Our Services | Revonex RCM | Medical & Dental Billing Solutions

Clinical Cash Flow

End-to-End Medical Billing

We manage your complete billing cycle from patient registration to final reimbursement collection. Our team ensures that your codes are validated, claims are submitted promptly, and payments are posted daily.

Claims Submission: Daily submission of medical claims to clearinghouses with real-time tracking.
Payment Posting: Accurate entry of insurance ERAs and patient payments to maintain clean ledger books.
Patient Statements: Dispatching statements and answering billing calls to assist patients politely.

98% Collection Rate

ICD-10 • CPT • HCPCS

Precise Compliance

AAPC Certified Coding

Errors in coding lead directly to claims denials and compliance risks. Our team of certified medical coders parses clinical charts to output precise diagnosis and procedure codes.

ICD-10-CM & CPT: Specialized coding for complex clinical procedures and general office consultations.
HCPCS Level II: Accurately billing supplies, orthotics, equipment, and injectable drugs.
Compliance Validation: Continual coding audits to prevent audit penalties and downcoding.

Dental Administration

CDT Coding & Dental Claims

Dental billing is distinct and requires detailed knowledge of CDT code sequences, attachments, and insurance benefit structures. We handle your entire dental back office billing.

CDT Coding Accuracy: Ensuring proper codes for restorations, crowns, root canals, and hygiene visits.
Eligibility Breakdown: Direct insurance communication to verify deductibles, maximums, and history limitations.
Payer Resubmissions: Sending X-rays, narrative statements, and charting to resolve dental claim reviews.

CDT Claims Certified

A/R Recovery Audit

Revenue Recovery

Relentless A/R Management

Aged accounts receivable represents lost revenue. Revonex RCM utilizes a structured claim tracking mechanism to auditing, following up, and recovering aged claims over 30, 60, and 90+ days.

Aged AR Audits: Comprehensive scrub of old ledgers to separate recoverable claims from write-offs.
Denial Management: Isolating rejection patterns, submitting appeals, and resolving clinical reviews.
Payer Disputes: Directly engaging insurance adjusters to address clearinghouse connectivity errors.

Enrollment Solutions

Practitioner Credentialing

Staying in-network is essential to expand your patient base. Our credentialing team manages complex enrollment documents, licenses, and payer validations on your behalf.

Payer Enrollment: Setting up Medicare, Medicaid, and private commercial insurance networks.
CAQH Setup: Creating and keeping your CAQH profiles fully updated and re-attested.
Re-credentialing: Tracking dates proactively to submit renewals prior to expiration.

In-Network Enrollment

Financial KPI Reports

Financial Clarity

Revenue Cycle Analytics

Gain absolute transparency over your practice's financial performance. We compile data to reveal bottlenecks, denial frequencies, and provider collections ratios.

Performance Tracking: Monthly balance summaries, aging reports, and cash reconciliation charts.
Customized Dashboards: Modern graphics mapping collections trends per clinical provider.
KPI Monitoring: Track Days Sales Outstanding (DSO), net collections rates, and claim rejections.