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Medonix

Service

Revenue Cycle Management services for U.S. healthcare practices.

End-to-end RCM with AI agents and senior human operators across the full claim lifecycle. Medonix's Revenue Cycle Management service combines AI agents with senior AAPC- and AHIMA-credentialed operators and a written SLA tied to your collections, onboarded in 30 to 60 days with zero revenue disruption.

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Reviewed byKarina Martinez, CRCR·Director of Revenue Cycle Operations

Last reviewed

95%+Clean-claim target (MGMA)
<30dA/R target (HFMA)
<5%Denial rate target
60dTime to full handover

Why this matters

Why revenue cycle management is harder than it looks.

Revenue cycle management is the financial operation that runs from patient scheduling through final claim reconciliation. Every U.S. practice has one; most do it badly because it requires running 12 distinct workflows in coordination with payers, providers, and patients all at once. Medonix runs the whole revenue cycle on one contract with AI agents handling the repetitive volume work and senior credentialed humans handling the judgment calls.

How it runs

The four-step revenue cycle management workflow.

Every engagement runs the same four-stage process. Volume, complexity, and specialty mix change. The structure does not.

  1. Step 01

    Eligibility & access

    Real-time eligibility verification at scheduling and registration, with prior auth submitted and tracked before the visit.

  2. Step 02

    Charge capture & coding

    AAPC- and AHIMA-credentialed coders backed by AI Coding running ICD-10, CPT, and HCPCS accuracy at scrub time.

  3. Step 03

    Claims & denials

    Payer-specific edits before submission. Denials categorized by root cause and routed to the analyst with prior production experience in your specialty.

  4. Step 04

    Posting & A/R

    Daily ERA / EOB posting with line-item adjudication. A/R worklist prioritized by likelihood-to-collect, not just by age.

Specialties served

Specialty-engineered revenue cycle management playbooks.

Each specialty gets its own CPT/ICD logic, payer edits, and dedicated credentialed coding team. Drag to explore.

Drag · scroll · 12 specialties

Connected workflows & references

Where revenue cycle management touches the rest of the revenue cycle.

Sub-workflows that feed or follow this engagement, plus the glossary terms, research, and tools we cite when explaining the metrics.

Frequently asked

Revenue Cycle Management, answered.

The questions practice owners ask before they outsource this service. Book a 30-minute call if yours is not here.

Eligibility verification, prior authorization, coding, charge capture, claim scrubbing, claim submission, denial management, A/R recovery, payment posting, patient statements, payer reporting, and KPI dashboards. Medonix runs all of it on a single contract.

Related services

Often combined with revenue cycle management.

See all 26 services

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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
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