Is full RCM cheaper than hiring in-house?

For most practices under 20 providers, yes — once you count salary, benefits, software, clearinghouse fees, training and coverage for absence. We will model it against your actual numbers during the audit.

Do we lose visibility by outsourcing?

You gain it. You keep full access to your system, plus a weekly dashboard and monthly review that most in-house operations never produce.

What happens if performance slips?

Targets are contractual and reviewed monthly. Engagements are month-to-month, so the accountability is real rather than rhetorical.

One accountable team for the entire revenue cycle

Eligibility, coding, billing, denials, A/R, patient collections and credentialing run as a single system — with one scorecard and one point of accountability.

Get a free analysis (239) 748-0627

99%: First-pass claim acceptance
42 days: Average days in A/R
98.6%: Net collection rate
50: US states served

Medical billing specialist collaborating with a clinician

Talk to a revenue cycle management specialist

Send us your numbers. You get a written analysis of what is recoverable, within one business day.

Full name*

Practice name

Work email*

Phone*

Specialty

State

Monthly claim volume

Service of interest

What would you like us to look at?

HIPAA-aware handling. We never share your details. No contracts to sign to talk to us.

Fragmented revenue cycles fail at the seams. A coding vendor blames documentation, the biller blames coding, the front desk blames the payer, and the A/R quietly ages past 90 days while everyone is technically right.

Medxcode runs the whole cycle under one team and one scorecard, so there is no seam to fail at and no one to point at but us.

The full cycle, in order

Each stage has a defined SLA, an owner and a metric. If a metric slips, you see it on the weekly dashboard, not in next quarter's financials.

Pre-visit: eligibility, benefits, prior authorization, patient estimate
Point of service: charge capture, patient responsibility collection
Coding: certified assignment and review, documentation feedback
Claims: scrubbing, 24-hour submission, rejection clearing
Payments: ERA posting, contractual variance detection, secondary billing
Denials: root-cause tagging, appeals, prevention rules
A/R: daily follow-up by bucket, underpayment recovery
Patient A/R: statements, plans, card-on-file
Credentialing: enrollment, re-credentialing, expirable tracking
Analytics: KPI dashboard, payer scorecards, monthly review

The metrics we commit to

We set targets with you at onboarding and report against them every month. These are the numbers that decide whether a revenue cycle is healthy:

First-pass claim acceptance rate above 97%
Net collection rate above 97% of contracted allowable
Days in A/R under 45, trending to under 40
A/R over 90 days under 15% of total
Denial rate under 6%, with under 2% written off
Clean patient statement cycle within 5 days of adjudication

Built for growth, not just maintenance

Adding a provider, a location or a payer contract is a revenue cycle event. Our RCM engagements treat growth as planned work: credentialing starts before the start date, fee schedules are loaded before go-live, and reporting segments the new line of business from day one.

How it works

Onboarding that does not interrupt your clinic

01
Diagnostic
Free audit of claims, denials, A/R and credentialing to establish a baseline and a target.
02
Transition
Parallel-run onboarding across billing, coding and A/R with no gap in submissions.
03
Stabilize
Clean-claim discipline, daily denial and A/R cadence, backlog recovery.
04
Optimize
Contract review, payer scorecards, documentation education and quarterly business reviews.

Packages

Revenue Cycle Management packages built around volume, not lock-in

Managed service fees start at 3.99% of monthly collections. Specialized projects receive a written custom scope based on volume, complexity and the work required.

Core RCM

3.99%

of monthly collections

Single-provider and small practices

Eligibility, billing and payment posting
Coding review
Denial correction and refiling
Patient statements
Monthly reporting
Month-to-month. No setup fee. No long-term lock-in.

Most chosen

Full RCM

3.99%

of monthly collections

Growing groups from 2 to 20 providers

Everything in Core RCM
Full coding by certified coders
Managed denial workflow and appeals
Aged A/R recovery included
Credentialing maintenance included
Weekly dashboard, monthly review call

Enterprise RCM

Custom scope

proposal based on volume and scope

Multi-site, multi-specialty organizations

Everything in Full RCM
Multi-TIN and multi-location structure
Payer contract negotiation support
Custom integrations and data warehouse feeds
Named account team and QBRs
Compliance and audit response program

Calculator

See the numbers before you talk to us

Full revenue cycle ROI calculator

Model the combined impact of clean claims, denial recovery and faster A/R.

Monthly collections$420,000

Average monthly cash collected today.

Denial rate13%

Share of claims denied on first submission.

Current days in A/R64

Total A/R divided by average daily charges.

Projected annual revenue improvement

Estimated annual cost saving versus your current in-house model

Monthly collections: $0
In-house cost / month: $0
Medxcode cost / month: $0

Estimates use benchmark recovery rates from comparable US practices. Your written analysis replaces these estimates with numbers from your own payer mix.

Want this modelled on your real data?

Send the form your figures and we will rebuild this estimate from your payer mix, fee schedule and current aging — free, in writing, with no obligation.

Written analysis within one business day
Line-item view of recoverable revenue
Root-cause list for your top denials
No contracts required to receive it

Try the full custom cost calculator →

Send me this analysis

We will use the figures you moved above as a starting point.

Full name*

Practice name

Work email*

Phone*

Specialty

State

Monthly claim volume

Service of interest

What would you like us to look at?

HIPAA-aware handling. We never share your details. No contracts to sign to talk to us.

Proof

Revenue Cycle Management results from real practices

-52%

Eligibility denials

Urgent care network cuts front-end eligibility errors by 52%

Urgent Care · Arizona

Revenue lost to enrollment delay

Multi-specialty group opens a new location with zero billing delay

Multi-Specialty · Georgia

99.4%

First-pass acceptance

Pediatric group reaches 99.4% clean claims across four locations

Pediatrics · Ohio

FAQ

Revenue Cycle Management questions we get every week

Is full RCM cheaper than hiring in-house?: For most practices under 20 providers, yes — once you count salary, benefits, software, clearinghouse fees, training and coverage for absence. We will model it against your actual numbers during the audit.
Do we lose visibility by outsourcing?: You gain it. You keep full access to your system, plus a weekly dashboard and monthly review that most in-house operations never produce.
What happens if performance slips?: Targets are contractual and reviewed monthly. Engagements are month-to-month, so the accountability is real rather than rhetorical.