of your practice.  From private practices to hospital systems, our medical billing services streamline, optimize, and maximize financial performance with full compliance.

Revenex RCM

You Focus on Patients, We Drive Your Revenue

5 Ways Revenex Boosts Your Business

Fragmented billing processes and inefficient collections can lead to revenue loss. Revenex’s systematic approach identifies and rectifies underbilling, undercoding,  and insurance issues. We stop revenue leakage and optimize financial performance in full HIPAA and ISO Compliance.

Revenex RCM - Leading Medical Billing Services in the US

Why Providers Choose Revenex - Medical Billing Specialists

Choosing the right medical billing company is crucial to the financial health of your medical business. Our knowledge of medical billing processes, national client list of providers and healthcare organizations, and innovative use of technology distinguishes Revenex RCM as the right partner who delivers the results you want

Revenex RCM's experienced team comprises seasoned professionals, most of whom previously worked at insurance companies, gaining first-hand knowledge of claims adjudication, denial management, and the nuances of the billing process. This insider perspective of medical billing services allows us to understand the intricacies of medical billing better than most, ensuring that your claims are prepared and submitted accurately and efficiently.

Our team’s deep understanding of proper clinical documentation, charge entry, credentialing, coding accuracy and maximization, and assessments of root cause of denied claims and how to resolve them sets us apart from other medical billing companies in the US. We know the entire process—from claims preparation to denial resolution and professionally assertive accounts receivable collections. We leverage this knowledge for your benefit to optimize medical billing for healthcare providers of all taxonomies.

Compliance is a cornerstone of our medical billing services. We ensure that all our processes are fully compliant with HIPAA regulations and other industry standards. Our secure, encrypted systems protect patient data, and we offer expert guidance to help you navigate the ever-changing regulatory landscape.

By appointing Revenex RCM as your medical billing services provider through a HIPAA-compliant Business Associates Agreement, you can rest assured that your practice’s medical billing services are optimized and current with the latest coding updates and payer rules which we handle for you.

Our policy at Revenex is no hidden fees, no setup, onboarding, or termination costs, and no binding contracts. We firmly believe trust is the foundation of long-term partnerships.  We conduct medical billing services that are transparent, refined, and quality.

We operate under a "Business Associates Agreement" for HIPAA compliance and a Revenex RCM service agreement that appoints us as your billing partner and outlines the scope of services.

In today’s healthcare environment, technology plays a pivotal role in managing your revenue cycle efficiently. At Revenex RCM, we leverage industry-leading applications like Microsoft Teams, Azure VPN, Zoom, Microsoft Cloud and others to provide a robust and seamless experience as your medical billing services partner. Our use of modern tech gives you a convenient experience and allows us to streamline communication, enhance collaboration, and deliver superior results in our medical billing services.

Revenex RCM sets the gold standard for seamless, high-efficiency medical billing services by leveraging your existing practice management software and electronic health records platforms through a secure Microsoft Azure VPN. By conducting our work within the systems you already have, your medical billing services remain secure and familiar, aligned with your current operations, and delivered with accuracy and speed. Our commitment to utilizing your existing medical billing software highlights our confidence and dedication to delivering top-tier medical billing services without disrupting your workflow. Trust Revenex RCM to enhance your medical billing process with a proven approach that combines cutting-edge technology with expert precision in medical billing services; from chart coding, to claims submission, and denials resolution, with consistent progress updates and transparent reporting on the financial insights you need.

Outsourcing revenue cycle management for your medical practice to Revenex RCMprovides substantial savings on the costs of maintaining an in-house billing and coding team. We offer flexible pricing models at a flat hourly rate, or a low percentage, tailored to your specific needs and budget in choosing a top medical billing company. Our approach is designed to maximize efficiency and effectiveness, guaranteeing that you benefit from our top-tier medical billing services.

Your primary focus should be on delivering exceptional care to your patients, not on the administrative burdens of billing and coding. As a medical billing company, Revenex RCM handles these tasks efficiently, allowing you to concentrate on what you do best. By providing streamlined revenue cycle management, we free up your time and resources so that you can enhance patient outcomes and grow your practice while we optimize your medical billing.

Revenex RCM. Our Expertise, Your Benefit.

We provide a host of medical billing services designed to meet the unique needs of each healthcare business.  Whether a private practice or a large, multi-facility hospital, our expertise supports your growth and success.

Tailored Medical Billing Solutions for Small Practices

Small practices face unique challenges in managing their revenue cycles. With limited resources and staff, it’s crucial to have a reliable medical billing company that can handle billing, coding, and collections efficiently.

Revenex RCM offers customized medical billing services for small practices, designed to meet their specific needs. We start with a thorough assessment of your current billing operations, analyzing patient demographics, payer mix, and revenue cycle to identify areas for improvement. Based on this analysis, we develop a tailored billing strategy that enhances cash flow, minimizes claim denials, and reduces administrative overhead.

Our simple onboarding process ensures that your medical billing operations can begin immediately with no downtime. We use DocuSign to finalize our HIPAA-compliant service agreement, and our medical billing services start for your practice as early as the next day. With Revenex RCM, we deliver a smooth transition, immediate support, and a commitment to your business’ financial health.

Comprehensive Medical Billing Services for Large Hospitals

As your practice grows, so do your billing needs. Revenex RCM offers scalable medical billing services that can adapt to the changing demands of large hospitals and multi-specialty clinics. We have the capacity to handle high volumes of claims, manage complex billing processes, and provide comprehensive reporting that gives you visibility into every aspect of your revenue cycle.

Our team of experience professional medical billers and coders allow us to manage your medical billing services with precision and assertiveness, ensuring that you receive the maximum reimbursement for patient care. Whether you need additional support during peak periods or a complete overhaul of your billing process.

Revenex RCM is a Medical Billing Company with Expertise in Solving Industry Challenges

One of the most frustrating aspects of revenue cycle management is dealing with passive follow-up from insurance companies. These delays can lead to significant revenue loss and disrupt your cash flow. At Revenex RCM, we have extensive experience in managing these challenges. Our team knows how to:

We understand the common issues that arise in the industry, from claims denials to payment delays, and we have the expertise to address them effectively. Our proactive approach to revenue management helps you avoid costly delays and ensures that your practice remains financially healthy.

Revenex RCM. Our Expertise, Your Benefit.

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Medical Billing and Coding Expertise

Revenex RCM’s founders have 20+ years of experience in the medical billing industry. Our Billing Production Managers have 10-15 years of experience, and our billers and coders average 5-7+ years. Having this robust team of professionals who understand the complexities of medical billing, coding, and compliance ensures that your practice/ medical business/ healthcare organization receives maximum reimbursement from each third-party payor for patient care services and experiences true growth in your revenue cycle.

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No Binding Contracts or Setup Costs

We establish relationships with our clients founded on efficiency, performance, and confidence by offering utmost flexibility in our service agreements. We believe in building trust without the constraints of a binding contract. We operate under a HIPAA-compliant “Business Associates Agreement,” that appoints Revenex RCM as your medical billing services partner without any long-term commitments.

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24/7 Medical Billing and Coding Operations
24/7 Live Support!

Unlike other medical billing and coding companies in the US, Revenex RCM operates 24 hours a day, 7 days a week.  Our dedicated team ensures that your medical billing and coding services are managed seamlessly, no matter the day of week or time. 

We also provide 24/7 live agent support daytime, nights, weekends, and holidays, offering you constant access to expert assistance whenever you need it. With Revenex RCM you can count on comprehensive support and uninterrupted service, ensuring that your medical billing  and coding services run smoothly at all times.

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User-Friendly Technology

We utilize cutting-edge technology to streamline the medical billing and RCM process, reduce errors, and increase revenue. By leveraging apps such as Microsoft Teams, OneDrive, and Azure, we provide a robust and seamless experience within the Microsoft 365 ecosystem. 

Our streamlined billing services include weekly calls and comprehensive reports that save you time, effort, and cost while empowering you to make informed decisions about your financial performance on a week-to-week basis.

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HIPAA Compliant Services

Revenex RCM keeps you compliant with changing regulations and requirements of Protected Health Information, the HITECH Act, and HIPAA. Our HIPAA-compliant systems ensure that patient data is protected, and we provide expert guidance to help your medical business properly navigate the regulatory landscape.

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Industry-Leading Medical Billing Rates

You can save on the cost of maintaining an in-house billing and coding team by outsourcing your RCM to Revenex RCM. We offer flexible pricing models and customized services that suit your specific needs and budget, with no setup costs, termination fees, or binding contracts.

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We Can Start Immediately

You can start medical billing services with Revenex RCM  immediately, ensuring no downtime for your practice. To onboard, we simply Docusign a Service Agreement and  do a short Kick-Off call as early as the next day. Then we login to your systems and start conducting the billing, coding, and collections for you highly efficiently.

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You Focus on Patients, We Focus on Revenue

By partnering with Revenex RCM, you can focus on patient care instead of worrying about administrative tasks. We handle 14 aspects of revenue cycle management from credentialing to claims management to AR collections and everything in between, allowing you to focus on patient care and daily business management.

Our Comprehensive Medical Billing Services

At Revenex RCM, we offer a full suite of medical billing services that cover every aspect of the revenue cycle, ensuring that your practice’s financial health is secure.  Choose Full-Cycle Medical Billing, or just the specific billing areas you want covered.

Our full-cycle medical billing services encompass all stages of the billing process, from patient registration to the final resolution of claims. We take care of everything, including:

  • Credentialing Services: Credentialing is essential for timely reimbursement. Revenex RCM handles everything from applications to renewals, ensuring your providers are properly enrolled to avoid delays and streamline revenue flow.
  • Patient Registration and Insurance Verification: Accurate patient registration and insurance verification are critical to ensuring that claims are processed correctly. Our team verifies patient information and insurance coverage before services are rendered, reducing the risk of claim denials and delays.
  • Prior Authorizations:  Securing prior authorizations can be complex and time-consuming.  At Revenex RCM, we handle the entire process for you; ensuring approvals before services, reducing denials, optimizing claim approvals, and keeping patient care uninterrupted.
  • Coding and Documentation: Proper coding is essential for accurate billing. Our certified coders are experts in CPT, ICD-10, and HCPCS coding, ensuring that your services are coded correctly and in compliance with payer requirements.
  • Charge Entry:  Accurate charge entry is key to prompt billing.  Our experienced team meticulously enters all relevant data into your billing system, including procedure and diagnosis codes. We double-check every detail to ensure charges align with the services provided and comply with payer requirements.
  • Claims Submission and Tracking: Timely claim submission is key to maintaining a healthy cash flow. We submit claims electronically to reduce processing times and track them throughout the entire process.
  • Payment Posting and Reconciliation: Once payments are received, accurate posting is essential for maintaining financial records. We post payments promptly and reconcile them with your accounts to ensure that everything is in order.

Managing accounts receivable (AR) is one of the most challenging aspects of medical billing. At Revenex RCM, we take a proactive approach to AR management, ensuring that your practice’s cash flow remains strong.

  • Aggressive AR Management: Our team monitors your accounts receivable closely and takes action on any overdue accounts. We reach out to payers and patients to resolve issues and recover outstanding balances.
  • Respectful Collections Process: While we are aggressive in pursuing overdue accounts, we are also respectful of your patients. Our approach to collections is designed to maintain positive relationships with your patients while recovering the revenue your practice is owed.

What is the Denial Management Process?  Denial management in medical billing involves identifying and addressing the issues that cause claim denials. This includes handling current denials while also implementing strategies to prevent future ones, ultimately enhancing cash flow for healthcare providers. At Revenex RCM, we specialize in denial management and appeals for medical practices, ensuring that your claims are processed correctly and any denied claims are addressed promptly.

  • Denial Analysis and Resolution: We analyze the reasons for claims denials and take corrective actions to resolve them. This includes identifying and addressing any issues with coding, documentation, or payer requirements.
  • Appeals Process: When necessary, we prepare and submit appeals to overturn denied claims. Our expertise in the appeals process ensures that your practice has the best chance of recovering denied revenue.

Data-driven insights are essential for optimizing your revenue cycle. Revenex RCM provides comprehensive reporting and analytics to help you make informed decisions about your practice’s financial performance.

  • Revenue Cycle Reports: We provide detailed reports on your revenue cycle, including key performance indicators such as claim submission and payment timelines, denial rates, and accounts receivable aging.
  • Customizable Analytics: Our reporting tools are customizable to meet your specific needs. Whether you need a high-level overview or detailed insights into particular aspects of your revenue cycle, we can provide the information you need to make strategic decisions.

Testimonials

"This is an ideal solution for practices looking to eliminate administrative burdens and lower costs while maximizing revenue and making no changes to their existing RCM. Revenex is extremely supportive and communicative. They are always readily available to answer any questions or concerns. Revenex has one of the lowest rates in the industry and exceptional services - it's truly an easy choice!"

Dr. Neel Patel - Urologist, NJ

"This is an ideal solution for practices looking to eliminate administrative burdens and lower costs while maximizing revenue and making no changes to their existing RCM. Revenex is extremely supportive and communicative. They are always readily available to answer any questions or concerns. Revenex has one of the lowest rates in the industry and exceptional services - it's truly an easy choice!"

Dr. Neel Patel - Urologist, NJ

"This is an ideal solution for practices looking to eliminate administrative burdens and lower costs while maximizing revenue and making no changes to their existing RCM. Revenex is extremely supportive and communicative. They are always readily available to answer any questions or concerns. Revenex has one of the lowest rates in the industry and exceptional services - it's truly an easy choice!"

Dr. Neel Patel - Urologist, NJ

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Get Started with Revenex RCM Today

Experience the difference that Revenex RCM can make for your practice. With our expertise, advanced technology, and commitment to excellence, we’re here to support your success and ensure that your revenue cycle is operating at its best. Contact us today to learn more about our medical billing services and how we can help your practice thrive.

For a consultation, fill out the form on our website. We look forward to partnering with you to enhance your business’ financial performance.

Revenex RCM - The CLEAR choice for your medical billing services.