Seamless Integration
We Work With Your Billing Systems
Our RCM teams are trained and experienced on leading practice management and EHR platforms, so we can plug into your existing workflow from day one.
VitalAxis RCM services cover the full revenue cycle, from insurance credentialing to claim processing and patient billing, with dedicated specialists and real-time cloud dashboards.
Purpose-built for healthcare with certified expertise, domain depth, and technology that delivers results.
Every claim is handled by nationally certified coders who stay current on payer rules, compliance updates, and specialty-specific coding standards.
Deep experience across Physician practices, Surgical Centres, In-house Procedures, and Laboratory billing, each with its own workflow and payer nuances.
Proprietary client and patient portals built in-house, giving you full transparency into claims status, payments, and account activity in real time.
Intelligent automation handles eligibility checks, claim scrubbing, and follow-up workflows, so your team focuses on exceptions, not repetitive tasks.
Machine learning models screen claims for denial risk and predict collection outcomes, enabling proactive intervention before revenue is lost.
We put skin in the game with performance-backed service level agreements: measurable commitments on turnaround times, clean claim rates, and collection targets.
Comprehensive clinical documentation review and audit capabilities ensure every encounter is supported by compliant, complete records, reducing risk and strengthening payer confidence.
Specialized Evaluation & Management coding expertise aligned with the latest CMS guidelines, ensuring accurate level assignment and maximum reimbursement for physician encounters.
Unlike generic billing services, VitalAxis RCM is purpose-built for labs and physician practices. Our specialists understand healthcare-specific coding, compliance, and payer dynamics.
Our RCM teams are trained and experienced on leading practice management and EHR platforms, so we can plug into your existing workflow from day one.
VitalCollect — Purpose-Built Billing SoftwareWhen not working within customer systems, our RCM teams operate on VitalCollect, our enterprise-class billing platform designed for speed, accuracy, and complete revenue visibility.
Seamlessly connected with industry-leading platforms for eligibility, claims, payments, communications, and more.
NPPES RegistryNPPES RegistryComprehensive revenue cycle management covering every step from credentialing to collection analytics.
Schedule patient encounters, gather insurance information, verify eligibility in real-time, manage referrals & prior authorizations, create new patient accounts, and collect patient & physician consent forms.
Validate patient demographics, verify medical necessity, and ensure compliant claim creation with time-of-service updates and follow-up.
Expert ICD-10 & CPT coding across Hospital & Office E&M, Labs, Endoscopy, Professional & Facility, Home Health/Telehealth, GI Procedures, Infusion/Anesthesia, and RPM & CCM virtual care.
Pre-billing edit resolution, clean claim filing within 48 hours of service, payment posting, bank reconciliation, underpayment analysis, and reversals & zero-pay management.
Aggressive A/R follow-up, systematic denial analysis & appeals filing, payer trend reporting, credit balance management, and contract variance analysis.
Outbound pre-collection calls, customer support for payments, telehealth & appointment reminders, patient statements, balance transfers, and transition to collections. Support in English & Spanish.
Professional patient statements, payment plans, online payment options, and client invoicing with compassionate communication throughout.
Real-time dashboards with KPIs: collections, AR aging, denial rates, payer mix, revenue trends, and scheduled report delivery to stakeholders.
Provider enrollment & credentialing, fee schedule updates & negotiation support, MIPS reporting, payor policy review, provider education, business reviews, and payer benefit reviews.
Scale your billing operations on demand with dedicated VitalAxis specialists who integrate seamlessly as an extension of your existing team or work within your billing systems.
Industry-specific billing teams with deep knowledge of specialty coding and compliance requirements.
End-to-end billing for GI practices: consultation including E&M visits, hospital visits & tele-health; procedures including endoscopy, colonoscopy, Fibroscan, ultrasound, Velacur, HBT, EUS, anesthesia, infusion & capsule endoscopy; plus pathology lab billing.
Expert billing for urology practices including office visits, cystoscopy, urodynamics, lithotripsy, prostate procedures, in-office surgeries, and lab billing, with precise CPT and modifier selection for maximum reimbursement.
Specialized billing for obstetrics and gynecology practices, covering prenatal and postnatal visits, ultrasounds, labor & delivery, surgical procedures, global OB packaging, and associated lab billing with accurate modifier and diagnosis coding.
Revenue cycle support for RPM and chronic care management programs. We help you capture and bill for remote monitoring services efficiently and compliantly.
We back our RCM services with measurable SLAs and penalty-backed guarantees, so you never have to wonder if your billing partner is performing.
Claims adjudicated by payers on first submission without rejections or denials.
Average time between case sign-out and first billed date, excluding weekends and holidays.
Aged insurance receivables kept at or below 15% of total insurance AR.
Average insurance days in accounts receivable maintained at or below 30 days.
All open claims resolved within payer timely filing limits each quarter.
Our RCM team will review your current billing process and identify collection gaps, at no cost.