Medical Billing & Revenue Cycle Management
Full-Cycle Billing Services for Every U.S. State & Specialty
From eligibility verification to final payment posting RevGen Billing manages your entire revenue cycle so you can focus on patient care.
✔️Independent & Group Practices ✔️ Multi-Location Providers ✔️State-Specific Payer Rules ✔️Monthly Analytics & Reports
✔️Transparent, Documented Workflows
Our Services
End-to-End Revenue Cycle Management Services
We handle every step of the medical billing lifecycle — from before the patient visit to final reimbursement — using documented workflows built around payer rules, HIPAA requirements, and your practice’s unique needs.
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Insurance Eligibility Verification
We verify patient coverage, co-pays, deductibles, and authorization requirements before the appointment, reducing claim rejections at the source.
- Real-time eligibility checks
- Prior authorization management
- Coverage gap identification
- Patient liability estimation
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Medical Charge Entry & Coding
Accurate charge capture using ICD-10, CPT, and HCPCS codes aligned to payer-specific rules, reducing downcoding and revenue leakage.
- ICD-10 & CPT coding review
- Modifier application
- Charge reconciliation
- Fee schedule optimization
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Claims Submission & Tracking
Electronic claims filed to commercial insurers, Medicare, Medicaid, and managed care plans — with real-time tracking and scrubbing to maximize first-pass acceptance.
- Electronic claim filing (EDI 837)
- Clearinghouse claim scrubbing
- Rejection identification & resubmission
- Secondary & tertiary billing
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Payment Posting
Accurate ERA/EOB posting with contractual adjustment reconciliation, giving you a real-time view of your financial position and payer performance.
- ERA & EOB processing
- Contractual adjustment posting
- Patient balance identification
- Underpayment flagging
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Accounts Receivable (AR) Management
Proactive AR follow-up reduces days in AR and captures aging balances before they become write-offs. We segment by payer, age, and priority for maximum recovery.
- Aging AR analysis (30/60/90/120+)
- Insurance follow-up & appeals
- Patient balance collection
- Write-off analysis & recommendations
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Denial Management & Appeals
We investigate every denied claim, identify root causes, and submit corrected claims or formal appeals — with trend reporting to reduce future denials.
- Denial root cause analysis
- Claim correction & resubmission
- Formal appeal letters
- Denial trend dashboards
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Provider Credentialing FREE
We handle the complete credentialing and re-credentialing process with commercial payers, Medicare, and Medicaid — at no additional charge.
- CAQH profile setup & maintenance
- Medicare & Medicaid enrollment
- Commercial payer enrollment
- Re-credentialing & updates
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Practice Analytics & Reporting
Structured monthly reports and meetings give you visibility into revenue trends, denial patterns, payer performance, and collection benchmarks.
- Monthly revenue cycle dashboards
- Payer-level performance analysis
- KPI benchmarking
- Custom report formats
How It Works
Our 6-Step Revenue Cycle Workflow
A structured, repeatable process that minimizes errors and maximizes reimbursement at every stage.
Eligibility & Authorization
Verify patient insurance coverage and obtain required prior authorizations before the date of service.
Charge Capture & Coding
Review and assign accurate ICD-10, CPT, and modifier codes aligned to documentation and payer rules.
Claim Scrubbing & Submission
Scrub claims through our clearinghouse for errors, then submit electronically for rapid processing.
Payment Posting
Post ERA and EOB payments, reconcile adjustments, and flag underpayments for follow-up.
AR & Denial Management
Follow up on unpaid claims, work denials with appeals, and manage aging AR by priority buckets.
Reporting & Optimization
Deliver monthly analytics reports and meet with providers to review results and align on improvements.
Specialties We Serve
Medical Billing for 12+ Clinical Specialties
Our billing workflows are adapted to each specialty’s unique coding rules, payer contracts, and documentation requirements — from primary care to surgical subspecialties.
🫀 Cardiology 🧠 Neurology 🦴 Orthopedics 🧬 Internal Medicine 🏥 Primary Care 🧪 Infectious Disease 🧘 Psychiatry 👶 OB/GYN 🦶 Podiatry 🫘 Nephrology ⚗️ Endocrinology 💊 Pain Management
Don’t see your specialty? Contact us — we support most medical and surgical practices across all U.S. states.
Why RevGen Billing
What Sets Our Medical Billing Services Apart
We don’t just submit claims — we operate as a revenue cycle partner with transparent processes, measurable outcomes, and no hidden fees.
50+
All U.S. States Covered
State-specific payer rules, Medicaid fee schedules, and regulatory requirements are built into every workflow — not an afterthought.
FREE
Practice Audit Included
We analyze your current billing processes, denial rates, and revenue gaps before you commit — so you know exactly what we’ll improve.
FREE
Provider Credentialing
Full CAQH setup, Medicare/Medicaid enrollment, and commercial payer credentialing included with every engagement.
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HIPAA-Compliant Processes
Every workflow is built around HIPAA security and privacy requirements, with documented procedures and secure data handling.
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Monthly Meetings & Reports
Regular reviews of KPIs, denial trends, and payer performance keep you informed and give us the data to continuously optimize.
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First-Pass Acceptance Focus
Our claim scrubbing and coding review protocols are designed to maximize first-pass acceptance rates and shorten your payment cycle.
Frequently Asked Questions
Medical Billing Services — Common Questions
Answers to the questions practices ask most before partnering with a billing company.
What does full-cycle medical billing include?
Full-cycle medical billing covers every step from patient eligibility verification before the visit to final payment posting and AR follow-up after. This includes charge entry, ICD-10/CPT coding, electronic claim submission, payment posting, denial management, AR management, and monthly reporting. RevGen Billing handles all of these services in a single engagement.
Does RevGen Billing serve providers in all 50 states?
Yes. We provide medical billing and revenue cycle services for providers in all 50 U.S. states. Our workflows are adapted to each state’s Medicaid rules, commercial payer contracts, and regulatory requirements — including states with unique fee schedules like California, New York, Texas, and Florida.
What medical specialties do you support?
We currently support 12+ specialties including Cardiology, Neurology, Orthopedics, Primary Care, Internal Medicine, Psychiatry, OB/GYN, Podiatry, Nephrology, Endocrinology, Pain Management, and Infectious Disease. If you don’t see your specialty listed, contact us — we serve most medical and surgical practices.
What is a medical billing denial rate and why does it matter?
A denial rate measures the percentage of claims rejected by payers on the first submission. The industry average is 5–10%, but top-performing billing companies target under 5%. A high denial rate delays cash flow, increases administrative costs, and can result in permanent revenue loss if denied claims aren’t appealed in time. RevGen Billing tracks denial rates by payer and reason code to identify patterns and reduce rejections.
What is provider credentialing and why is it necessary?
Provider credentialing is the process of enrolling a physician or practice with insurance payers (Medicare, Medicaid, and commercial insurers) so they can receive reimbursement. Without active credentials, claims are rejected outright. RevGen Billing handles the complete credentialing process — including CAQH setup, payer applications, and follow-up — as a free service included with your billing engagement.
How does RevGen Billing handle denied or rejected claims?
Every denial is reviewed by our team to identify the root cause — whether it’s a coding error, missing authorization, eligibility issue, or payer-specific requirement. We correct and resubmit the claim or file a formal appeal depending on the denial type. Monthly denial trend reports show which payers, codes, or workflows are generating the most denials so we can reduce them proactively.
Is RevGen Billing HIPAA compliant?
Yes. All RevGen Billing processes, systems, and data handling procedures comply with HIPAA Security and Privacy Rules. We use secure, encrypted channels for data transmission and maintain documented workflows for all PHI handling. A Business Associate Agreement (BAA) is provided to every client.
How do I get started with RevGen Billing services?
The first step is a free practice audit. Contact us and we’ll review your current billing setup, identify gaps, and recommend a plan. There’s no obligation. If you move forward, our onboarding team handles the transition — including EHR integration, credentialing updates, and workflow documentation — so there’s no disruption to your cash flow.
RevGen Billing
Full-cycle medical billing and revenue cycle management for practices across all 50 U.S. states.
📧 revgenbilling@gmail.com
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