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Medical Billing & Revenue Cycle Management

Where Is Your Revenue Getting Stuck?

More than medical billing. Complete revenue cycle management. Medical billing submits claims; revenue cycle management protects the whole path from eligibility to final payment, which is where revenue actually goes missing. CareVixis manages that whole path.

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Revenue Can Slip Away Long Before Anyone Notices.

Submitting the claim is only one step. Money can be lost at five points along the way, often without a single alert.

  • Before the claimCoverage was never checked, or the documentation doesn't support the code.
  • While it's processedA claim is rejected at the front end and sits uncorrected.
  • After a denialNobody appeals it, or the same problem denies the next claim too.
  • At patient collectionBalances go unbilled, unclear or unfollowed.
  • In aging ARUnpaid claims age past the point anyone follows up.

CareVixis watches the whole path, not just the claim.

More on this: 7 top revenue leakage sources in practices

Every Step of Your Revenue Cycle, Managed.

  1. Eligibility
  2. Documentation
  3. Coding & Claim Prep
  4. Claim Submission
  5. Payment Posting
  6. Rejections & Denials
  7. AR Follow-Up
  8. Patient Balances
  9. Reporting
  1. Eligibility Verification

    Coverage checked before the visit, so plan problems surface before a claim does.

    How eligibility checks work
  2. Documentation

    Notes reviewed for gaps that would weaken the claim.

  3. Coding & Claim Preparation

    Codes checked by our proprietary coding engine and claims scrubbed before they go out.

    Improving your clean claim rate
  4. Claim Submission

    Claims submitted promptly and tracked until they are paid.

  5. Payment Posting

    ERAs and EOBs posted and reconciled against expected reimbursement, with underpayments flagged.

    The payment posting workflow
  6. Rejections & Denials

    Rejections and denials both go through VixisTrace™, then are corrected, appealed and followed to resolution.

    Denial management explained
  7. AR Follow-Up

    Open balances worked by age, payer and amount, not left to expire.

    An AR follow-up workflow
  8. Patient Balances

    Clear statements, payment plans and follow-up that respect the patient relationship.

    Patient portals and collections
  9. Reporting

    Collections, denial trends, payer performance and aging, in plain terms.

    The billing KPIs worth tracking

New to this? Read the difference between medical billing and revenue cycle management or see the full revenue cycle flow chart.

A Rejected Claim Gets More Than a Resubmit.

Correcting a rejected claim gets that one claim paid. It doesn't explain why it failed. VixisTrace™, our claim root cause analysis technology, finds out why, corrects it, tracks it, and addresses the cause behind it.

  1. Detect
  2. Investigate
  3. Identify
  4. Correct
  5. Prevent
  6. Resubmit
  7. Verify
  8. Monitor

The objective is continuous improvement: identify preventable patterns, address their causes, and reduce unnecessary repeat failures.

How VixisTrace™ works → What VixisIQ™ does →

How It Works

01

Assess Your Revenue Cycle

Start with the free assessment. We look at where revenue is getting stuck, from eligibility to AR.

02

Take Responsibility

CareVixis takes ownership of the revenue cycle work, inside your current EHR or on the CareVixis platform.

03

Measure & Improve

We measure the work against where you started and keep improving the process behind it.

If We're Responsible for It, We Can Tell You Where It Stands.

Ask about any claim, denial or balance and get a straight answer from the people doing the work.

Where it is

Submitted, pending, paid, rejected, denied or with the patient.

What happened

What the payer did, and why.

What we did

The correction, appeal or follow-up already taken.

What happens next

The next step, and who owns it.

On the CareVixis platform, you also get dashboards under your practice's brand. Keeping your own systems, you get the same answers from our team.

Why Practices Trust CareVixis With Their Revenue

  • 100% US-based. No outsourcing.Every biller, coder and account manager is in the United States. No billing work is offshored.
  • Direct accessYou reach the people who run your account, and the founder. Not a call center or a ticket queue.
  • Our own technologyWe write every line of code and host it in US data centers. Custom development for your practice is included.
  • Keep your EHRWe work inside your current system. Moving to the CareVixis platform is an option, never a requirement.
  • One accountable teamNeed credentialing, phones or marketing too? The same team can take those on.
  • Published pricing6% of insurance collections for Core RCM, 8% all-in. Nothing on patient payments. Nothing on patient payments. See pricing
$13,000+
Collected in the first month

MindfuLife Therapy had claims a previous biller had written off. In the first month, CareVixis collected more than $13,000 of them.

A result from one practice. Yours will depend on your practice.

Common Questions

What is the difference between medical billing and revenue cycle management?

Medical billing prepares and submits claims. Revenue cycle management covers the whole path around them: eligibility before the visit, documentation and coding, payment posting, rejections and denials, AR follow-up, patient balances and reporting. CareVixis manages all of it.

Do I have to change my EHR to use CareVixis for billing?

No. CareVixis can work inside your current EHR, or you can move to the CareVixis platform when you are ready. Either way, one team is accountable for your revenue cycle.

What does CareVixis charge for revenue cycle management?

CareVixis Core RCM is 6% of insurance collections and includes billing, clearinghouse services, VixisIQ™ revenue intelligence and VixisTrace™ claim root cause analysis. VixisConnect™ communications and VixisGrowth™ growth services are +1% each, so all-in is 8%. You pay nothing on patient payments (copays, deductibles, coinsurance and self-pay). There are no hourly rates: billing and AR follow-up are covered by the percentage.

Find Out Where Your Practice May Be Losing Revenue.

Take the Free Practice Assessment

Free. No obligation. No email required.

Or talk to us for 15 minutes

Billing Processes Claims. Revenue Management Owns the Outcome.

CareVixis manages the revenue cycle beyond claim submission. VixisIQ™ provides visibility into revenue patterns and payer behavior; VixisTrace™ supports claim investigation and root-cause resolution. The technology supports the work, while one accountable CareVixis team owns the process.

Take the Free Practice Assessment