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RCM · Service Detail

Stop losing revenue you already earned

End-to-end medical billing and revenue cycle management: charge capture support, coding assistance, clean-claim submission, denial management, and A/R follow-up — built to work alongside your care-management programs, not as a separate silo.

Claims & coding supportDenial managementA/R follow-upCredentialing support
What It Is

Industry research consistently finds that a meaningful share of submitted claims are denied on first pass, and a large share of denied claims are never resubmitted at all — meaning that revenue is simply abandoned. Most practices don't have a denial problem because the care wasn't billable; they have a denial problem because no one has the time to fight every claim.

Elixir's medical billing service is built as the financial half of the same operating system that runs your CCM, RPM, and other care-management programs — so the documentation those programs generate flows directly into clean, well-supported claims instead of getting lost in a handoff between two disconnected vendors.

What's included

  • Charge capture support & coding assistance (CPT/HCPCS/ICD-10)
  • Claim scrubbing & clean-claim submission
  • Denial management & appeals workflow
  • Accounts receivable follow-up & aging management
  • Payer credentialing & enrollment support
  • Patient statement generation & billing support
  • Monthly revenue cycle reporting & KPI dashboards
  • Care-management billing integration (CCM/RPM/APCM documentation to claims)
Revenue Cycle Funnel
CHARGES
100%
SUBMITTED
98%
CLEAN 1ST PASS
92%
DENIED
8%
APPEALED
100%
Illustrative funnel shape — every claim denied is worked, none written off by default.
$125B+

lost annually to claim denials, industry-wide

A large share of denied claims are never appealed at all — pure abandoned revenue.

Source: American Hospital Association / Change Healthcare
How Billing Fits The Operating Model

Your coding & claims authority never leaves your practice

Elixir prepares clean, well-documented claims and manages the follow-up work. Your practice retains final coding sign-off and claim submission authority at every step — this is a support service, not a replacement for your compliance program.

 Typical billing vendorThe Elixir model
Documentation sourceBilling team works from whatever notes arrive, disconnected from care programs.Billing works directly from Elixir's CCM/RPM/APCM documentation — no handoff gap.
DenialsDenied claims often sit in a queue or get written off.Every denial is triaged and worked through appeal, with monthly reporting on outcomes.
CredentialingSeparate vendor, separate timeline, separate invoice.Coordinated as part of the same onboarding process as your care programs.
ReportingA/R aging report, disconnected from clinical KPIs.Revenue, denials, and program KPIs reconciled in one monthly review.
Common Questions

Medical billing, answered plainly

Do you replace our biller or billing company?+
Some practices transition billing to Elixir entirely; others keep an in-house biller for daily patient questions while Elixir handles claims, denials, and A/R follow-up. We design the split around what your team wants to keep versus hand off.
Who is responsible for coding accuracy?+
Your practice retains final coding sign-off and compliance responsibility. Elixir provides coding support, claim scrubbing, and documentation review to help your team submit clean, well-supported claims — this is assistance, not a transfer of your compliance obligations.
How do you handle denials?+
Every denial is categorized by reason code, triaged for whether it's appealable, and worked through resubmission or formal appeal — with a monthly report showing denial trends so root causes get fixed upstream, not just re-billed.
Can this integrate with our existing EHR/PM system?+
Yes — we work within your existing practice management and EHR systems rather than requiring a platform migration. Deeper integration is scoped deliberately during onboarding when it adds real value.
Pairs Well With

Related services

Next Step

Get a free A/R & denial snapshot

Send us a recent claims export and we'll walk your team through where revenue is likely leaking — no commitment required.

Session Agenda

  1. Recent claims & denial data review
  2. Payer mix & contract overview
  3. Current billing workflow walkthrough
  4. Credentialing status check
  5. Denial root-cause discussion
  6. Your clinic-specific recovery estimate