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Premium RCM

Maximize Your Practice Revenue

Boost your revenue with Medexa RCM’s advanced billing solutions. Our RPA-powered system ensures 99% claim accuracy, 26-day payments, free credentialing, 20% revenue growth, and steady cash flow through proactive A/R follow-ups.

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Trusted by

500+ Physicians

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Catering to

40+ Specialties

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1100+ Certified

Medical Billers & Coders

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End-to-End

RPA Billing Solutions

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Up to 98% First Pass

Clean Claim Rate

About RCM

How Our Revenue Cycle Services Work

At Medexa RCM, we take a comprehensive, technology-driven approach to Revenue Cycle Management (RCM), optimizing every step of the patient-to-payment process. We begin with accurate patient registration and eligibility verification to capture precise information and minimize claim denials. Our certified coding specialists handle ICD-10 and CPT coding with care, ensuring proper charge capture, maximum reimbursement, and reduced compliance risk. By leveraging advanced RCM technology, we monitor claims in real time, proactively identifying and resolving issues to keep your revenue cycle running smoothly. Our team also manages denial prevention, appeals, and revenue recovery, helping you secure payments that might otherwise be lost. We provide timely payment posting and financial reconciliation, giving your practice complete visibility and control over its cash flow. With Medexa RCM, healthcare providers experience faster reimbursements, fewer administrative burdens, and a streamlined financial process that strengthens both revenue and patient care.

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About

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Refractive Surgery

ShapeClaim Journey

Key Steps in Medical Billing and Coding Services

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Securing Your Data: A HIPAA-Compliant Approach
At Medexa RCM, we prioritize data security with advanced safeguards that exceed HIPAA standards, ensuring your healthcare information stays protected throughout the revenue cycle.

Support Line 24/7

+(402) 435 796

Online Schedule

+(402) 435 796

Uptime Assurance

Achieve an impressive 99.9% uptime to ensure continuous RCM services availability.

HIPAA Compliance

Rigorous measures are in place to meet and exceed HIPAA regulations.

SOC-1 & SOC-2

Adhered to both SOC-1 and SOC-2 protocols for the highest industry standards in security.

Disaster Recovery

We ensure data accessibility through robust disaster recovery measures.

ShapeOur Specialties

Expert Medical Billing for Every Specialty

Medexa RCM delivers tailored billing solutions for primary care, specialty clinics, and surgical centers — ensuring accuracy, faster reimbursements, and HIPAA compliance.

EfficiencyStreamlined Workflow

From Registration to Collections: Our Comprehensive RCM Solutions

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Appointment Scheduling

Our RCM services begin with efficient appointment scheduling. By leveraging advanced scheduling systems, we optimize appointment slots, reducing wait times and enhancing patient satisfaction. .

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Patient Registration

Accurate and detailed patient information is the foundation of effective medical billing. Our patient registration process is meticulous, ensuring that all necessary details are captured..

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Eligibility and Benefits Verification

Our front desk management team ensures that patients’ eligibility and benefits are verified accurately before services are rendered..

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Utilization Review

Our utilization review ensures that the medical services provided align with HIPAA guidelines, optimizing reimbursement while maintaining insurance compliance..

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Referral Authorization

Our RCM services navigate the complex landscape of referral authorization. We ensure that necessary approvals are obtained and prevent claim denials and delays..

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Describing Changes

We ensure that any changes in coding, billing, or regulatory requirements are promptly implemented, reducing the risk of compliance issues..

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Coding and Billing

Our team of experienced medical billing specialists employs accurate coding practices, eliminating cash flow inconsistencies..

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Charge Posting

We ensure that charges are posted on time, contributing to a robust cash flow framework. .

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Submitting Claims

By adhering to practice standards and using advanced technology, we expedite the claims submission process. .

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Clearing Housing Denials

Our experts promptly address claim denials, identifying root causes and implementing corrective measures to prevent future issues. .

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Payment Posting

Our systems ensure that payments are posted promptly directly to the provider’s account. .

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Denial Management

Our billing specialists give effective denial management strategies involving a systematic approach to identifying and preventing claim denials. .

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Secondary Filling

For claims that require secondary filing, we ensure a seamless process, maximizing reimbursement opportunities and reducing the risk of revenue loss. .

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Accounts Receivable

Our AR specialists handle the posting of payments received from insurance companies and patients to improve turnaround times. .

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Appeal Procedure

Our appeal procedure is well-defined, addressing denied claims through a strategic appeals process. .

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Patient Billing/Collections

Transparent and accurate patient billing is a priority for Transcure, fostering positive patient experiences. .

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Have any questions?

Frequently asked Question

Medical billing is the process of submitting and following up on claims to health insurance companies to get paid for medical services. This process is complex and involves several steps, starting with patient registration, demographic entry, and insurance verification. Once those steps are complete, the process moves on to charge entry where services are added, then medical coding, where medical procedures are translated into CPT and ICD-10 codes. Then claim submission where the coded claims are sent to insurance for payment.

Our fee is a transparent starts from 2.99 % of net collections—no hidden charges.

We import your payer rules, set up ERA/EFT, and go live in 14 days.

Revenue cycle management (RCM) is the total process of managing the finance of a healthcare organization from patient registration to payment posting. This complex process has many steps, including managed billing, charge capture, coding and insurance verification. Effective RCM allows healthcare facility providers to have an improved cash flow, reduce administrative burdens and optimize their finances. By managing the entire revenue cycle, healthcare specialists can focus more on patient care while keeping their financial house in order.
Medical billing is the process of submitting and following up on claims to insurance companies to get paid for services rendered by healthcare providers. It’s a big part of the revenue cycle and directly affects the financial health of medical provider.

We handle claim denials by thoroughly analyzing the root cause, correcting errors, and promptly resubmitting the claims. For appeals, we gather necessary documentation, follow payer guidelines, and advocate for accurate reimbursement.

Yes, absolutely! We utilize real-time claim scrubbing software to identify and rectify errors before submission. By addressing incomplete information, coding errors, and insurance verification processes, we can streamline billing and improve efficiency.

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