MedXRCM is a US medical billing and revenue cycle company. We run billing, coding, QA, credentialing, AR recovery and audits for healthcare providers, and we go deepest in home health and hospice, where OASIS, the CMS-485 and the NOA are daily work rather than an unfamiliar corner of a much wider book.
What we take on
Claim preparation and submission through payment posting and reconciliation, with charges scrubbed before anything is transmitted.
Certified coders assigning ICD-10, CPT and HCPCS with correct sequencing, across facility and practice settings.
OASIS audited for accuracy, compliance and clean charting. Errors caught and corrected before submission rather than after a denial.
Provider and facility credentialing, enrollment with Medicare, Medicaid and commercial payers, CAQH setup and maintenance, and panel enrollment with contract follow-up.
Unpaid and denied claims identified, payers followed up on a set schedule, and outstanding balances worked rather than left to age.
Review of billing processes to find errors, close compliance gaps and reduce the exposure that turns into a payer audit later.
Where we work
MedXRCM works with healthcare providers across settings. Home health and hospice is the area we have built out furthest, and it has its own dedicated practice on our main site.
Medicare-certified home health agencies and hospices, from the Notice of Admission through payment posting. OASIS review and correction, CMS-485 plan of care, and coding across start of care, recertification, resumption of care and discharge: the documentation the rest of the revenue cycle depends on.
Billing, AR follow-up and cash-flow reporting for DME suppliers.
End-to-end billing, coding and credentialing for practices without an in-house revenue cycle team.
How the work runs
Whatever a provider hands over, the work moves in the same order. Nothing here is proprietary. It is simply what has to happen, done by people who do only this.
Payer enrollment and credentialing completed so the provider is approved to bill and be paid.
Eligibility, benefits and authorizations verified upfront, so claims are not rejected later on coverage.
ICD-10, CPT and HCPCS assigned with correct sequencing for each visit or encounter type.
Charges entered, the claim built, and errors caught before anything is transmitted.
Claims submitted electronically to the payer, with rejections worked the same day where possible.
Payments, ERAs and EOBs posted and reconciled, with discrepancies flagged rather than absorbed.
AR worked on a set schedule so unpaid and aging claims are chased, not queued.
Denied and underpaid claims corrected, appealed, and tracked to resolution.
Statements prepared and patient billing questions answered on the provider's behalf.
Regular reporting on claims, payments and the state of the revenue cycle, in plain language.
Why providers call
The call usually comes after something breaks. A biller resigns and claims stop leaving the building. The aging report grows because there is no one with the hours to work it. The administrator is reviewing OASIS at eleven at night, on top of a full clinical day, because it has to be right before it goes out.
A smaller provider rarely carries the volume to justify a certified coder, an AR specialist and a credentialing person on payroll, and yet all three jobs still have to be done correctly, every week, whether or not anyone is available to do them.
Running the cycle through a team that does only this work is what keeps it moving when someone is out sick, on leave, or gone. In home health and hospice it also means the people touching your claims already know OASIS, the plan of care and the NOA, rather than learning them on your revenue.
We would rather show you what that looks like on your own numbers than describe it. That conversation costs nothing and does not require you to move anything.
Official website
Our full company website (services, practice areas, resources and contact) is at medxrcm.com. The company is also listed on LinkedIn. Both are the same MedXRCM you are reading here.
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