We verify coverage, benefits, and authorization requirements before the appointment preventing denials before they happen.
Certified coders apply accurate, specialty-specific CPT, ICD-10, and HCPCS codes to ensure every billable service is captured correctly the first time.
Every claim is scrubbed for errors and compliance issues before submission maximizing first-pass clean claim rates and minimizing rejections.
We post payments from payers and patients promptly, flagging underpayments and discrepancies for immediate review.
Denied or underpaid claims are analyzed, corrected, and resubmitted fast with appeal letters built to reverse decisions and recover revenue.
Our AR team proactively tracks outstanding claims and patient balances, reducing days in AR and preventing write-offs.
Transparent, real-time reporting gives you full visibility into collections, denial trends, and financial performance so you always know where your revenue stands.
| Category | In-House Billing | Outsourced RCM (Medix Revenue Group) |
|---|---|---|
| Staffing | Hire, train & manage billing staff | Dedicated specialists, zero hiring burden |
| Overhead Costs | Salary, benefits, software, training | Predictable, performance-based pricing |
| Denial Follow-Up | Often delayed due to staff bandwidth | Proactive, real-time denial management |
| Coding Accuracy | Varies with staff experience | Certified, specialty-specific coders |
| Scalability | Requires new hires as volume grows | Scales instantly with your practice |
| Reporting & Visibility | Manual, inconsistent reporting | Real-time dashboards & analytics |
| Staff Turnover Risk | Billing knowledge walks out the door | Consistent team, no knowledge gaps |
| Focus | Staff juggling billing + other duties | 100% dedicated to your revenue cycle |