Medical Billing & RCM

Every claim, chased to paid.

Medflux handles your entire revenue cycle — coding, submission, denials, and A/R follow-up — so your practice collects more and your staff does less paperwork.

Recovered this month $184,320

Live remittance feed

HIPAA-compliant workflows Up to 98%* first-pass clean-claim rate Serving US practices nationwide

150+

Providers served

12

Specialties

8

States

98%

First-pass rate

We work inside your existing systems

Your EHR stays. We plug into it.

athenahealth eClinicalWorks Tebra (Kareo) AdvancedMD DrChrono Practice Fusion NextGen SimplePractice TherapyNotes TheraNest WebPT CureMD ModMed CollaborateMD Office Ally Availity athenahealth eClinicalWorks Tebra (Kareo) AdvancedMD DrChrono Practice Fusion NextGen SimplePractice TherapyNotes TheraNest WebPT CureMD ModMed CollaborateMD Office Ally Availity

The problem

What practices actually feel

Denials pile up

Workqueues grow while nobody owns the reason codes. The same edit rejects next month under a new claim number.

Medflux: categorize, fix upstream, appeal when the record supports payment.

A/R ages past 90 days

Current claims keep moving; older balances sit because payer follow-up is the work nobody has hours for.

Medflux: inventory by recoverability and work balances before timely filing dies.

Staff drowns in payer portals

Clinical teams absorb eligibility, auth, and denial admin that never shows up on the schedule.

Medflux: take the revenue admin path so your people stay with patients.

Revenue Cycle Management

Services built around paid claims

Six focused capabilities — use full RCM or start where the leak is loudest.

Revenue Cycle Management

End-to-end billing from charge capture through payment posting and A/R follow-up.

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Medical Coding

CPT, ICD-10, and HCPCS coding with audits that protect revenue and reduce compliance risk.

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Denial Management

Appeals, root-cause fixes, and resubmission so denials stop repeating.

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A/R Recovery

Old A/R cleanup and aging reduction for balances that stalled in follow-up.

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Credentialing

Payer enrollment and re-credentialing so providers can bill without avoidable delays.

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Eligibility & Prior Auth Support

Front-end eligibility checks and prior authorization support that prevent denials before the visit.

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Practices like yours collect up to 30% more.

  • Free back-date audit
  • Weekly reporting
  • No long-term contract
  • Dedicated account manager

How it works

From audit to daily billing

A clear path from free audit to daily claim work — no stock-photo filler.

  1. 01

    Free audit

    We review your last 90 days of claims and denials — hygiene, patterns, aging risk.

  2. 02

    Onboarding

    EHR/PM access, payer list, credentialing check, and a clear go-live plan.

  3. 03

    Daily RCM

    We bill, scrub, submit, and work denials every day — not in weekly batches.

  4. 04

    Transparent reporting

    Monthly production, collections, denial categories, and open items that need you.

Results

Performance snapshot

Illustrative figures for design preview — finalized with Medflux before launch.

Up to 98%

First-pass clean-claim rate

Up to 30%

Average collection increase

Under 35

Average days in A/R

150+

Providers served

Metrics finalized with Medflux before launch.

Reviews

What practices report

Sample reviews for design preview only — not live third-party imports.

Jordan S.

Practice Manager, Family Medicine – TX

Denials that used to sit for weeks now get a reason code and a next step. Our front desk finally stopped living in payer portals after hours.

Posted on Google

Avery L.

Physician Owner, Orthopedics – FL

The monthly packet is the first billing report I actually read. Aging buckets and denial categories, not a vanity dashboard. Cash felt steadier within two cycles.

Posted on Google

Morgan K.

Office Manager, Physical Therapy – OH

They understand timed codes and the 8-minute rule. Unit denials dropped, and someone owns the queue instead of our therapists guessing modifiers between patients.

Posted on Google

Riley N.

Administrator, Behavioral Health – CA

Telehealth modifiers and time-based notes were a mess before. Cleaner submissions, clearer auth tracking, and fewer surprises on secondary claims.

Posted on Google

Casey P.

Practice Principal, Cardiology – GA

Global periods and diagnostic components used to create silent leakage. Medflux scrubbed that path and worked the A/R we had written off as “just old.”

Posted on Google

Taylor H.

Billing Lead, Multi-specialty – IL

Switching was calmer than expected. Open claims had owners, reporting showed denial root causes, and we stopped re-learning the same reject every month.

Posted on Google

Jordan S.

Practice Manager, Family Medicine – TX

Denials that used to sit for weeks now get a reason code and a next step. Our front desk finally stopped living in payer portals after hours.

Posted on Google

Avery L.

Physician Owner, Orthopedics – FL

The monthly packet is the first billing report I actually read. Aging buckets and denial categories, not a vanity dashboard. Cash felt steadier within two cycles.

Posted on Google

Morgan K.

Office Manager, Physical Therapy – OH

They understand timed codes and the 8-minute rule. Unit denials dropped, and someone owns the queue instead of our therapists guessing modifiers between patients.

Posted on Google

Riley N.

Administrator, Behavioral Health – CA

Telehealth modifiers and time-based notes were a mess before. Cleaner submissions, clearer auth tracking, and fewer surprises on secondary claims.

Posted on Google

Casey P.

Practice Principal, Cardiology – GA

Global periods and diagnostic components used to create silent leakage. Medflux scrubbed that path and worked the A/R we had written off as “just old.”

Posted on Google

Taylor H.

Billing Lead, Multi-specialty – IL

Switching was calmer than expected. Open claims had owners, reporting showed denial root causes, and we stopped re-learning the same reject every month.

Posted on Google

Administrator reviewing billing reports

Pricing

Simple percentage-of-collections

No setup fees. No long contracts theater. You pay on money that actually posts.

4–7%

of monthly collections

Your exact rate is set after your free audit.

See full pricing

Nationwide

Proudly serving practices nationwide

Outpatient billing support across major US markets — specialty-aware, payer-aware, and built for independent groups.

FAQ

Straight answers

We run a structured handoff: inventory open A/R, map payers and fee schedules, confirm EHR/PM access, and review a sample of recent claims and denials. Go-live is scheduled so claims are not left in limbo between vendors. You receive a clear list of what we need from your office and what we own on day one.

We work with common US outpatient EHR and PM platforms via secure access or agreed file exchange. During the free audit and onboarding we confirm your stack, clearinghouse, and any IT constraints. If a system is a poor operational fit, we tell you before you sign.

We use HIPAA-compliant workflows and sign a Business Associate Agreement (BAA) with every client. Access is limited to staff who need it for billing operations. Do not send patient health information through the public website form – use the secure channels we establish after engagement.

Our standard commercial terms are designed to be straightforward – no surprise setup fees and no multi-year lock-in theater. Exact term length and notice period are confirmed in your agreement before you sign.

You receive monthly performance reporting as a baseline: production, collections, denial categories, and A/R aging. Operational questions during the month are handled through your account contact – not a black box until the invoice arrives.

You share a recent claims and denial sample (typically last 90 days) plus high-level payer mix. We review submission hygiene, denial patterns, and aging risk, then walk you through findings and whether Medflux is a fit. The audit is consultative – not a bait-and-switch demo.

Next step

Find out what your practice is leaving on the table.

A free review of your recent claims and denials — plain findings, no pressure theater.

*Illustrative figures for design preview. Final metrics supplied by Medflux prior to launch.

Chat with us