Revenue Cycle Management that works as hard as you do.
Revenue leaks happen in the handoffs: a missed eligibility check at the front desk, an undercoded visit, a denial nobody had time to appeal. Nexra Connect takes ownership of the entire cycle so nothing falls between the cracks. Your dedicated account team works inside your EHR and practice management system, follows every claim to resolution, and reports back to you in plain numbers every month.
What's included
- Insurance eligibility and benefits verification
- Prior authorization management
- Charge capture and charge entry
- Certified medical coding (ICD-10-CM, CPT, HCPCS)
- Claim scrubbing and electronic submission
- Payment posting and ERA reconciliation
- Denial management and appeals
- A/R follow-up and aged claim recovery
- Patient statements and balance support
- Monthly performance reporting and reviews
Faster cash flow
Clean claims go out within 24 hours of documentation, and follow-up starts before claims age.
Fewer denials
Front-end verification and coding checks stop the most common denials before they happen.
Lower overhead
Replace hiring, training and turnover with a fully staffed, trained billing team.
Full visibility
Know exactly what was billed, collected, denied and pending, every month.
How we deliver revenue cycle management.
Patient access & eligibility
- Real-time eligibility and benefits checks before each visit
- Prior authorizations requested and tracked
- Demographic and insurance data validated
- Patient responsibility estimates for your front desk
Coding & charge capture
- Certified coders review documentation
- Correct CPT, ICD-10 and modifier assignment
- Missed-charge reconciliation against the schedule
- Provider feedback on documentation gaps
Claim submission
- Payer-specific claim scrubbing rules
- Electronic submission through your clearinghouse
- Rejections corrected and resubmitted same day
- Timely filing deadlines tracked by payer
Payment posting
- ERA and EOB posting to the correct line items
- Underpayments flagged against contracted rates
- Secondary and tertiary claims filed automatically
- Patient balances transferred accurately
Denials & A/R follow-up
- Every denial categorized by root cause
- Appeals written and submitted with supporting records
- Aged A/R worked by priority and dollar value
- Payer escalations when claims stall
Reporting & optimization
- Monthly KPI dashboard and review call
- Collections, A/R days and denial trends
- Payer mix and reimbursement analysis
- Action plan for the next month
The partner behind your revenue.
- A named account manager who knows your practice and answers the phone
- Certified coders with specialty-specific experience
- Works inside your existing EHR, with no migration required
- Percentage-of-collections pricing that aligns our incentives with yours
- HIPAA-compliant workflows and a signed Business Associate Agreement
Revenue Cycle Management questions, answered.
What is the difference between medical billing and revenue cycle management?
Medical billing focuses on preparing and submitting claims. Revenue cycle management covers the full financial lifecycle of a patient encounter, including eligibility, authorizations, coding, posting, denials, A/R and reporting. With RCM, one team is accountable for the final dollars collected.
Will I lose control over my billing?
No. You keep full access to your systems and data. We provide monthly reporting, a standing review call and a direct line to your account manager, so you see more than you did before, not less.
How do you price RCM services?
Most practices pay a percentage of what we actually collect. If your collections do not grow, neither does our fee. We quote after a free review of your current billing.
How long does it take to transition?
Typical onboarding takes two to three weeks. We set up system access, map your workflows and payer enrollments, and run a parallel period so cash flow is not interrupted.