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Service 01 · RCM

One revenue cycle. Fully connected.

Revaxia manages the full arc of the revenue cycle — from the moment a claim is generated to the moment it's paid — with structured workflows and clear accountability at every stage.

6

Connected stages

100%

Claim ownership

Full

AR visibility

AI + Human

Review model

The Problem

Running revenue cycle in-house is getting harder to sustain.

Hiring and retaining experienced billing staff is difficult. Denials climb faster than teams can work them. Generic outsourcers apply the same process to every client and don't adapt to how your organization actually operates. What's missing isn't more headcount — it's a workflow that stays accountable end to end.

Workflow

AI + experts, every stage.

How revenue cycle management moves through Revaxia, from start to finish.

01

Charge capture & entry

Charges are captured accurately at the point of service and entered with payer-specific rules applied.

Claim

#RVX-1040

Captured

Source

Point of service

Entry Rule

Payer-specific

Stage 1 of 520%
02

Claims processing

Clean claims are prepared, scrubbed, and submitted with structured pre-submission checks.

Claim

#RVX-1047

Scrubbed

Pre-Submission Checks

Passed

Claim Status

Submitted

Stage 2 of 540%
03

Payment posting

EOB and ERA data is reconciled against expected reimbursement and posted promptly.

Claim

#RVX-1054

Reconciled

ERA Matched

Yes

Posted

Same day

Stage 3 of 560%
04

Denial management

Denials are triaged by root cause, prioritized by recovery value, and worked to resolution.

Claim

#RVX-1061

Triaged

Root Cause

Categorized

Priority

By recovery value

Stage 4 of 580%
05

AR follow-up

Aging receivables are followed up systematically, not just when they become urgent.

Claim

#RVX-1068

Tracked

Aging Bucket

0–90+ days

Follow-up

Systematic

Stage 5 of 5100%

A revenue cycle that doesn't drop the handoff.

Most revenue leakage happens at the seams — between coding and submission, between denial and resubmission, between payment and reconciliation. Revaxia treats the revenue cycle as one continuous workflow, so every handoff is tracked and every claim has an owner.

What this looks like

Claim-level ownership
Structured escalation
Built for healthcare
Live View

AR that doesn't quietly age out.

Outstanding balances are grouped by age and tracked against payer performance, so nothing sits untouched past the point where recovery gets harder.

A/R aging

Total Outstanding A/R

$993,270

Trending down
0–30 days
$412,800
31–60 days
$268,150
61–90 days
$164,300
90+ days
$148,020

Highmark · Commercial / Medicare

Not Another Vendor

An extension of your team, not a hand-off.

Intelligence

Every stage of RCM is designed to improve with use — patterns from one claim inform how the next one is handled, instead of repeating the same fixed process.

Speed

Structured onboarding means the workflow is operating on your claims quickly, without a long parallel-run period before you see anything change.

Transparency

You see the same data we do — claim status, denial reasons, turnaround time — not a monthly summary that arrives after the fact.

Adaptability

The workflow is built around your systems and payer mix, not a fixed process you have to adjust your organization to fit.

Included Capabilities

What's covered under RCM.

Claims Processing
Charge Entry
Payment Posting
EOB / ERA Processing
Denial Management
Accounts Receivable Follow-up
Insurance Follow-up
Eligibility & Benefits Verification
Quality & Controls

Built-in quality, not a final review step.

Claim-level accountability

Every claim has a clear owner from submission through resolution.

Root-cause tracking

Denial reasons are categorized and tracked back to their source process.

Structured escalation

Aged or high-value claims are escalated automatically for specialist review.

Purpose Built

Built for your organization, whatever shape it takes.

If you run a revenue cycle at any scale, this is built to fit it — not the other way around.

Team members reviewing documentation together
Healthcare and financial teams collaborating
Nurse preparing for a shift

Accountable Care Organizations

Recovering underpayments that erode shared savings, with denial patterns fed back into coding and documentation quality.

FQHCs

Structured workflows that hold up against state-specific requirements, without adding administrative headcount.

Community Health Centers

Revenue support built for limited-resource environments — balancing financial stability with the mission of the organization.

Multi-Specialty Physician Groups

Coding and billing coordinated across every specialty in the group, with consistent quality controls throughout.

Not seeing your organization type here? Tell us how your team works.

Talk to Us
Empowering Every Function

Built for every stakeholder in your revenue cycle.

Revenue Cycle Leaders

A workflow with clear ownership at every stage, and visibility into where claims actually stand.

CFOs & VPs of Finance

Clearer visibility into cash flow, A/R, and payer performance — without waiting on a monthly report.

HIM & Coding Directors

Specialty-matched coding support with documentation-first quality controls and a continuous audit cycle.

Operations Leadership

Repetitive administrative work absorbed by structured automation, so headcount doesn't have to scale with volume.

What Connected Looks Like

“The revenue cycle should behave like one system, not five disconnected handoffs.”

Revenue Cycle Director · UnitedHealthcare

Powered By

The technology behind this service.

The same underlying platform runs across every Revaxia service — each capability is applied where it genuinely helps, alongside the people who review its output.

Verification Engine

Checks eligibility and benefits against payer data before service is rendered.

Coding Assist

Cross-references codes against documentation and payer-specific edits.

Claims Validation

Screens claims against structured rules before they ever reach a payer.

Denial Intelligence

Groups denials by root cause and prioritizes recovery by value.

Integration

Works with your existing systems.

Revaxia is built to fit into how your organization already operates — not to force a migration to new systems before the work can start.

No rip-and-replaceWorks alongside your EHR and billing systemsFits into your existing workflows
FAQ

Common questions about rcm.

That depends on what you need. Some organizations hand off the full workflow; others keep staff in place and use Revaxia for overflow, denial recovery, or a specific stage of the cycle. The workflow is designed to fit either way.