Credentialing & Enrollment
Provider credentialing, payer enrollment, and ongoing credential maintenance.
Learn MoreServices
Revenue cycle services, organized the way the cycle actually works
Front-end accuracy, mid-cycle compliance and back-end recovery are one connected system. Engage RCM Nexa across all three or start with the stage that is costing you the most.
01 — Front-End Revenue Cycle
Front-End Revenue Cycle
Getting the financial groundwork right before care is delivered — scheduling support, eligibility, authorization and credentialing.
Eligibility & Benefits Verification
Verify patient coverage and benefits before services are delivered.
Learn MorePrior Authorization
Help practices handle authorization requirements and minimize treatment delays.
Learn More02 — Mid-Cycle
Mid-Cycle
Turning care into an accurate, compliant claim — coding, charge entry, claim scrubbing and submission.
Medical Billing
End-to-end billing management from charge entry through payment reconciliation.
Learn MoreRevenue Cycle Management
Complete management and optimization of the healthcare revenue cycle.
Learn MoreMedical Coding
Accurate coding workflows supporting clean claims and compliant reimbursement.
Learn MoreCharge Entry
Structured charge capture and claim preparation.
Learn MoreClaims Submission
Clean claim creation, validation, and electronic submission.
Learn More03 — Back-End Revenue Cycle
Back-End Revenue Cycle
Converting claims into collected revenue — payment posting, denial management, AR follow-up, patient billing and reporting.
Accounts Receivable Management
Identify aging claims, resolve outstanding balances, and improve collections.
Learn MoreDenial Management
Analyze, correct, appeal, and reduce recurring claim denials.
Learn MorePayment Posting
Accurate posting and reconciliation of insurance and patient payments.
Learn MorePatient Billing
Professional handling of patient statements and outstanding balances.
Learn MoreNot sure which services you need?
Most organizations start with a review. We look at your aging, denial categories and workflow handoffs, then recommend the smallest scope that fixes the biggest problem.
Start with a free billing analysisNext Step
Talk to an RCM expert about your revenue cycle
Share where billing is slowing down and we'll walk through what a managed revenue cycle would look like for your organization.