Claims & charge capture
Encounter review, coding support, claim scrubbing, electronic submission, and payment posting that actually ties out.
RxRevenue LLC runs the full revenue cycle for practices that are tired of denials, dirty claims, and payer files that never match the contract. Coding to cash. Rosters to appeals. We handle it.
One company. One accountable owner. No handoffs into a call center that doesn’t know your TIN from your NPI.
Encounter review, coding support, claim scrubbing, electronic submission, and payment posting that actually ties out.
CO-16, CO-197, CO-45, eligibility, authorization, and medical necessity — worked with documentation, not hope.
CAQH, payer enrollment, taxonomy, group adds, and network-load corrections so claims stop denying as out of network.
Aged A/R worklists, underpayment recovery against contracted rates, and secondary billing that doesn’t sit.
Clear statements, payment plans, and a front desk script that doesn’t torch the relationship to collect a copay.
Days in A/R, first-pass yield, denial mix, net collection, and payer scorecards — monthly, in plain English.
Most practices don’t need another portal login. They need someone who will open the ERA, call the payer, fix the roster, and tell the owner the truth about why money is stuck.
Payer mix, denial codes, credentialing files, clearinghouse setup, and 90 days of claims performance.
Work the aged A/R and the dirty-claim rules first so deposits move while the system is rebuilt.
Eligibility, authorizations, coding habits, and payer participation files — so new claims don’t inherit old problems.
A monthly operating review. No vanity dashboards. Just what collected, what didn’t, and who owns the next fix.
RxRevenue LLC is built for independent practices, groups, and specialty clinics that have been burned by offshore queues and “we submitted it” updates. We stay inside the work: payer portals, CAQH, contracts, and the claim.
“If the claim denied because the nurse practitioner loaded as the wrong specialty, that is not a billing problem. That is a revenue-cycle problem. We treat it as one job.” — RxRevenue LLC
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RxRevenue LLC
Revenue cycle management · Medical billing