Featured Case Study
RCx
Fix charge errors before a claim exists.
Revenue cycle management software that catches reimbursement risk while there’s still time to change the charge — with specialty-specific logic built into your existing workflow.
SOC 2 Type II · HIPAA Compliant · HITRUST Certified
Logic for 36+ specialties
- 50% Denial Reduction
- 26% Fewer A/R Days
- 75% less manual tasks
The problem
Denials are a cash-flow problem, not just a rework problem.
A denied claim doesn't just create extra work — it delays revenue, clogs your A/R pipeline, and forces your team into a losing cycle of appeals and rework.
Most denials trace back to preventable errors — coding mismatches, missing documentation, payer rule violations — that happen before the claim is ever submitted. Fixing them after the fact costs 3–5x more than preventing them upfront.
How RCX works
Three steps. Zero surprises.
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01
Review every charge
RCx checks every charge using 2,000+ payer, clinical, and coding logic checks — before the claim is created.
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02
Correct what's wrong
75% of errors are auto-corrected. Flagged items surface to the right person with the right context — no guesswork.
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03
Route it clean
Clean claims go to the PM with confidence. Your payer acceptance rate goes up. Your A/R days come down. Every time.
Key features & benefits
Focus on prevention, not recovery.
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Pre-claim charge review
Every charge reviewed against payer rules before the claim exists.
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Auto-correction
Most coding errors fixed automatically — no manual rework queue.
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Logic that stays current
Payer, coding, and specialty logic consistently aligned as requirements change.
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36 specialties out of the box
Start with proven reimbursement logic, then tailor it to the way your team bills.
Who it's for
Built for the people who run revenue.
Standardize reimbursement decisions across locations and specialties without flattening the payer-specific logic each one requires.
Spend expertise on clinical nuance and exceptions, not corrections your team already knows how to make.
Predictable cash flow, fewer A/R days, and revenue that arrives on the first submission instead of after an appeal.
Keep reimbursement logic current without another EHR build or replacing the systems your teams already use.
Customer results
Real numbers. Measured outcomes.
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US Dermatology Partners
Large-scale dermatology
10FTEs reallocated
One of the largest dermatology groups in the U.S. cut manual charge entry by 11 hours a day and reduced coding denial tasks 75%.
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Eleanor Health
Behavioral health
15 → 1day month-end close
A payer-specific bundled billing process made every claim a custom review. Automation cut charge-entry lag from 9 days to 4 and improved employee satisfaction 24%.
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Vision Innovation Partners
One of the largest ophthalmology networks
~$1MDaily A/R velocity
VIP reached a 97.5% first-pass, first-pay rate and reduced FTE counts 30% through attrition without backfills.
Common questions
Answered clearly, no sales pitch.
What is revenue cycle management software?
Revenue cycle management software helps healthcare organizations move from encounter to reimbursement. RCx works earlier, reviewing and correcting charges before the claim is created in the practice management system.
How does RCx help prevent denials?
RCx catches coding and billing risk while the encounter can still be changed. It corrects known errors and routes exceptions for review before they become claim edits or denials.
What can RCx identify?
RCx identifies coding, modifier, bundling, sequencing, medical necessity, payer-specific, and organization-specific billing risk. Logic can be tailored by payer, specialty, provider, location, and workflow.
Does RCx replace the EHR or practice management system?
No. RCx works with the systems you already use — including NextGen, athena, ModMed, Valent, and 20+ others — adding a pre-claim review and correction layer between them.
What happens to claims RCx flags but can't auto-correct?
They surface to the right person on your team with the context needed to fix them, before the claim goes out.
How is RCX priced?
Pricing scales with your organization and claim volume. Book a demo for a quote tailored to your specialty and volume.
Move known corrections out of the queue.
Review every charge upstream and resolve repeatable errors automatically.
Book a demo20+ EHR/PM integrations · Specialty depth from day one