Full-Service RCM

Every part of your revenue cycle, handled end to end.

From the moment a patient books an appointment to the moment their balance hits zero, DiRevNexus owns each stage of the billing process — so nothing falls through the cracks and nothing sits waiting on your desk.

12RCM & digital services
98.7%Average clean-claim rate
24 DaysAverage days in A/R
30%Avg. collections lift
RCM 8 Services
Eligibility
Coding
Claims
Denials
Posting
AR Follow-up
Credentialing
Reporting
Eligibility Verification Medical Coding Claims Submission Denial Management Payment Posting AR Follow-Up Credentialing Reporting & Analytics Website Development Web Designing App Development SEO Eligibility Verification Medical Coding Claims Submission Denial Management Payment Posting AR Follow-Up Credentialing Reporting & Analytics Website Development Web Designing App Development SEO
12 Ways We Grow Your Practice

Every service, at a glance

Tap a category to filter, or click any card to jump straight to the details.

Service 01

Eligibility Verification

We verify insurance coverage and benefits before every scheduled visit — not after the claim is denied. That means fewer surprises for patients and fewer write-offs for your practice.

  • Real-time eligibility checks 48–72 hours before appointments
  • Coverage, copay, and deductible details delivered to front-desk staff
  • Prior authorization tracking for procedures that require it
  • Automatic re-checks for rescheduled or recurring appointments
Eligibility Check
99.2%Verified before visit
<5 minAvg. verification time
Blue Cross · ActiveVerified
Aetna · ActiveVerified
Medicare · ActiveVerified
Service 02

Medical Coding

Our AAPC-certified coders assign accurate ICD-10, CPT, and HCPCS codes for every encounter — maximizing compliant reimbursement while keeping you audit-ready.

  • Specialty-specific coders trained on your field's modifiers
  • Automated coding-risk flags before submission
  • Quarterly internal audits against current payer guidelines
  • Documentation feedback loop back to your providers
Coding QA
99.4%Coding accuracy rate
12Specialties covered
CPT 99214 · ReviewedPassed
ICD-10 I25.10 · ReviewedPassed
Modifier -25 · ReviewedPassed
Service 03

Charge Entry & Claims Submission

Charges are captured and claims submitted the same day — scrubbed against payer-specific rules before they ever leave the building, so more of them get paid the first time.

  • Same-day charge capture from your EHR or superbills
  • Automated claim scrubbing catches errors pre-submission
  • Electronic submission to 5,000+ payers nationwide
  • Real-time claim status tracking through payer acceptance
Claims Queue
98.7%Clean-claim rate
<24hSubmission turnaround
Claim #48213 · CardiologySubmitted
Claim #48214 · OrthoSubmitted
Claim #48215 · DermSubmitted
Service 04

Denial Management & Appeals

Every denied or underpaid claim gets a root-cause review, correction, and resubmission — with formal appeals filed on anything a payer disputes unfairly.

  • Denials worked within 48 hours of receipt
  • Root-cause tracking to prevent repeat denials
  • Formal written appeals with supporting documentation
  • Monthly denial-trend reporting by payer and reason code
Denial Recovery
1.8%Current denial rate
82%Denials overturned
Claim #47810 · AppealedOverturned
Claim #47822 · AppealedOverturned
Claim #47901 · ResubmittedPaid
Service 05

Payment Posting & Reconciliation

ERA and EOB payments are posted daily and reconciled against your contracted rates — down to the cent — so underpayments never slip by unnoticed.

  • Daily electronic remittance (ERA) posting
  • Contracted-rate reconciliation flags underpayments automatically
  • Secondary and tertiary claim routing handled automatically
  • Monthly reconciliation reports tied directly to your bank deposits
Payment Ledger
$1.42MPosted this month
<24hPosting turnaround
ERA Batch #2201 · ReconciledMatched
ERA Batch #2202 · ReconciledMatched
ERA Batch #2203 · UnderpaidFlagged
Service 06

Patient Billing & AR Follow-Up

Clear, easy-to-read patient statements paired with courteous follow-up calls — protecting your reputation with patients while steadily bringing down your aged AR.

  • Plain-language patient statements, mailed or emailed
  • Structured follow-up cadence at 30 / 60 / 90 days
  • Online patient payment portal with card-on-file option
  • Friendly, US-based patient support line
AR Aging
24 DaysAverage days in A/R
-46%Avg. AR reduction
0–30 days · $210KCurrent
31–60 days · $84KIn progress
90+ days · $19KFlagged
Service 07

Provider Credentialing

Payer enrollment and re-credentialing tracked from application to approval — so a provider is never accidentally dropped from a network they should be billing on.

  • New-provider payer enrollment managed start to finish
  • Automatic re-credentialing reminders before expiration
  • CAQH profile maintenance and attestation
  • Single dashboard tracking every payer's status
Enrollment Status
45–90Days avg. enrollment
0Missed renewals to date
Aetna · Dr. ReyesActive
Medicare · Dr. ParkActive
UnitedHealthcare · PendingIn review
Service 08

Reporting & Analytics

Custom dashboards and monthly business reviews turn raw billing data into decisions — clean-claim rate, denial trends, and net collections, all in one place.

  • Live dashboard updated daily, not monthly
  • Custom KPI tracking by provider, payer, or location
  • Monthly business review call with your account manager
  • Exportable reports for board and investor updates
Monthly Review
+18.4%Collections MoM
LiveDashboard refresh
Net Collections · Report ReadyNew
Denial Trend · Report ReadyNew
AR Aging · Report ReadyNew
Beyond Billing

Digital & growth services for your practice

Getting paid faster is only half the equation — getting found by new patients is the other. DiRevNexus also builds and grows your online presence, available as a standalone engagement or bundled with your RCM plan.

Service 09

Website Development

A fast, secure, HIPAA-conscious website built to convert visitors into booked appointments — not just a digital business card. We build, host, and maintain it so your team doesn't have to.

  • Custom-built sites on a fast, secure, mobile-first stack
  • Online appointment requests and patient intake forms
  • HIPAA-conscious contact forms and hosting practices
  • Ongoing hosting, updates, and uptime monitoring included
Site Build
<2sAvg. page load time
99.9%Uptime SLA
Homepage · PublishedLive
Appointment Form · ConnectedLive
SSL Certificate · ActiveSecured
Service 10

Web Designing

Clean, trustworthy design tailored to your specialty and brand — because patients judge a practice's credibility within seconds of landing on the page.

  • Custom UI/UX design built around patient trust and clarity
  • Brand-consistent visuals across your site and patient materials
  • Accessibility-conscious layouts (WCAG-aligned)
  • Responsive design tested across devices and browsers
Design System
100%Mobile-responsive
WCAGAccessibility-aligned
Brand Palette · ApprovedDone
Wireframes · ApprovedDone
Patient Portal UI · In ReviewDraft
Service 11

App Development

Custom patient-facing and internal apps — appointment booking, secure messaging, and practice dashboards — built for iOS, Android, or the web.

  • Patient-facing apps for booking, reminders, and messaging
  • Internal staff apps connected to your billing dashboard
  • Cross-platform builds for iOS, Android, and web
  • Ongoing support, updates, and app store maintenance
App Build
iOS + AndroidCross-platform
4.8★Avg. client app rating
Booking Flow · BuiltLive
Push Notifications · BuiltLive
Staff Dashboard · TestingQA
Service 12

SEO

Search engine optimization built for healthcare — so patients searching for your specialty in your city find you before they find the practice down the street.

  • Local SEO and Google Business Profile optimization
  • Specialty and location-targeted keyword strategy
  • Technical SEO audits and ongoing site health monitoring
  • Monthly ranking and traffic reports tied to new patient leads
Search Rankings
+64%Avg. organic traffic lift
Top 3Local pack ranking goal
"Cardiologist near me" · RankingPage 1
Google Business Profile · OptimizedLive
Monthly Report · ReadyNew
Engagement Models

Pricing built around your results, not ours

Most clients choose percentage-of-collections pricing because it keeps our incentives aligned with yours. Flat and hybrid models are available for select specialties. Website, app, and SEO services are quoted separately and can be bundled with any plan.

Flat Monthly Fee

A predictable monthly rate based on claim volume — ideal for high-volume, lower-complexity practices.

  • All 8 core RCM services included
  • Volume-based monthly pricing tiers
  • Live reporting dashboard
  • Best for 500+ claims/month practices
Get Free Assessment

Hybrid Model

A lower base fee plus a smaller collections percentage — a middle ground many multi-location groups prefer.

  • All 8 core RCM services included
  • Reduced base + collections blend
  • Live reporting dashboard
  • Best for multi-location groups
Get Free Assessment
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.

Patient Registration & Eligibility

Insurance verified before the visit, in real time.

01

Charge Capture & Coding

Certified coders apply accurate, compliant codes.

02

Claim Scrubbing

Automated + manual checks catch errors pre-submission.

03

Electronic Claims Submission

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

04

Payment Posting

ERA/EOB reconciled against contracted rates daily.

05

Denial & Appeal Management

Every denial worked, corrected, and resubmitted.

06

Reporting & Analytics

Monthly reviews turn your data into a growth plan.

07
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

Services FAQ

Questions about how our services work

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

Still have a question about our services?

A real revenue cycle specialist — not a bot — will get back to you within one business day.

Ask Us Directly
01 · Service scope
02 · Onboarding
03 · EHR integration
04 · Pricing
05 · Multi-specialty
06 · Cancellation
07 · Digital services
Most clients use the full end-to-end service, but we also support standalone engagements — for example, denial management only, or credentialing only — if that's what fits your current setup.
Most practices are fully transitioned within 2–4 weeks, including data migration, payer setup, and staff training — with no gap in claims submission.
Yes. DiRevNexus 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.
Most engagements are billed as a percentage of net collections, aligning our incentives directly with your revenue. Flat-fee and hybrid arrangements are available — see the engagement models above.
Yes. We currently bill across 12 specialties, and multi-specialty groups are assigned coders certified in each relevant field rather than a single generalist.
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.
Yes. Website development, web design, app development, and SEO are all available as standalone engagements, independent of our RCM services — though most clients choose to bundle them for a consistent brand experience.

Ready to see it running on your data?

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