NovaMedex Medical Revenue Cycle Management Service
Managing a medical practice’s finances is complex. Between evolving regulations, strict insurance policies, and patients with expectations higher than Mt. Everest – it’s a recipe for revenue leakage, cash flow disaster, and operational chaos.
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Proven Practice Excellence & Financial Impact
Managing a medical practice’s finances is complex. Between evolving regulations, strict insurance policies, and patients with expectations higher than Mt. Everest – it’s a recipe for revenue leakage, cash flow disaster, and operational chaos.
Luckily, the medical revenue cycle management (RCM) experts at NovaMedex can restore your practice to full financial health. Our certified coders ensure accurate billing and coding to stop revenue leakage.
- 98% First-Pass Clean Claims: Multi-tiered pre-submission scrubbing eliminates payer rejections before delivery.
- AAPC & AHIMA Certified Coders: Specialty-fluent coding safeguards clinical documentation and audit compliance.
- Aged AR Resolution: Relentless appeals and follow-up on claims aged 60, 90, and 120+ days recapture lost revenue.
Key Performance Indicators
Our track record across healthcare providers nationwide speaks for itself:
End-to-End Practice Management Solutions
Every element of our clinical billing service is crafted to eliminate delays, protect cash flow, and ensure HIPAA compliance.
Patient Intake Verification
Real-time insurance eligibility and benefit verification confirms active coverage, copays, deductibles, and prior authorization requirements before patient visits.
Charge Capture & Entry
Seamless charge extraction from your clinical EHR ensures zero missed billable encounters, timely fee posting, and optimized submission turnaround.
Automated Claim Scrubbing
Proprietary validation technology scrubs electronic claims against national and local payer edits, maintaining industry-leading clean claim acceptance.
ERA Payment Posting
Automated Electronic Remittance Advice posting reconciles insurance payments, contractual write-offs, and patient responsibility balances daily.
Structured Payer Appeals
Certified appeal coordinators challenge insurance denials with targeted medical documentation, securing maximum collections on complex claims.
Executive KPI Reporting
Comprehensive financial dashboards provide complete transparency into net collection rates, days in accounts receivable, and provider productivity.
In-House Billing vs. NovaMedex Partnership
Compare the costs, risks, and performance between conventional in-house billing and our outsourced billing model.
In-House Billing
- High staffing costs: salaries, health insurance, 401(k), and paid time off.
- Turnover disruptions: claims stall when billing staff leaves or takes sick leave.
- Expensive software licensing, clearinghouse fees, and continuous IT support.
- High denial rates (10-18%) due to lack of specialty-certified coding expertise.
- Slow aged AR recovery: old unpaid claims often written off as bad debt.
With NovaMedex
- Low, all-inclusive 2.49% fee based entirely on collections. You pay only when you get paid.
- Uninterrupted continuity: team of certified backup billers eliminates staffing risk.
- Free cloud EHR, PMS, and clearinghouse connection included at zero cost.
- 98% first-pass clean claim acceptance with certified AAPC medical coders.
- Dedicated AR recovery team relentlessly appeals and recovers aged claims.
Frequently Asked Questions
Common questions healthcare practices ask when partnering with NovaMedex.
Our onboarding team can fully integrate with your practice in as few as 5 to 7 business days. We coordinate EDI enrollments, software setup, and staff workflow orientation smoothly without disrupting your daily patient care.
No. While we provide free cloud EHR and PMS software, our certified billers and coders are experienced across all major healthcare EHRs including Epic, Cerner, eClinicalWorks, Athenahealth, Kareo, NextGen, and AdvancedMD.
Our transparent medical billing fee starts at just 2.49% of monthly collections. We do not charge upfront onboarding fees or software license fees. We only earn when you receive reimbursement.
Every rejected or denied claim is reviewed within 24 to 48 hours by our specialized denial management team. We perform root-cause resolution, correct coding or demographic issues, and submit formal payer appeals immediately.
Yes. All NovaMedex operations, cloud infrastructure, and data handling protocols adhere strictly to HIPAA and HITECH security standards with full 256-bit encryption and signed Business Associate Agreements (BAAs).
Ready to Accelerate Your Practice Collections & Eliminate Denials?
Connect with a senior NovaMedex revenue cycle consultant for a free, comprehensive billing audit and revenue projection.