Revenue Cycle Management

Clean claims. Faster payments. Zero billing headaches.

RevNexus manages end-to-end medical billing for US practices and hospitals — from eligibility checks to final payment posting — so your team gets back to patient care, not paperwork.

Denial Management

We recover the revenue you've already earned.

Our certified coders and AR specialists chase every denied and underpaid claim — appealing, correcting, and resubmitting until your practice is paid in full.

HIPAA-Compliant Platform

Enterprise-grade security. Small-practice care.

Every claim runs through an encrypted, audited, HIPAA-compliant workflow — built and staffed entirely in the United States, with a dedicated account manager for you.

Real-Time Analytics

Watch your revenue cycle, live on one dashboard.

Track clean-claim rate, days in A/R, and net collections in real time — with clear reporting your CFO will actually enjoy reading.

98.7%Clean claim rate
24 DaysAverage days in A/R
200+Providers served nationwide
15 YrsCombined RCM experience
Live Revenue Snapshot
$1.42M
▲ 18.4% MoM
Clean Claim Rate98.7%
Denial Rate1.8%
Claim ApprovedJust now · $4,280.00
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Trusted by 200+ US healthcare providers HIPAA & SOC 2 aligned processes 98.7% average clean-claim rate 100% US-based billing specialists Integrates with your existing EHR / PM Trusted by 200+ US healthcare providers HIPAA & SOC 2 aligned processes 98.7% average clean-claim rate 100% US-based billing specialists Integrates with your existing EHR / PM
98.7%
Average clean-claim rate across all specialties
24days
Average days in accounts receivable
30%
Average lift in net collections for new clients
200+
Providers & practices served nationwide
The Revenue Cycle

One connected cycle, managed end to end

Every dollar your practice earns travels through six stages — from the moment a patient books an appointment to the moment the balance hits zero. RevNexus owns every stage, so nothing falls through the cracks.

  • Fewer denials, from the first submission

    Eligibility and coding checks catch errors before claims ever leave the building.

  • Faster turnaround on every claim

    Same-day charge entry and submission keeps your cash flow moving.

  • Full visibility, no black box

    Live reporting shows exactly where every claim and dollar stands, always.

See the full RCM service list
RCM
Managed end to endEvery stage handled by one dedicated RevNexus team
01
RegistrationEligibility check
02
CodingICD-10 / CPT
03
SubmissionClean claims
04
PostingPayment applied
05
DenialsAppeal & recover
06
AR Follow-upPatient balance
What We Do

Medical billing & RCM services built for every stage

From eligibility to final reconciliation, our certified team handles the entire billing lifecycle — accurately, compliantly, and fast.

Eligibility Verification

Real-time insurance and benefits checks before every visit, so surprise denials never reach the claim stage.

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Medical Coding

AAPC-certified coders apply accurate ICD-10, CPT and HCPCS codes to maximize compliant reimbursement.

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Charge Entry & Claims Submission

Same-day charge capture and electronic claims submission to keep your revenue moving without delay.

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Denial Management & Appeals

Root-cause analysis, correction, and aggressive appeals on every denied or underpaid claim.

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Payment Posting & Reconciliation

ERA/EOB payments posted daily and reconciled against expected reimbursement, down to the cent.

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Patient Billing & AR Follow-Up

Clear patient statements and courteous follow-up that protects your reputation while recovering balances.

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Provider Credentialing

Payer enrollment and credentialing managed and tracked, so you're never left off a network.

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Reporting & Analytics

Custom dashboards and monthly reviews that translate billing data into decisions you can act on.

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Our Process

Seven steps from patient visit to paid claim

A disciplined, repeatable workflow — refined across 200+ practices — keeps every claim moving and every dollar accounted for.

01

Patient Registration & Eligibility

Insurance verified before the visit, in real time.

02

Charge Capture & Coding

Certified coders apply accurate, compliant codes.

03

Claim Scrubbing

Automated + manual checks catch errors pre-submission.

04

Electronic Claims Submission

Same-day submission to payers, tracked end to end.

05

Payment Posting

ERA/EOB reconciled against contracted rates daily.

06

Denial & Appeal Management

Every denial worked, corrected, and resubmitted.

07

Reporting & Analytics

Monthly reviews turn your data into a growth plan.

Industries We Serve

Specialty-specific billing expertise

Every specialty bills differently. Our coders are trained on the codes, modifiers, and payer rules specific to your field.

Cardiology

Complex procedure & device coding

Orthopedics

Surgical & imaging bundles

Behavioral Health

Time-based & telehealth codes

Family & Internal Medicine

High-volume E/M optimization

Dermatology

Procedure-heavy modifier accuracy

Radiology

Global vs. professional split billing

DME Suppliers

Prior authorization & HCPCS

Physical Therapy

Unit-based & therapy cap tracking

Why RevNexus

A billing partner that acts like part of your staff

No offshore call centers, no black-box reporting — just US-based specialists who know your specialty and answer the phone.

01

Dedicated account manager

One point of contact who knows your practice, not a rotating help desk.

02

100% US-based billing team

Every coder and biller works from the United States under strict HIPAA controls.

03

Transparent, real-time reporting

See exactly what we see — no waiting on a monthly PDF to know how you're doing.

04

No long-term lock-in contracts

We earn your business every month with results, not a binding agreement.

Client Outcomes

Practices see measurable results within the first 90 days.

99%
Client retention rate, driven by consistent collections and communication.
HIPAA-aligned US-based team EHR agnostic No lock-in
Technology & Analytics

Your revenue cycle, visualized in real time

RevNexus layers modern analytics on top of your existing EHR / practice management system — no rip-and-replace required.

Live Dashboards

Clean-claim rate, denials, and AR aging — updated daily.

EHR / PM Integrations

Works with the systems your practice already runs on.

AI-Assisted Coding QA

Automated checks flag coding risk before submission.

Automated Eligibility

Instant coverage checks run before every scheduled visit.

revnexus-portal / overview
Net Collections$1.42M▲ 18.4%
Days in A/R24▼ 6 days
Denial Rate1.8%▼ 0.6%
Collections Trend — Last 6 Months+18.4%
Claim #48213 — Cardiology
Claim #48214 — OrthoPending
Claim #48215 — Derm
Security & Compliance

HIPAA-compliant by design, not as an afterthought

Patient data is handled with the same rigor a hospital compliance officer would demand — because that's exactly who reviews our processes.

HIPAA-Aligned Workflows

Policies, training, and access controls built around the HIPAA Security & Privacy Rules.

End-to-End Encryption

PHI encrypted in transit and at rest across every system we touch.

Signed Business Associate Agreements

Every engagement begins with a fully executed BAA — no exceptions.

Full Audit Trails

Every claim touchpoint is logged and reviewable for compliance audits.

HIPAA-Aligned SOC 2-Aligned Controls 100% US-Based Staff AAPC-Certified Coders 256-bit Encryption
Client Stories

What practice managers say about working with us

Real feedback from the administrators and physicians who trust RevNexus with their revenue cycle.

★★★★★

Our clean-claim rate jumped within the first quarter and denials that used to sit for months now get resolved in days. RevNexus feels like an extension of our front office.

JM
Jennifer M.Practice Manager, Multi-Specialty Clinic, TX
★★★★★

The reporting alone was worth switching. For the first time our board can see exactly where every claim stands without asking me to pull a report.

DR
Dr. Daniel R.Orthopedic Surgeon, OH
★★★★★

Credentialing used to take us months and cost us revenue. RevNexus's team handled our entire payer enrollment and stayed on top of every renewal.

AS
Amanda S.Administrator, Behavioral Health Group, FL
Case Studies

Measurable results, specialty by specialty

A closer look at how RevNexus improved revenue outcomes for three practices across different specialties.

Cardiology Group
12 Providers
-64%
Denial rate

Cutting denials by more than half

A regional cardiology group struggling with a 9% denial rate moved their full billing operation to RevNexus within 60 days.

+27%Net collections
Read the story
Family Practice
5 Locations
-46%
Days in A/R

Days in A/R cut nearly in half

Faster charge entry and daily payment posting brought a five-location family practice's AR aging back under control.

99.1%Clean claim rate
Read the story
DME Supplier
Statewide
$310K
Recovered in 90 days

Recovering six figures in old claims

A backlog of aged, unresolved DME claims was fully worked and recovered by our denial management team.

92%Backlog resolved
Read the story
FAQ

Questions practices ask before switching

Can't find your answer? Reach out and a real RCM specialist will get back to you within one business day.

Most practices are fully transitioned within 2–4 weeks, including data migration, payer setup, and staff training — with no gap in claims submission.
Yes. RevNexus is EHR/PM agnostic and integrates with the major systems used across US practices, so you don't need to switch software to switch billing partners.
We review 90 days of your billing data and provide a written report covering clean-claim rate, denial trends, days in A/R, and specific opportunities to improve collections — at no cost.
Most engagements are billed as a percentage of net collections, aligning our incentives directly with your revenue. Flat-fee arrangements are available for select specialties on request.
Yes. All PHI is encrypted in transit and at rest, access is role-based and logged, and every engagement begins with a signed Business Associate Agreement (BAA).
We don't lock clients into long-term contracts. Service can be paused or ended with 30 days' notice, and we'll support a clean handoff of your data.

Ready to stop chasing claims?

Get a free, no-obligation review of your current revenue cycle — most practices see their first improvement within 30 days.

Get In Touch

Get your Free RCM Assessment

Tell us about your practice and a revenue cycle specialist will follow up within one business day.

Let's talk revenue.

Whether you're evaluating a first-time outsourced billing partner or switching from an underperforming one, our team is ready to walk you through the numbers.

Call us+91 6283793516 · Mon–Fri, 8am–7pm ET
Email usinfo@direvnexus.com
Headquarters30 N Gould St Ste N, Sheridan, Sheridan County, WY 82801, US
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