HIPAA & HITECH Compliant RCM
MediNexus
B I L L I N G
AAPC Certified • 100% HIPAA Compliant Services

Precision Medical Billing & RCM Services

From patient pre-registration to surgical coding and aged debt liquidation, explore our specialized clinical modules engineered to cut days in A/R and maximize practice collections.

98.6% First-Pass Clean Rate•< 24 Days Average DSO•100% EHR-Agnostic Integration
Featured Flagship Solution

Revenue Cycle Management (RCM)

Eliminate administrative friction, reduce days in Accounts Receivable (A/R) down to under 24 days, and guarantee every dollar earned in clinical care is collected.

First-Pass Clean Claim Rate98.8%
Average Days in A/R (DSO)< 24 Days
Net Revenue Lift+18.4%
Revenue Cycle Management (RCM)
Revenue Cycle Management (RCM)
Comprehensive 360° Solution
Full-Cycle RCM

Revenue Cycle Management (RCM)

End-to-end clinical workflow optimization from patient pre-registration to final ERA posting and bank deposit.

First-Pass Clean Claim Rate98.8%
Average Days in A/R (DSO)< 24 Days
100% EHR-Agnostic Seamless Integration
Dedicated Billing Squad & Financial Lead
Verified Case Study:"High staff turnover caused delayed billing submissions, with average days in A/R climbing to 54..."
Medical Billing & Claims Processing
High-Velocity Claims
Claims & Cash Flow

Medical Billing & Claims Processing

Flawless electronic claim dispatch, automated clearinghouse scrub, and aggressive reimbursement tracking.

Electronic Submission Speed< 24 Hours
Clean Claim Acceptance98.6%
24-Hour Rapid Encounter Submission
Automated Secondary & Tertiary Crossover
Verified Case Study:"Staff was overwhelmed with high patient volume. Claims were submitted 2 to 3 weeks late, result..."
Medical Coding & Compliance Audits
AAPC & AHIMA Certified
Coding & Compliance

Medical Coding & Compliance Audits

AAPC and AHIMA certified clinical coders guaranteeing ICD-10, CPT, and HCPCS accuracy and audit defense.

Coding Accuracy Rate99.2%
Under-Coding Recovery+14.6%
Specialty-Dedicated Certified Coders
Lawful E/M Level Optimization
Verified Case Study:"Surgeons were under-coding complex multi-level arthroscopic procedures out of audit fear, and f..."
Denial Management & Appeals
85.2% Appeal Win Rate
Claims & Cash Flow

Denial Management & Appeals

Aggressive root-cause denial prevention and high-yield commercial & CMS appeal processing.

Appeal Recovery Rate85.2%
Overall Denial ReductionUp to 82%
Root-Cause Elimination Engine
Evidence-Backed Clinical Appeal Letters
Verified Case Study:"Commercial insurers repeatedly denied intensive outpatient and psychotherapy add-on codes (+908..."
Prior Authorization & Eligibility
24-48h Clearance
Specialized Ops

Prior Authorization & Eligibility

Fast-track clinical pre-authorizations and eliminate treatment bottlenecks and unbillable patient care.

Approval Turnaround Speed24-48 Hours
Front-End Accuracy99.6%
Zero Patient Treatment Cancellations
Reclaim Clinical Staff Hours
Verified Case Study:"Over 30% of scheduled spinal injections and MRIs were delayed or cancelled due to lengthy eviCo..."
Provider Credentialing & Enrollment
Payer Enrollment
Specialized Ops

Provider Credentialing & Enrollment

Comprehensive commercial and government payer enrollment, CAQH management, and privilege re-credentialing.

Enrollment Acceleration40% Faster
Payer Networks Covered100+ Plans
Accelerated Physician Onboarding
Continuous Automated Attestation Tracking
Verified Case Study:"The clinic hired two new pediatricians but was facing a 6-month credentialing delay with BlueCr..."
Old A/R Recovery & Aged Debt Clean-Up
Aged Recovery Taskforce
Claims & Cash Flow

Old A/R Recovery & Aged Debt Clean-Up

Aggressive audit and recovery of aged 60+, 90+, and 120+ day balances before filing limits expire.

Aged Recovery Rate65% - 78%
Cash Injection Timeline< 30 Days
Immediate Liquidity Injection
Contingency Project Flexibility
Verified Case Study:"The practice had over $620,000 in aged A/R sitting over 90 days that their internal billing tea..."