Professional Medical Billing Services by Revenex RCM

Who we serve

For individual physicians and small group practices, navigating the complexities of medical billing and coding can be a daunting task. Revenex RCM, a leader among medical billing companies in USA, provides specialized medical billing services tailored to the unique needs of practices. Our comprehensive medical billing and coding services streamline the revenue cycle, ensuring compliance with insurance requirements and reducing administrative burdens. With our expert support, practices can focus on delivering top-notch patient care while we handle their medical billing and revenue cycle management with precision and efficiency.

Clinics, whether general or specialized, require efficient and effective billing solutions to manage high patient volumes and diverse services. As one of the top medical billing companies in USA, Revenex RCM offers customized medical billing services designed to optimize revenue and improve operational efficiency. Our advanced medical billing and coding services reduce claim denials and enhance cash flow, allowing clinics to maintain a seamless workflow. Choose Revenex RCM for reliable, professional medical billing and coding support that empowers your clinic to thrive.

Laboratories in the USA, handling a high volume of tests and diagnostic procedures, require precise and timely medical billing and coding services to secure accurate reimbursements. As one of the top medical billing companies in USA, Revenex RCM specializes in laboratory billing and coding, offering comprehensive medical billing services that include accurate claim submissions, denial management, and revenue optimization. Our expertise in medical billing and coding for labs ensures financial stability, allowing laboratories to focus on delivering high-quality diagnostic services without financial concerns.

Urgent care centers face unique challenges in managing a fast-paced medical billing environment with diverse patient needs and varying insurance policies. Among the leading medical billing companies in USA, Revenex RCM delivers efficient medical billing and coding services tailored for urgent care centers. Our specialized medical billing services streamline claim processing, manage patient accounts, and handle the complexities of urgent care billing, ensuring that urgent care centers maintain seamless operations and robust financial health.

Specialty groups, such as cardiology, orthopedics, or oncology, require specialized medical billing and coding services due to the complexity of their services and procedures. Revenex RCM stands out among medical billing companies in USA, providing tailored medical billing and coding services that address the unique needs of specialty groups. Our expertise ensures accurate coding, compliance, and optimized revenue for specialty practices, making us a preferred choice among medical billing companies in USA.

Hospitals, with their extensive range of services and departments, demand a robust billing and revenue cycle management system. Revenex RCM offers comprehensive medical billing services for hospitals, including claims processing, denial management, and financial reporting. As one of the leading medical billing companies in USA, we manage the scale and complexity of hospital operations, enhancing revenue cycle efficiency and overall financial performance through expert medical billing and coding services.

Healthcare systems, which encompass multiple facilities and diverse services, benefit from Revenex RCM's integrated medical billing and coding services. We provide scalable solutions that cater to the needs of large healthcare networks, offering consistent billing practices and centralized revenue cycle management. As a top option among medical billing companies in USA, our comprehensive support helps healthcare systems streamline operations, enhance financial performance, and maintain high standards of patient care across their entire network.

At Revenex RCM, our medical billing consulting services are designed to optimize your healthcare organization’s medical billing and coding processes. Our expert consultants and medical billing and coding teams work closely with healthcare providers to identify areas for improvement, reduce denials, and accelerate payments. We immerse ourselves in your practice to provide tailored strategies that enhance billing processes, technology use, and internal staff efficiencies for medical billing and coding. With our medical billing services, your practice is well-positioned to thrive through a more streamlined, optimized, and lucrative revenue cycle management with Revenex RCM.

Revenex RCM: Our Medical Billing Expertise

At Revenex, our Medical Billing Services are meticulously designed to address the specific needs of healthcare providers. We focus on streamlining the billing process to ensure accuracy, compliance, and timely submissions, which are critical for maximizing revenue and minimizing delays in reimbursements. Here’s a detailed look at what our Medical Billing Services offer:

Choose Revenex to align with one of the leading medical billing companies that offers comprehensive medical billing consultation and management, supported by a dedicated team of experts from top medical coding companies.

Our Process

Medical Billing Performance Assurances Inhouse Billing Freelance Billing limpid logo
Coding and billing entry in PMS yes yes yes
Routine claims follow up yes yes yes
Clearing house & payer rejection resolution yes yes yes
First level reconcillation of coding and billing yes yes yes
Cost effectiveness no yes yes
Stat/Walk-in patient EV & authorization yes no yes
HIPAA compliance & data security guarentee yes no yes
24 hours TAT for billing/charge posting yes no yes
Payment posting & cache application within 24 hours of receipt yes no yes
Aging claims & A/R resolution specialty yes no yes
Standard month end reports yes no yes
Monthly bank reconcillation yes no yes
Routine Provider Enrollment & Annual Recredentialinge provider yes no yes
Expert Reconciliation for LMRP/LCD and NCCI Edits no no yes
Complete Credentialing & New Provider Onboarding no no yes
Clearing House Rejection Preventions through Proactive Data- Driven Analysis no no yes
Denial Prevention through Proactive Data-Driven Analysis no no yes
Ad Hoc On-Demand Reports & RCM Analysis no no yes
7-14 Days Lead in Prior Authorizations & Eligibility Verifications no no yes
Every Denial Worked within 48 Hours of EOB Receipt no no yes
DSO: < 25 Days no no yes
Professional, Reliable Management of Entire RCM Process no no yes
Monthly Practice Health Analysis with Action Plans Provided no no yes
In-House Staff Training no no yes
Monthly & Quarterly Charge Audits no no yes
Practice-Based Process Formation to Reduce Charge Lag no no yes
Implementation of Additional Revenue Opportunities no no yes
Dedicated Account Manager & Fixed Team To Streamline Communication no no yes
Monthly Audits to Identify Underpayments & Underbilling Instances no no yes
Technology & Expertise Leverage From Revenex RCM’s Affiliate
Partners
no no yes
24/7 PMS & EHR Support no no yes
24/7 RCM Operations Performed no no yes
Provider/Practice Involvement Efforts and Cost in Hiring, Training, Managing Employees for RCM Process yes yes no

Courtesy RCM Analysis – Expert Medical Billing and Coding Reports Included

Engage in a thorough evaluation of your existing Revenue Cycle Management (RCM) processes with Revenex RCM, a leader among medical billing companies in the USA, to identify inefficiencies and optimize your medical billing services for enhanced financial performance. Our medical billing and coding expertise ensures that every aspect of your billing process is streamlined and effective.

Designing a Custom Medical Billing Process for Revenue Growth

Design and implement a customized program specifically developed to boost your practice’s revenue through strategic improvements and targeted medical billing initiatives. Provided by one of the top medical billing companies in the USA, our tailored medical billing and coding services are crafted to address your unique needs and drive financial success.

Identifying Under Coding, Under Payments, and Under Billing Instances

Utilize our expertise in medical billing and coding services to detect and rectify underpayments, undercoding, and billing errors. Our thorough approach ensures accurate reimbursements and maintains compliance across all transactions, providing you with reliable and efficient medical billing services.

Expert Accounts Receivable Collections and Denied Claims Resolution

Leverage the expertise of Revenex RCM, one of the premier medical billing companies in the USA, to expertly manage and resolve legacy accounts receivable and denial issues. Our specialized medical billing services enhance your practice’s financial recovery efforts and streamline your billing processes.

Accelerated Claims Processing and Turnaround Time in Medical Billing Services

Minimize turnaround time (TAT) for claims with our expedited reconciliation processes. Revenex RCM’s efficient medical billing and coding services deliver a quicker and more dependable revenue cycle, enhancing your practice’s financial performance. Experience the benefits of timely reimbursements and improved cash flow with our proactive approach to claims management.

Ensure Rapid Reimbursement with a 25-Day DSO

Achieve daily sales outstanding (DSO) of less than 25 days from claim submission to payment posting through our top-tier medical billing services. By leveraging our efficient medical coding processes, real-time claims tracking, and proactive follow-up, Revenex consistently achieves an impressive Daily Sales Outstanding (DSO) of just 25 days for our clients. From the moment a claim is submitted, we ensure reimbursement is received from insurance companies within an average of 25 days leading to faster payments for your medical business.

Achieve 98% Clean Claim Ratio

Experience excellence with a 98% First Claim Pass Ratio, ensuring high approval rates and minimizing delays in the medical billing cycle for your practice. Our focus on accurate medical billing and coding services as a one of the medical billing companies translates to fewer claim rejections and a smoother revenue stream.

Integrated Support for Practice Management Systems (PMS) and Electronic Health Records (EHR)

Benefit from seamless integration and support for PMS and EHR systems, optimizing your practice’s medical billing and coding services with enhanced interoperability and efficiency. Our solutions ensure that your medical billing services are fully aligned with your practice management tools.

24/7 Operations and Live Support for Medical Billing Services

Take advantage of our 24/7 operational support with live agents ready to provide continuous medical billing and coding services. Our round-the-clock availability ensures consistent and reliable coverage for your practice at all times, delivering high-quality medical billing services whenever you need them.

Detailed Updates on Medical Billing Revenue

Stay informed with comprehensive updates on all your medical bills, including their current status—whether paid, denied, in process, or rejected. Our advanced system provides up-to-date insights into each claim’s progress, keeping you in control of your practice’s financial health with effective medical billing and coding services.

Out Tech Secure Framework

Security Beyond HIPAA Compliance

Business Associate Agreement (BAA)

We sign an industry standard BAA with our Practices/Hospitals, covering all HIPAA and data security intricasies.

Cutting Edge Hardware

Equipped with 2023 Dell, Cisco, and Netgear hardware, our systems prioritize modern efficiency and security.

VPN Accessibility

Revenex subscribes to the Microsoft Azure VPN, which all our work is channeled over for integrity control. This HIPAA compliant VPN is used to identify, authenticate and isolate user access.

Cloud-Centric Approach: Microsoft 365

All data, including email, files, and folders resides exclusively on Microsoft 365 Cloud. Each client receives a private Microsoft OneDrive folder for seamless and protected file transfers.

Encrypted Communication Lines

Vonage, hosted on the cloud, is our phone line with SIP over TLS to encrypt and protect call data. We offer optional cloud-based recording upon request for our clients.

AAA Security Framework

Our data access operates within a robust AAA security framework, ensuring authentication, authorization, and accounting measures are in place.

EDR

Revenex utilizes "Endpoint Detection and Response" that integrates ongoing monitoring, analytics of endpoint data, and automated responses to efficiently identify and thwart cyber threats.

Isolated Network Access

Our local network remains isolated from public networks, bolstering the overall security infrastructure.