Revenue Cycle Management Services, One Team End to End.
Medfix provides revenue cycle management services that cover the full claim journey, from patient eligibility to final payment. As your outsourced RCM partner, one team owns every claim, so fewer claims are denied and your A/R stays under control.
35+ specialties coded
What Our Revenue Cycle Management Services Include.
Every item below is part of the service — not an upsell, not an add-on line on your invoice.
- Front-desk eligibility and demographic capture
- Coding, charge entry and claim submission
- Denial management and structured appeals
- A/R follow-up worked by aging bucket
- Payment posting and monthly KPI reporting
How Our Outsourced Revenue Cycle Management Works.
Audit
We review 90 days of claims, denials and A/R to find exactly where revenue is leaking.
Transition
We connect to your EHR and clearinghouse, agree SLAs and set the reporting cadence.
Run and report
Daily claim work, weekly A/R review and a monthly KPI pack you can act on.
Revenue Cycle Management FAQs
Do we have to change our EHR?
No. We work inside the system you already use — Epic, athenahealth, eClinicalWorks, NextGen, Kareo, AdvancedMD and others.
How is pricing structured?
A percentage of collections for full RCM, so our incentive matches yours. Flat-fee options are available for single services.
Related Medical Billing Services.
Eligibility & Benefits Verification
Coverage, copays, deductibles and plan limits confirmed before the visit — so the claim isn't dead on arrival.
Prior Authorization
Auth requests filed, chased and documented — fewer cancelled procedures and far fewer auth-related denials.
Medical Coding (CPT, ICD-10, HCPCS)
CPC-certified coders across 35+ specialties, with a second-level quality review on every batch before it goes out.
