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Revenue Cycle Management

Maximize reimbursements. Minimize denials.

End-to-end revenue cycle management designed to increase collections, reduce denials, and improve cash flow — so your providers can focus on patient care, not administrative burden.

Reduce claim denialsAccelerate reimbursementsImprove cash flowDedicated RCM specialists
Revenue Cycle Services

Every stage of the claim, owned end to end

From the first eligibility check to the last dollar collected, OPX manages the full revenue cycle so nothing slips through the cracks.

Insurance Verification

We verify patient eligibility and benefits before every visit — reducing claim rejections, preventing billing surprises, and improving the patient experience before care is delivered.

Prior Authorization & Referral Management

Our team manages the entire authorization and referral workflow, ensuring timely approvals and preventing delays that impact patient care and practice cash flow.

Charge Entry & Medical Coding

Accurate CPT, ICD-10, and modifier coding by experienced specialists — maximizing reimbursement, ensuring clean claim submission, and reducing audit exposure.

Claims Submission

We submit claims accurately and promptly, helping practices achieve higher first-pass acceptance rates and faster reimbursement timelines.

Payment Posting

We post ERAs and manual payments, reconcile accounts, identify underpayments, and maintain an accurate, real-time financial picture of your practice.

Denial Management & Appeals

We proactively identify denial trends, submit timely appeals, and implement corrective actions that reduce future denials and recover revenue that would otherwise be lost.

Accounts Receivable (A/R) Management

Our dedicated A/R specialists pursue unpaid and underpaid claims, follow up persistently with payers, and work aging accounts until every earned dollar is collected.

Credentialing & Provider Enrollment

We manage provider enrollment, recredentialing, and payer participation to ensure uninterrupted reimbursement and eliminate gaps in billing eligibility.

Revenue Cycle Analytics & Reporting

Full visibility into financial performance with monthly KPI dashboards, denial trend analysis, payer benchmarking, collections reporting, and A/R aging metrics.

Coverage

Specialties we support

Specialty-matched RCM expertise across more than 15 practice types — so coding nuances, payer quirks, and denial patterns are understood from day one.

NephrologyCardiologyPulmonologyInternal MedicineEndocrinologyPrimary CareFamily MedicineUrgent CareRheumatologyInfectious DiseasePodiatryCritical Care MedicineOphthalmologyGastroenterologyGynecologyGeneral SurgeryMulti-Specialty PracticesHospitals
Why OPX

Why practices choose OPX

Expert RCM Strategists

Our specialists understand billing rules, payer quirks, and denial patterns across 15+ specialties — with a dedicated account manager assigned to every client.

  • Deep knowledge of payer-specific rules
  • Proactive revenue cycle optimization
  • Dedicated account manager for every client

Pre-Trained & Ready to Deploy

Every team member is trained, assessed, and quality-reviewed before touching your revenue cycle operations.

  • Experienced with major EHR & PM systems
  • Ongoing quality assurance reviews
  • Standardized workflows & performance monitoring

HIPAA-Compliant Operations

Security and compliance are built into every workflow — not bolted on as an afterthought.

  • HIPAA-certified team members
  • Secure access controls & data protection
  • Regular compliance reviews and audits

Performance-Driven Results

We measure success by outcomes — reduced denials, improved collections, better cash flow — not by hours worked.

  • Transparent monthly reporting
  • Focused on denial reduction & collections
  • Continuous process improvement
Why Outsource RCM?

Stop paying for revenue you never collect

Managing billing internally can be expensive, time-consuming, and hard to scale. OPX gives your practice experienced revenue cycle professionals — without the cost and complexity of additional in-house staff.

CategoryIn-House BillingOPX Global RCM
Denial Management Reactive Proactive prevention & appeals
Coding Expertise Dependent on staff experience Multi-specialty certified specialists
Scalability Limited by headcount Scales with practice growth
Reporting Basic or manual Monthly KPI dashboards & analytics
Compliance Self-managed HIPAA-certified, audited workflows
Cost Structure Salary, benefits & overhead Flexible, performance-focused pricing
How It Works

From assessment to results in four steps

1

Share Your Practice Profile

Tell us about your specialty, patient volume, payer mix, and current revenue cycle challenges.

2

Receive a Custom RCM Strategy

Our team evaluates your workflows and identifies opportunities to improve collections and reduce denials.

3

Meet Your Dedicated RCM Team

Your account manager and billing specialists integrate seamlessly into your existing systems and EHR.

4

Go Live & See Results

Claims submit cleaner, denials decrease, collections improve, and you gain full financial visibility through ongoing reporting.

FAQ

Revenue cycle questions, answered

What specialties does OPX support?
We support healthcare organizations across more than 15 specialties, including nephrology, cardiology, pulmonology, primary care, endocrinology, urgent care, and multi-specialty practices.
Can OPX work within our existing EHR?
Yes. Our specialists are experienced with many of the industry’s leading EHR and practice management platforms and integrate into your existing workflows without disruption.
Do you handle denial appeals?
Absolutely. We proactively identify denied claims, submit appeals, track outcomes, and implement corrective strategies to prevent the same denials from recurring.
Will I have a dedicated account manager?
Yes. Every client receives a dedicated account manager who serves as a single point of contact and is accountable for your revenue cycle performance.
How quickly can we get started?
Most practices complete onboarding within 1–2 weeks of the initial assessment. We move quickly so your revenue cycle improves as soon as possible.

Discover hidden revenue opportunities in your practice

Our revenue cycle specialists will evaluate your current billing processes, identify reimbursement gaps, and show you exactly where revenue is being left on the table.