info@orbixrcm.com +1 (302) 260-6496 Mon - Fri: 9:00 AM - 6:00 PM EST

Full Revenue Cycle Management

A holistic approach to your practice's financial health, from patient registration to final balance resolution. Every touchpoint optimized for maximum revenue.

The OrbixRCM Revenue Cycle Process

We manage every touchpoint of your revenue journey for optimal cash flow

1
Pre-Service Eligibility

Verification of benefits before the patient arrives to prevent front-end denials and ensure accurate patient financial responsibility upfront.

2
Charge Capture & Coding

Accurate entry of clinical encounters with expert coding for proper reimbursement. Real-time scrubbing eliminates errors before submission.

3
Claim Filing & Submission

Daily electronic submission to clearinghouses with real-time tracking. Secondary and tertiary claims automatically filed to maximize reimbursement.

4
A/R Management & Follow-up

Relentless chasing of unpaid claims, aggressive appeals of denials, and patient billing to ensure your cash flow never stops.

Complete RCM Services

Comprehensive revenue cycle management covering every operational touchpoint

Patient Registration

Complete demographic and insurance information collection with real-time eligibility verification to reduce front-end denials.

Medical Coding

AAPC-certified coders ensuring accurate ICD-10, CPT, and HCPCS coding with proper modifier assignment for maximum reimbursement.

Claim Preparation

Real-time claim validation and scrubbing before submission. All payer-specific requirements verified for first-pass acceptance.

Electronic Claim Submission

Daily electronic submission through multiple clearinghouses with real-time tracking and status updates.

Payment Posting

Automated ERA processing and manual EOB posting with reconciliation and adjustment tracking for complete transparency.

Analytics & Reporting

Weekly and monthly performance reports showing key metrics, trends, and areas for improvement.

Benefits of Full RCM

What you'll gain from comprehensive revenue cycle management

Increased Revenue

Proper coding, timely submission, and aggressive follow-up ensure maximum reimbursement from every claim.

Faster Cash Flow

Reduced days in A/R through accurate claims and aggressive follow-up means faster cash in the door.

Compliance Assurance

Expert coding and documentation practices eliminate audit risk and ensure full regulatory compliance.

Reduced Staff Burden

Your team is freed from billing operations and can focus on patient care and practice growth.

Complete Visibility

Real-time dashboards and detailed reporting show exactly where your revenue stands at all times.

Expert Partnership

Dedicated account managers and billing experts who proactively optimize your revenue cycle performance.

Our RCM Workflow

Optimized processes at every step of the revenue cycle

Front-End Optimization

Pre-service eligibility verification, benefits analysis, and patient financial responsibility collection prevent denials before they happen.

Middle-Office Excellence

Accurate charge capture, expert coding, and real-time claim scrubbing ensure clean claims with 98%+ first-pass acceptance.

Submission Strategy

Electronic submission through multiple channels, secondary billing automation, and real-time tracking from submission to payment.

Back-End Follow-Up

Aggressive A/R management, denial appeals, and patient billing collections maximize revenue realization and minimize write-offs.

98% First-Pass Claim Rate

Industry-leading accuracy with real-time scrubbing

15% Average Revenue Increase

Clients see significant improvement in reimbursement

30 Days Reduced DSO

Days Sales Outstanding improvement through efficient RCM

Seamless EMR & System Integration

We work with all major EHR and billing systems

Direct EMR Integration

Real-time integration with your electronic health records for automatic charge capture and seamless data flow.

Cloud-Based Solutions

Secure, HIPAA-compliant cloud infrastructure accessible from anywhere with real-time access to your data.

Payer Connections

Direct connections to major insurance clearinghouses for faster claim submission and real-time eligibility verification.

Custom Configurations

Customized workflows and automation rules tailored to your specific practice needs and specialty requirements.

Ready to Optimize Your Revenue Cycle?

Let OrbixRCM manage your complete RCM process while you focus on patient care. Experience the difference comprehensive revenue cycle management can make for your practice.

Schedule Your Free RCM Audit