REVENUE CYCLE MANAGEMENT
Revenue Cycle Management Services
Revenue cycle management (RCM) is every step that turns a patient visit into collected revenue: scheduling, eligibility, coding, claims, payment posting, denials and follow-up. When these steps are split across people and tools, revenue leaks in the gaps. AviRex RCM brings the whole cycle under one accountable team and one process, so nothing falls between departments.
THE SIX STAGES WE MANAGE
The six stages we manage
Registration and eligibility
Patient and insurance details are captured and verified before the visit.
Charge capture and coding
Documentation is translated into accurate ICD-10-CM, CPT and HCPCS codes.
Claim scrubbing and submission
Claims are checked against payer rules before electronic submission.
Payment posting
Remittances are posted and reconciled against expected reimbursement.
Denial management
Denied and underpaid claims are investigated, corrected and appealed.
AR follow-up and reporting
Aging accounts are worked on a regular cadence, with reporting back to your team.
RCM VS MEDICAL BILLING
RCM versus medical billing
Medical billing is one part of RCM. RCM covers the full journey, including front-end registration and eligibility, coding, claims, denials and reporting. If you need only claim submission, billing may be enough. If you want better cash flow and control, you need the whole cycle managed.
WHAT WE TRACK
The numbers we track with you
- ✓First-pass claim acceptance rate
- ✓Denial rate and top denial reasons
- ✓Days in accounts receivable (AR)
- ✓Net collection rate
- ✓Charge lag (time from visit to claim submission)
WHY ONE TEAM MATTERS
Why a single accountable team matters
When one team owns the whole cycle, a problem found at the end (such as a denial) can be traced back to its cause at the start (such as missing eligibility or a coding gap) and fixed there. That is how denials fall over time instead of repeating.
WHY PRACTICES CHOOSE AVIREX RCM
Why practices choose AviRex RCM
- ✓One process, one owner. No handoff gaps between billing, coding and follow-up.
- ✓Full visibility. Clear reporting so you always know where revenue stands.
- ✓A dedicated team that learns your specialty and payer mix.
RELATED SPECIALTIES
We also support practices in:
COMMON QUESTIONS
Revenue Cycle Management Services — FAQ
RCM includes patient registration and eligibility, coding, claim submission, payment posting, denial management, AR follow-up and reporting.
Yes. We review open AR and denials first, then transition in stages so cash flow is not interrupted.
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