RCM operations
Clean claim submission, resubmission of rejections and denials, reconciliation against remittances and structured follow-up until adjudication.
- Claims submission & scrubbing
- Rejection & denial resubmission
- Claims reconciliation
Revenue Cycle · Compliance · Back Office
Every claim paid. Every dollar accounted for.
Revnex runs the full revenue cycle for clinics, hospitals and homecare providers — claims submission to zero balance — alongside healthcare audits, ADHICS and KPI compliance, licensing, accounting and tax. One accountable team, daily reporting you can actually read.
Net collections
$0.00M
Denials overturned94%
Charge capture accuracy99.2%
Claims processed / month310K
0%
First-pass clean claim rate
0%
Average collections lift
0 days
Average days in receivables
0/7
Dedicated account team
Claims submissionResubmission & denialsClaims reconciliationReceivables recoveryClaims quality auditCompliance auditADHICS supportJawda Tasneef supportKPI submissionFacility licensingPayer empanelmentAccounting & VATDigital marketingClaims submissionResubmission & denialsClaims reconciliationReceivables recoveryClaims quality auditCompliance auditADHICS supportJawda Tasneef supportKPI submissionFacility licensingPayer empanelmentAccounting & VATDigital marketing
Revenue cycle, compliance and back office — one accountable team
Take one service or hand us the whole administrative load. Either way you get a named team, defined SLAs and complete visibility.
Provider receivables recovery
Recovery squads for delayed and unpaid payer balances — oldest-dollar-first, with escalation paths and weekly recovery reporting.
- Pending amount recovery
- Aged AR clean-up
- Underpayment identification
Healthcare audits
Independent audits of submitted claims, coding accuracy and internal processes so exposure is found before a payer or regulator finds it.
- Claims quality audit
- Compliance audit
- Payer recovery audit support
ADHICS support
Information-security compliance for healthcare facilities — annual maintenance of controls, evidence packs and full audit readiness.
- Annual maintenance support
- Audit preparation
- Control & evidence documentation
KPI & Jawda Tasneef support
End-to-end KPI reporting for regulators across every care setting, plus preparation and support for quality audits.
- Hospital & outpatient KPIs
- Homecare & primary care KPIs
- Teleconsultation KPIs
Licensing & empanelment
Facility and physician licensing, DOH audit support, payer empanelment and contracting — plus trained manpower for your admin desk.
- Facility & physician licensing
- DOH audit support
- Payer empanelment & contracting
Accounting & tax consultancy
Month-end and year-end closing, backlog clean-up, MIS reporting, payroll, VAT and corporate tax registration, filing and refunds.
- Closing, backlog & MIS reports
- Payroll & audit preparation
- VAT & corporate tax compliance
Healthcare digital marketing
Patient acquisition built for clinics: websites, SEO, paid search, social, reputation management and brand identity.
- Web design & SEO
- Paid search & social
- Reputation & branding
RCM training & internships
Job-oriented, practical training on live revenue cycle processes across outpatient and inpatient departments.
- Process-based training
- Outpatient to inpatient rotation
- Coder & AR analyst upskilling
How we work
Four steps from leakage to clean cash flow
01
Discovery & audit
We review 90 days of claims, denials, receivables ageing and compliance records, then hand you a written gap analysis with the amounts attached to each gap.
02
Transition plan
System and payer-portal access, payer mapping, coding rules, audit calendar and reporting cadence agreed before a single claim moves.
03
Run the cycle
Daily charge entry, scrubbing and submission. Rejections and denials reworked within 48 hours. KPI and audit deliverables filed on schedule.
04
Optimise monthly
Business review on collections, payer behaviour, documentation quality and compliance readiness — with the next month's fixes committed in writing.
Coverage
40+ specialties. One accountable team.
Coders and receivables analysts are assigned by specialty, not by ticket volume — so the person working your denials understands your modifiers, payers and documentation habits.
ADHICS
Compliant workflows & audit trails
Audit-ready
Evidence packs for DOH & payers
CardiologyOrthopedicsBehavioral healthRadiologyFamily medicineAnesthesiaDermatologyUrgent careOB/GYNPain managementPhysical therapyNephrologyGastroenterologyWound careHome healthDME
Outcomes, not activity reports
Multi-site orthopedics · 14 providers
0%
collections increase in 6 months
Recoded 3 high-volume procedure families, rebuilt the scrubbing ruleset and cleared a 120+ day receivables backlog.
Behavioral health group · 40 clinicians
0 days
reduction in days in receivables
Automated eligibility checks and same-day charge entry removed the front-end rejections driving rework.
Independent cardiology practice
0%
denial overturn rate
Structured appeals with clinical documentation packets turned routine medical-necessity denials into payments.
“We moved three years of neglected receivables to Revnex and saw deposits change within the first month. They also took our KPI submissions off our hands entirely.”
“Their coders caught documentation gaps our previous vendor billed around for years. That alone paid for the engagement.”
Questions we get before the first call
Most facilities go live in 10–15 business days. Licensing- and empanelment-heavy transitions take longer, and we run parallel submissions during the switch so nothing drops.
Free revenue & compliance audit
Show us 90 days. We'll show you the leakage.
No obligation and no sales script — a written analysis of your denials, receivables ageing, coding accuracy and compliance gaps, with the recoverable amounts quantified.