What's included
Specialty billing — full scope, no add-ons
Every engagement includes the complete scope below. No hidden tiers, no extra fees.
Specialty-Specific Coding
ICD-10, CPT, and modifier expertise across orthopedics, cardiology, dermatology, gastroenterology, urology, and neurology — coded correctly the first time.
Prior Authorization Management
We handle all prior auth requests, follow-ups, and appeals across every payer. Fewer delays, faster approvals, more procedures getting billed.
Payer Contract Optimization
We audit your payer contracts and flag underpayments. Our team knows what each payer should be paying for each specialty code.
Denial Prevention & Appeals
Specialty denials often hinge on documentation and modifier usage. We identify root causes and correct upstream processes to stop repeat denials.
24-Hour Claim Submission
Claims go out within 24 hours of service with a 98.4% first-pass clean claim rate — reducing days in AR and accelerating collections.
HIPAA-Compliant Operations
Fully HIPAA compliant and SOC 2 Type II certified. All patient data encrypted at rest and in transit. Regular audits and staff training.
See what your practice is leaving on the table.
Our free revenue audit identifies gaps in your specialty billing and shows exactly what Rcmaxis would recover — results in 5 business days, no obligation.