Don’t Take Our Word for It. Check Our Math.
Every billing company says it’s better. Almost none hand you the tools to verify it. Here’s the RevGen standard: KPIs with published formulas, code knowledge current through the 2026→2027 changes, your data in your system, no contracts — and a free audit before you believe anything on this page.
- Numbers with formulas, not slogans: first-pass clean claim rate, net collection rate, and days in A/R — each defined on the page, each reproducible in your own system
- Current where others are stale: the 2026 code sets, the January 1, 2027 wave, MIPS deadlines, prior-auth rules — tracked, dated, and applied to your account
- Your EHR, your data, your exit: the full cycle runs inside your system — no lock-in, no data hostage situations, same-day offboarding
- No contracts, no setup fees, no traps: the effective rate at your actual volume, shown both ways, with the minimum-fee trap explained before you sign
- Denials fought, not filed: root-cause analysis and appeals through all five Medicare levels — while the OIG data shows most practices appeal almost nothing
- A free audit that could end with “keep your current setup”: if your billing already performs at benchmark, we’ll tell you — that honesty is the sales pitch
The RevGen Standard: Proof Over Promises
You won’t find stock-photo testimonials on this page — that’s policy, not an omission. Client stories belong in private reports and, with consent, our case studies. What convinces a practice to switch billing companies isn’t a quote next to a smiling face. It’s evidence you can check yourself. So that’s the entire page: three kinds.
Formulas
Every metric we report comes with its calculation — so “95% first-pass” means a defined thing you can reproduce from your own data, not a marketing number measured after rework.
Dates
Every regulatory claim carries its effective date — the 2026 code sets, the 72-hour prior-auth clocks, the January 1, 2027 changes — so you can verify each one against CMS and AMA sources in minutes.
Your own system
We work inside your EHR, which means the audit trail of everything we do lives in your system. You can watch us work in real time — no black box, no “trust the monthly report.”
The uncomfortable industry truth
Most billing companies’ headline numbers can’t survive three questions: How is that rate calculated? Measured before or after rework? Can I reproduce it in my system? When the answers get vague, you’ve found the marketing department. We put the answers on the page — that’s the difference between claims and a standard.
Ten Differences — Each One Verifiable
Not ten adjectives. Ten operating decisions, what competitors typically do instead, and how you can check ours.
1. We publish our formulas
Others: unverifiable percentages RevGen: defined metricsFirst-pass clean claim rate = accepted on first submission ÷ submitted, measured before rework. Net collection rate = payments ÷ (charges − contractual adjustments). Days in A/R = total A/R ÷ average daily charges. Targets: ≥95%, ≥96% of contracted, <35 days. Check: ask us to walk any number back to its claims data — we do it live.
2. Code currency as a discipline
Others: content frozen years ago RevGen: 2026→2027 trackedThe 2026 code sets are applied to client charge masters, and the January 1, 2027 wave (CPT 2027, the maternity global deletion) gets checked in December. Check: ask any prospective biller what changed in your specialty’s codes this January — our answer is on our specialty pages, dated.
3. Your data lives in your house
Others: their platform, your history RevGen: your EHR, alwaysThe entire cycle runs inside your system across 40+ platforms. We extract nothing; your audit trail is yours. Check: ask “when we part ways, where does our data live?” — the right answer is one sentence long.
4. Pricing with the traps exposed
Others: minimums and exclusions in the fine print RevGen: effective rate at your volumePercentage (typically 4–9% of net collections), per-claim, or hybrid — shown both ways, with the minimum-fee trap explained. Credentialing, denial rework, legacy A/R, and reporting included. Check: compare any quote’s effective rate at your lowest-volume month, in writing.
5. Denials fought, not filed
Others: resubmit and hope RevGen: root cause + all five levelsEvery denial categorized by CARC family, worked in its first week, appealed through redetermination → QIC → ALJ → Appeals Council with deadlines tracked. HHS OIG found MA plans overturned 75% of appealed denials — yet only 1% get appealed. Under-appealing is the industry’s silent leak; we treat appeals as the highest-yield work in the cycle.
6. Specialty depth, documented
Others: one generic page per specialty RevGen: full code-level systemsEight specialty billing systems published — psychiatry’s prescriber coding and TMS/Spravato rules, orthopedics’ global-period playbook, nephrology’s MCP map, cardiology’s 2026 PCI restructure, and more. Check: read our specialty page, then read theirs. The depth difference is visible in one scroll.
7. Regulatory fluency, dated
Others: silence on the rulebook RevGen: the calendar, enforcedCMS-0057-F prior-auth clocks (72 hours / 7 days, live since Jan 1, 2026), MIPS’s 75-point threshold and fall deadlines, USCDI v3, telehealth through 2027, DEA telepsychiatry dates — tracked per client, not as blog content. Check: any page we publish carries its dates; ask the same of any competitor page.
8. Access architecture in writing
Others: “we log in securely” RevGen: BAA + named users + MFAAccess under a BAA per 45 CFR §164.502(e) — named-user credentials, MFA, least-privilege roles, every action in your audit trail, same-day revocation. And the honest framing: a BAA defines obligations; it does not transfer your legal risk — distrust anyone who claims otherwise. Check: our one-paragraph access model against theirs.
9. What’s included is included
Others: credentialing and appeals as add-ons RevGen: one number, whole cycleCredentialing and enrollment, denial rework and appeals, legacy A/R recovery, patient statements, weekly KPI reporting, and the annual charge-master currency check — all inside the quoted rate. Check: line up two proposals and strike every item the cheaper one excludes. The math usually flips.
10. We tell you how to fire us
Others: exit terms you discover later RevGen: painless by designNotify us, access ends the same day, your operation continues without a migration — because nothing of yours was ever ours. A billing company confident in its work designs the exit to be easy; the ones that don’t are telling you something. Check: this section exists. Ask any competitor for theirs.
Head to Head — RevGen vs. the Other Options
Three ways practices typically buy billing, and what each model actually gives you. (In-house comparison lives on our small-practices page with the 2026 cost math.)
| What matters | RevGen independent full-cycle | Typical billing company | EHR-vendor bundled RCM |
|---|---|---|---|
| Performance numbers | Targets + formulas, reproducible in your system | Headline percentages, definitions vague | Dashboard metrics, vendor-controlled |
| Code currency | 2026 sets applied; Jan 2027 wave checked in December | Whatever your biller happens to know | Updates with software releases |
| Your data | Lives in your EHR — always | Their platform or yours, varies | Their platform; export on exit |
| Switching cost | Same-day offboarding, no migration | Depends on their data custody | Usually an EHR migration — the lock-in |
| Contracts | None; performance renews the relationship | Multi-year terms common | Tied to software subscription |
| Denials & appeals | Root-cause + all five appeal levels | Resubmission-focused | Workqueue-driven, depth varies |
| Specialty depth | Eight documented code-level systems | Generalist, “20+ specialties” pages | Generalist within their software |
| Regulatory calendar | Tracked per client (MIPS, prior-auth, code waves) | Rarely mentioned | Certification-driven only |
| Credentialing | Included | Often a separate fee | Often a separate service |
| Pricing transparency | Effective rate at your volume, both models, in writing | Headline percentage; minimums in the fine print | Percentage on top of subscription |
How to Fire Us
Day 0 — you notify us
Written notice is all it takes. No exit fees, no “transition services” invoice, no notice-period games — there’s no contract to hold you.
Same day — access ends
Named-user credentials revoked under the BAA’s termination terms. A hand-off summary documents where every open claim, appeal, and A/R item stands.
Next day — you continue
Claims, history, notes, and the audit trail of everything we did were in your EHR all along. Your next biller — or your in-house team — picks up exactly where we left off. Nothing to migrate, nothing ransomed.
Why we publish our own exit procedure
Because the easiest way to evaluate a billing company is to look at what leaving costs. If exiting a vendor means a data migration, a contract fight, or rebuilding your A/R from scratch, then every positive number they report is negotiating leverage, not service. We engineered RevGen so leaving is boring — which is exactly why practices stay.
Ten Questions to Ask Any Billing Company — Including Us
Take this list to every proposal meeting, ours included. A good billing company answers in specifics; the others change the subject. Our answers are on this page — here’s what to listen for.
| The question | The answer that should end the meeting if you don’t get it |
|---|---|
| 1. How exactly is your clean claim rate calculated — before or after rework? | A formula, in writing, measurable in your system |
| 2. What changed in our specialty’s codes this year? | Specific codes and dates, not generalities |
| 3. What’s the effective rate at our lowest-volume month, including all minimums? | A number at your volume — not the headline percentage |
| 4. What’s excluded from that rate? Credentialing? Appeals? Patient statements? Legacy A/R? | A short exclusions list — or better, “nothing” |
| 5. If we leave, where does our data live and what does the exit cost? | “Your system” and “nothing” — in one breath |
| 6. Who exactly accesses our EHR, under what agreement, and how is it revoked? | BAA citation, named users, MFA, same-day revocation |
| 7. Show me your appeals process — levels, deadlines, and who writes the letters. | The five Medicare levels, tracked per claim |
| 8. What are our denial rate, A/R days, and net collection rate this month — with formulas? | Current numbers, defined, not “we’ll get you a report” |
| 9. What MIPS deadlines apply to us this performance year? | Dates: Improvement Activities start, registration, submission close |
| 10. Under what circumstances would you tell us not to hire you? | Any honest answer — including “when your billing already performs at benchmark” |
Our answer to #10, on the record
If the free audit shows your clean claim rate above target, your A/R under control, and your denials root-caused — keep your current setup and spend the money somewhere else. We can only win your business when there’s a measurable gap between what you collect and what you should collect. That gap is either real or it isn’t, and the audit prices it before anyone signs anything.
What We’re Not — The Honest Disqualifiers
Not the cheapest
Rock-bottom percentages survive on volume, minimums, and excluded services — the practices pay for it in unworked denials and dead A/R. We’re priced to do the whole job and to show the math.
Not fortune-tellers
No guaranteed “30% revenue increase in 90 days.” Recovery follows honest sequencing — denial backlog first, then A/R, then rate stabilization — and your audit prices the real opportunity before you commit.
Not for everyone
If your billing already performs at benchmark, you don’t need us — and we’ll say so in writing. The audit has to find a real gap for our percentage to make sense.
Judge the Work, Not the Words
Every claim on this page is documented somewhere specific. Read the evidence:
Frequently Asked Questions
Why choose RevGen over another medical billing company?
How do I know your performance claims are real?
Do you require long-term contracts or setup fees?
What happens if we want to leave RevGen?
Are you the cheapest billing option?
How is RevGen different from EHR-vendor RCM bundles?
Do you guarantee a revenue increase?
Which EHR systems do you work in?
How current is your coding and rules knowledge?
What is included that other companies charge extra for?
Is RevGen right for every practice?
How do we get started?
You Shouldn’t Have to Take Our Word for Any of This
That’s what the free audit is for: your numbers, our methodology, in writing, yours to keep — including the cases where the honest finding is “your billing is fine.” Twenty minutes. Two touches. No obligation.
Request Your Free Billing Audit →✔ Findings in 24–48 hours · ✔ Your current biller is never contacted · ✔ No contracts to escape