Service
Revenue Cycle Management
One team owns the claim from creation to remittance — so nothing falls between desks.
What full-cycle RCM actually covers
Most practices do not fail at “billing.” They fail at handoffs: eligibility checked by the front desk, coding done in a rush after clinic, claims submitted without a scrub, denials parked in a workqueue nobody owns. Medflux runs revenue cycle management as a single process. We align front-end checks, coding standards, claim submission, payment posting, and denial work so every claim has a named next step and a due date.
What is included
Daily claim creation and scrubbing against payer edits, electronic submission, ERA/EOB posting, patient statement coordination (when in scope), denial queue management, and monthly performance reporting. You keep clinical decisions; we own the administrative path to payment. We work inside your EHR/PM when access is granted, or through secure file exchange when that fits your IT policy better.
How the process runs month to month
Week one of engagement is setup: payer list, fee schedule notes, charge capture workflow, and a 90-day claims sample review. After go-live, our team works your claims daily — not in weekly batches. You receive a clear monthly packet: production, collections, denial categories, aging buckets, and open items that need practice input. Questions get answered by people who already know your specialty mix, not a rotating ticket queue.
What your practice sees
Fewer claims sitting unsubmitted, fewer “mystery” denials, and a single accountable partner for revenue performance. Staff time shifts back to patients and scheduling. Leadership gets numbers that match how a remittance report actually behaves — not vanity dashboards. Pricing is percentage-of-collections, so incentives stay aligned with money that actually posts.
FAQ
Revenue Cycle Management questions
No. We strengthen the revenue path around them — eligibility support, cleaner charge flow, and back-end ownership of claims and denials. Front-desk workflows stay yours; we reduce rework that lands on their plates later.
We work with common US practice management and EHR platforms. During onboarding we confirm access method, security requirements, and any clearinghouse setup. If a platform is a poor fit, we say so before go-live.
Submission hygiene and denial triage usually improve within the first billing cycles after go-live. Cash impact depends on payer mix, starting A/R, and how quickly the practice resolves credentialing or documentation gaps we flag.
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.