Revenue cycle management

Medical billing that collects — not just submits.

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.

Commercial Medicare Advantage Medicaid / TennCare Workers’ Comp Self-pay & statements

Everything between the visit and the deposit.

One company. One accountable owner. No handoffs into a call center that doesn’t know your TIN from your NPI.

Claims & charge capture

Encounter review, coding support, claim scrubbing, electronic submission, and payment posting that actually ties out.

Denial management

CO-16, CO-197, CO-45, eligibility, authorization, and medical necessity — worked with documentation, not hope.

Credentialing & rosters

CAQH, payer enrollment, taxonomy, group adds, and network-load corrections so claims stop denying as out of network.

AR & underpayments

Aged A/R worklists, underpayment recovery against contracted rates, and secondary billing that doesn’t sit.

Patient billing

Clear statements, payment plans, and a front desk script that doesn’t torch the relationship to collect a copay.

Reporting you can run a practice on

Days in A/R, first-pass yield, denial mix, net collection, and payer scorecards — monthly, in plain English.

How engagement works

We take the backlog. Then we take the process.

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.

01

Intake & chart the leaks

Payer mix, denial codes, credentialing files, clearinghouse setup, and 90 days of claims performance.

02

Stabilize cash

Work the aged A/R and the dirty-claim rules first so deposits move while the system is rebuilt.

03

Lock the front of the cycle

Eligibility, authorizations, coding habits, and payer participation files — so new claims don’t inherit old problems.

04

Report and stay on it

A monthly operating review. No vanity dashboards. Just what collected, what didn’t, and who owns the next fix.

Why RxRevenue

A billing company that still picks up the phone.

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.

  • Owner-accountable — not a ticket number.
  • Network and roster work included, because billing dies when the file is wrong.
  • Transparent fees tied to collections and scope — not mystery add-ons.
  • HIPAA-ready workflows, BAAs, and least-privilege access to your PMS.
“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

Send the last 30 days of denials. We’ll tell you where the money is.

Prefer email? Reach RxRevenue LLC directly and attach a denial report, payer mix, or roster file. This form opens your mail app so nothing is stored on a server.

RxRevenue LLC

Revenue cycle management · Medical billing