Rev Cura runs medical billing as a defined operation rather than a queue of claims. Charges are entered against your fee schedule, claims are scrubbed before they leave, payments are posted and reconciled, and anything that does not pay is worked until it resolves or is closed with a documented reason.
Medical billing is the process of turning a patient encounter into a paid claim: entering charges, checking them against payer rules, submitting, posting the payment and pursuing anything that does not pay. Rev Cura runs that end to end inside your existing practice management system.
You keep clinical control and system ownership. We take the administrative load, the payer follow-up and the reporting that tells you whether the cycle is actually working — including the months where the answer is that it is not.
Most practices come to us not because claims are not going out, but because nobody can say what happened to the ones that did. The work below is organized around fixing that.
Every day between the date of service and claim submission is a day of cash flow lost, and on payers with short filing windows it is a day of risk. Late entry is usually a capacity problem rather than a skill problem, which is exactly the kind of problem an outside team solves.
A claim that fails a payer edit is not a denial — it is a rejection that never reaches adjudication, never appears in denial reporting, and sits invisible unless somebody checks the clearinghouse every day.
When a remittance is posted as a lump sum, an underpayment against your contracted rate looks identical to a correct payment. The variance only surfaces if something compares what was paid to what was expected.
Rejected claims that were never resubmitted, denials nobody appealed, small balances written off by default. Individually they look immaterial. Across a year they are usually the largest single leak in a practice.
Charges are entered from your documentation against the correct fee schedule and provider. Anything missing — an unlinked diagnosis, an absent modifier, a provider identifier that does not match the payer enrollment — is queried the same day rather than parked in a hold bucket.
Claims are checked against payer-specific edits before submission: demographics and subscriber details, active coverage, coding logic and code-pair edits, modifier use, place of service, and the fields that particular payer insists on. The goal is that the first pass is the only pass.
Electronic submission wherever the payer supports it, paper only where it is genuinely required. Clearinghouse and payer rejections are worked daily, not weekly — weekly review is where timely filing problems start.
Electronic remittances and paper EOBs are posted with adjustment and denial codes preserved rather than collapsed into a single write-off, then reconciled against your deposits so nothing is lost between payer and bank.
Anything unpaid enters the accounts receivable cadence with a documented touchpoint history: who was contacted, when, what they said, what happens next and by when.
A regular pack covering what was billed, what was collected, what is outstanding and what changed — with commentary rather than a raw export you have to interpret yourself.
A lead who knows your payers, your providers and your workflow, plus a defined escalation path when something unusual happens.
Written procedures for your account, so the work can be reviewed and does not live in one person's head.
Agreed metrics on an agreed rhythm, including the claims that did not go to plan.
Every claim carries its own history — submitted, rejected, resubmitted, denied, appealed, paid or closed, with the reason recorded at each step.
Agreed at the start of the engagement, reported on a fixed rhythm, with commentary rather than a raw export.
We report your figures. We do not publish benchmark numbers we cannot evidence for your practice.
Your practice remains the contracted party with every payer, the owner of your data and the owner of your practice management system. We work under access you grant and can withdraw.
Clinical documentation stays with your providers. Where a note does not support the service billed we raise it rather than coding around it, because a claim we cannot defend is not a claim worth submitting.
Patient-facing conversations about balances stay with your front desk unless you specifically ask us to take them, and the tone and escalation limits are agreed in writing first.
No. We work inside the system you already use. If you are choosing a new one we will give you an opinion, but changing systems is never a condition of working with us.
You do. Your practice remains the contracted party with every payer and the owner of your data. We work under access you grant and can withdraw at any time.
It depends on system access, payer enrollments and the state of your open accounts receivable. Transition timing is agreed in writing during the assessment rather than promised up front, because a date given before we have seen your data is a guess.
That is your decision. Some practices redeploy people to front-end work, eligibility and patient-facing tasks; others keep billing in-house and use us only for denials or aged AR. We will tell you honestly which we think fits your situation.
Aged AR is usually scoped as a separate cleanup project so it does not compete with current-month work. See AR Cleanup and Recovery.
Every claim carries a documented touchpoint history, and the reporting pack shows movement between aging buckets. If claims are not moving, the report shows it rather than hiding it.
CPT, ICD-10-CM and modifiers reviewed against payer policy.
Explore →Scrubbing, submission, rejections and clearinghouse oversight.
Explore →ERA and manual posting with reconciliation and variance review.
Explore →Speak with our team about your current billing workflow, AR challenges and revenue cycle goals.