From the moment a claim is created to the final dollar collected, Rcmaxis manages your entire revenue cycle, specialty-trained, technology-enabled, and built around your practice's specific payer mix.
95%+
Clean Claim Rate
Above the 85% industry average
24h
Claim Turnaround
Submitted within one business day
40–60%
Typical Appeal Overturn Range
First-level clinical denial appeals
30 days
Typical Onboarding
From access to full go-live
Core Services
Medical Billing & Claims
Full-cycle claims management from charge capture through payment posting. Our billers are trained on your specialty's CPT codes, modifiers, and payer-specific rules, ensuring accurate submissions every time.
Charge capture review and clean claim submission
Real-time eligibility and benefits verification
Payment posting and reconciliation
ERA/EOB processing and patient statement generation
Denial Management
Proactive denial prevention and rapid appeal workflows that recover revenue most practices leave on the table. We track every denial by reason code and close the upstream gap before it repeats.
Root-cause denial analysis by payer and code
First-level and peer-to-peer appeal filing
Appeals built to the 40–60% industry overturn range, and better where documentation allows
Denial trending reports and prevention recommendations
Get providers enrolled faster and keep credentials current without administrative bottlenecks. We handle the full credentialing lifecycle so your physicians can start billing from day one.
Initial payer enrollment for Medicare, Medicaid, and commercial plans
Re-credentialing and re-attestation management
CAQH profile maintenance and updates
New provider onboarding in as little as 2 weeks
Available as a standalone service without a billing contract
AAPC-certified coders who know your specialty's documentation requirements inside out. We ensure every encounter is coded to the highest specificity, optimizing reimbursement while minimizing audit risk.
ICD-10, CPT, and HCPCS coding review and optimization
OIG 7-element compliance program alignment
Quarterly coding audits and provider education
Aged AR Recovery
Systematic pursuit of every dollar in your aging AR bucket, from 30-day claims to accounts that have been sitting for over a year. We recover revenue that in-house teams don't have time to chase.
Prioritized AR bucket analysis and recovery strategy
Payer escalation and appeals for aged claims
Patient balance resolution and payment plans
Monthly AR aging dashboards with progress tracking
A dedicated account manager who knows your practice and your payer mix, not a generic support queue. You get proactive communication, monthly performance reviews, and a single point of accountability.
Named account manager for every client
Monthly KPI reports: collections, denial rate, AR days
Payer contract analysis and renegotiation support
EHR/PM system integration and workflow optimization
Coding Validation & Documentation Improvement
Our AAPC-certified coders review charts before billing and coach providers on what to document, so the E/M level, the diagnosis specificity and the modifiers still hold up when a payer or an auditor looks.
Pre-bill validation by AAPC-certified coders
E/M level, modifier and diagnosis specificity review
Denials that start at scheduling are the cheapest ones to prevent. We verify benefits, submit and track prior authorizations and give patients a cost estimate before the appointment, so the claim starts clean.
Underpaid out-of-network claims are a deadline problem as much as a coding problem. We're opening this service to a small number of practices first, so we can run each dispute with full attention.
Telehealth claims get denied usually over a wrong POS code, a missing modifier, or a payer's own parity rule nobody double-checked. We bill virtual visits the way each payer actually wants them, not just the way CMS does.
POS 02/10/11 and modifier 95/GT/GQ/93 accuracy on every claim
RPM billing (99453–99458) tracked against the 16-day transmission threshold
State parity law and payer-specific reimbursement checks
Audio-only and new-patient eligibility rules applied before submission
We analyze your current billing workflow, payer mix, and denial patterns, at no cost and no obligation.
2
Custom onboarding
Your account manager handles EHR integration, payer enrollment, and team training. Most practices are live in 2 weeks.
3
Daily billing operations
Claims submitted within 24 hours of service. Denials worked within 48 hours. You see everything in real time.
4
Monthly performance review
Your account manager presents KPI dashboards, denial trends, and actionable recommendations every month.
See what your practice is leaving on the table.
Our free revenue audit identifies gaps in your current billing process and shows exactly what Rcmaxis would recover, with no obligation and results delivered in 5 business days.