Services
ServicesEvery revenue cycle service. One accountable team.
Twenty-six medical billing and revenue cycle services across coding, claims, denials, A/R, credentialing, patient access, and audit. Each one staffed by AAPC- and AHIMA-credentialed operators, backed by AI agents, and tied to a written SLA on your collections.
26
Specialized services
7
Service categories
1
Written SLA
0
Vendors to manage
What you get
A real medical billing operation, not a portal.
Most billing vendors give you software and a help desk. Medonix gives you an operation. Twenty-six discrete medical billing and revenue cycle management services run on a single contract, with AAPC- and AHIMA-credentialed coders, a dedicated account lead, and AI agents that handle the repetitive work between human judgment calls.
Each service slots into a category. Core RCM moves a claim from charge through payment. Coding handles ICD-10, CPT, and HCPCS accuracy. Denial management and A/R recovery work the back end. Patient access handles the front door. Specialty billing handles the CPT-and-modifier weirdness of hospitals, surgery centers, labs, imaging, DME, telehealth, and the CCM / RPM / TCM programs. Audit and compliance keeps the whole thing defensible.
You can buy any one of these as a standalone, or roll the whole list into a single managed engagement. Most practices that come to us with a specific problem (a denial spike, an aging-A/R fire, a coder who left) end up consolidating the whole stack within a year.
Flagship services
Start here if you want the whole revenue cycle on one contract.
Core RCM
End-to-end revenue cycle, from charge capture through payment posting.
Charge Capture & Entry
Lossless charge capture with EHR-native flows and missed-charge analytics.
Service detailClaims Submission
Clean claim scrubbing, payer-specific edits, and 24-hour submission SLA.
Service detailPayment Posting
ERA/EOB auto-posting with line-item adjudication and underpayment detection.
Service detail
Coding & documentation
AAPC- and AHIMA-credentialed coders backed by AI for ICD-10, CPT, and HCPCS.
Denials & A/R
Aged A/R workdown and denial-prevention playbooks tied to root cause.
Patient access
Eligibility, prior auth, and statements that protect the patient relationship.
Eligibility & Benefits Verification
Real-time eligibility, benefits, and copay determination before the visit.
Service detailPatient Scheduling
Inbound, outbound, and recall scheduling with EHR-native calendars and bilingual coverage.
Service detailPrior Authorization
AI-driven prior auth submission, status checks, and peer-to-peer scheduling.
Service detailPatient Statements & Collections
Compassionate patient billing with text/email reminders and payment plans.
Service detail
Specialty billing
Hospital, ASC, lab, imaging, DME, telehealth, CCM, RPM, and TCM workflows.
Chronic Care Management
CCM (99490, 99439) program design, documentation, and billing.
Service detailRemote Patient Monitoring
RPM (99453, 99454, 99457) device enrollment and reimbursement.
Service detailTransitional Care Management
TCM (99495, 99496) workflows aligned to discharge follow-ups.
Service detailHospital Billing
UB-04 institutional billing, DRG validation, and outpatient APC management.
Service detailAmbulatory Surgery Billing
ASC payment groups, implant carve-outs, and multiple-procedure logic.
Service detailLaboratory Billing
CLIA-aware billing, molecular pathology, and Z-code management.
Service detailImaging Center Billing
Global vs split billing, contrast supplies, and prior auth coordination.
Service detailDME Billing
HCPCS Level II coding, ABN/CMN documentation, and DMEPOS audits.
Service detailTelehealth Billing
POS 02/10, modifier 95/GT/GQ, and state-by-state parity nuances.
Service detail
Consulting & enablement
Operational diagnostics, fee-schedule analysis, and embedded virtual teams.
Credentialing & Enrollment
CAQH attestation, payer enrollment, and re-credentialing handled with deadline tracking.
Service detailPractice Management Consulting
Operational diagnostics, fee-schedule analysis, and KPI dashboards.
Service detailValue-Based Care
Quality reporting, attribution, and shared-savings program enablement.
Service detailStaffing & Virtual Team
Dedicated virtual billers, schedulers, and AR specialists embedded in your workflow.
Service detail
Audit & compliance
Pre-bill audits, MIPS / MACRA reporting, and external review.
How it runs
From discovery to first dashboard in 60 days.
Every Medonix engagement follows the same four-stage path. The numbers, payer mix, and specialty change. The structure does not.
- Step 01 · 1–2 weeks
Discovery & SLA
A senior RCM strategist audits your last six months of remits, denials, and A/R. We agree on the clean-claim rate, A/R days, and denial-recovery targets that go into the contract.
- Step 02 · Days 1–30
Parallel-run onboarding
Your existing process keeps running. We integrate to your EHR, build payer-specific scrub rules, train AI agents on your historical data, and ship test claims behind the scenes.
- Step 03 · Days 30–60
Full operations handover
Medonix takes the queue. Every claim, statement, and denial flows through us. You see one live dashboard for collections, A/R aging, denial mix, and SLA attainment.
- Step 04 · Monthly
Ongoing optimization
A dedicated account lead walks the CFO through KPIs, benchmark drift, payer behavior changes, and the next quarter's revenue plan. The fee scales only when collections do.
Frequently asked
Medical billing services, answered.
The questions practice owners and CFOs ask before they sign a billing contract. If you have one we have not covered, book a 30-minute call with a senior RCM strategist.
Talk to RCM
Ready to recover every dollar your practice earns?
See your projected revenue lift in 60 seconds, or talk to a senior RCM strategist now. No commitment. Same-day slots available.
- 30-day parallel-run guarantee
- Targets written into the contract
- HIPAA · SOC 2 Type II · HITRUST