Serving Healthcare Practices Across All 50 States 100% HIPAA Compliant & BAA Protected
HIPAA Compliant 95%+ Clean-Claim Rate • Nationwide RCM

Get Paid Faster.
Reduce Denials.
Focus on Your Patients.

RevoCentra is an end-to-end medical billing and revenue cycle management company helping healthcare practices of every size collect more of what they earn. We eliminate paperwork, accelerate reimbursement, and operate seamlessly within your existing EHR.

Estimate Practice ROI
Signed BAA Guaranteed
24-48h Claim Submission
15-Day Fast Onboarding
Healthcare practice manager and physician reviewing medical billing performance metrics at RevoCentra
98.4% Clean Claims
First-pass submission rate
< 30 Days in A/R
Accelerated reimbursement
0%+
Target Clean-Claim Rate
Substantially fewer rejections & denials
<0 Hours
Claim Submission Window
From encounter data receipt to filing
0 Days
Complete Go-Live Window
Zero software disruption to your staff
0 States
Nationwide Expertise
Serving solo, group & specialty practices
Works seamlessly with your existing EHR & PM software — Zero Migration Needed
Epic Systems
AthenaHealth
eClinicalWorks
Kareo / Tebra
NextGen Healthcare
AdvancedMD
Cerner / Oracle Health
Practice Fusion

Why Leading Healthcare Practices Partner with RevoCentra

Medical billing is more than just data entry—it is the financial engine of your clinic. Here is how we safeguard your cash flow and free your clinical team.

Higher Collections

Accurate coding (CPT, ICD-10, HCPCS, and modifiers) paired with advanced electronic claim scrubbing means fewer rejections and significantly faster reimbursement.

Fewer Denials & Rapid Appeals

We intercept errors before submission and aggressively work all denials within 5 business days, ensuring no recoverable dollar is left behind.

Transparent Pricing

Simple, performance-aligned fees with zero hidden charges or surprise line items. Onboarding fees are waived on 12-month agreements.

100% HIPAA Compliant

We sign a formal Business Associate Agreement (BAA) before receiving any encounter data. All workflows run on secure, access-controlled, encrypted systems.

Dedicated Account Manager

No overseas call-center confusion. You receive a named U.S. billing specialist who understands your practice specialty, providers, and local payer nuances.

Clear Monthly Reporting

Executive financial summaries, A/R aging breakdowns (30/60/90+ days), denial analyses, and payer collection trends delivered with crystal-clear visibility.

Doctor having an attentive consultation with a patient in a modern clinical room

More Medicine, Less Administration

Physicians and nurses entered healthcare to care for patients, not to fight insurance clearinghouses or decipher claim rejection codes. RevoCentra takes on the entire administrative load so your front office stays relaxed and your clinic runs smoothly.

  • Eliminate staff burnout caused by hours on hold with payers
  • Measurable collection gains within your first 60 to 90 days
  • Maintain complete control of patient records in your current EHR

Comprehensive Revenue Cycle Solutions

From patient check-in to final payment recovery, RevoCentra manages every single phase of your revenue stream with clinical accuracy and rigorous compliance.

Eligibility & Benefits Verification

Real-time insurance eligibility checks prior to appointments to ensure active coverage, copay requirements, deductibles, and co-insurance.

Pre-visit Verification Deductible Tracking

Patient Demographic Entry

Thorough patient registration and demographic data scrubbing into your EHR/PM to prevent preventable front-end rejections.

Zero Data Loss EHR Native Entry

Prior Authorization Support

Dedicated assistance securing medical necessity clearances and payer pre-authorizations for specialized procedures, diagnostics, and therapeutics.

Faster Turnaround Payer Escalation

Provider Credentialing & Enrollment

End-to-end payer enrollment and CAQH maintenance so your providers remain in-network without disruptions to billing rights.

Commercial & Medicare Re-credentialing

Certified Coding Review (CPT, ICD-10, HCPCS)

Certified coders cross-check medical documentation against CPT, ICD-10, and modifier rules to optimize reimbursement while guaranteeing strict compliance.

AAPC/AHIMA Certified Modifier Validation

Charge Entry & Capture Review

Detailed verification of encounter sheets and superbills to ensure every performed procedure, injection, or test is accounted for and billed promptly.

Zero Unbilled Encounters Underbilling Prevention

Clean-Claim Scrubbing & 837 Submission

Electronic filing within 24 to 48 hours. Multi-tier clearinghouse scrubbing rules eliminate format errors before claims ever reach payer adjudication.

95%+ First-Pass Rate EDI 837 Submissions

Payment Posting (ERA & EOB)

Automated and manual reconciliation of electronic remittance advices (ERAs) and explanation of benefits (EOBs), ensuring contractual adjustments and patient balances balance to the penny.

Daily Posting Exact Balancing

Denial Management & Rapid Appeals

Every rejection and denial is logged, categorized, and addressed within 5 business days. We author customized appeal letters with supporting clinical documentation.

5-Day Resolution SLA Root Cause Analysis

A/R Follow-Up on All Aging Buckets

Systematic phone and portal follow-ups on 30, 60, and 90+ day aging claims. We never let aging claims quietly expire past timely filing deadlines.

No Abandoned Claims Timely Filing Vigilance

Patient Statements & Balance Collections

Clear, friendly, and patient-centric billing statements delivered via mail and SMS, with polite support for patient balance inquiries and payment setups.

Patient-Friendly Higher Collection Velocity

Old & Unpaid A/R Recovery Project

Have unpaid claims over 120 days old from a previous billing agency? We conduct deep forensic recovery projects to unlock cash sitting on your books.

Aged A/R Recovery Contingency Options

Executive Monthly Financial Summary

High-level overview of total charges, payments posted, contractual adjustments, and net collection ratios designed for practice owners and managing partners.

Net Collection Rate Charge Volume

Denial & Rejection Root Cause Reports

Granular breakdown of denials by reason code, payer, and provider. We identify systemic clinical documentation issues and guide your staff to eliminate future occurrences.

Actionable Insights Preventative Analytics

A/R Aging Analysis by Bracket

Real-time status of claims sitting in 0-30, 31-60, 61-90, 91-120, and 120+ day buckets with clear notes on pending payer adjudication.

Days in A/R Metric Aging Breakdown

Collections by Provider & Payer

Compare performance across Medicare, Medicaid, and commercial carriers (Blue Cross, Aetna, Cigna, UnitedHealthcare), as well as individual physician productivity.

Provider Productivity Payer Yield

Your Dedicated Revenue Cycle Specialist

Automated software alone cannot understand complex clinical coding guidelines, state payer nuances, or navigate intricate claim appeals. That is why every RevoCentra client is paired with a dedicated, named Revenue Cycle Account Manager who knows your clinic inside and out.

  • Single direct phone and email contact for your practice staff
  • Monthly review calls with your physicians or practice administrator
  • Certified in CPT, ICD-10, and specialty-specific modifier compliance
Dedicated RevoCentra medical billing specialist analyzing practice claim data

See How Much Revenue You May Be Leaving on the Table

Industry studies show average healthcare practices lose between 5% and 15% of earned revenue to preventable denials and unworked claims. Adjust the sliders below to calculate your practice recovery potential.

Monthly Practice Collections (Allowed Revenue): $120,000
Enter your net insurance receipts or allowed amounts (excludes gross chargemaster markups).
$20,000 / mo $300,000 / mo $600,000+ / mo
Estimated Current Denial Rate: 10%
Typical medical practices experience initial denial rates between 8% and 15%.
3% (Top 5%) 10% (U.S. Average) 25% (High Risk)
Actionable Denial Benchmark: Medical Group Management Association (MGMA) data confirms that ~90% of claim denials are preventable, and 65%–75% of denied claims are recoverable with certified coding and timely appeal workflows.
* RCM Calculation Methodology: Models an industry-conservative 75% recovery factor on actionable denials (technical errors, modifier 25/59 mismatches, and medical necessity) based on net collections. Excludes contractual fee-schedule adjustments (CO-45) and patient-responsible deductibles.
Estimated Annual Recoverable Revenue
+$108,000
Projected cash flow retained by eliminating preventable denials
Actionable Denials $12,000/mo
×
Appeals Factor 75%
=
Recaptured Cash $9,000/mo
Monthly Recovery
+$9,000/mo
Target Clean Rate
97.0%
A/R Time Saved
18-24 Days
Software Cost
$0 (Keep EHR)

Interactive Practice Transformation

Toggle below to compare typical internal clinic billing against RevoCentra full-service revenue management.

Average Days in A/R
54 Days
Industry average for internal clinic billers without automated escalation
First-Pass Clean Claim Rate
76.5%
Frequent front-desk eligibility errors and missing procedural modifiers
Denial Percentage
13.8%
High volume of unresolved medical necessity and timely filing rejects
Monthly Staff Overhead
$6,800/mo
Salary, payroll taxes, health benefits, PTO, and clearinghouse license fees
Unworked 90+ Day Aging
18% Unworked
Claims older than 90 days frequently abandoned due to limited staff hours
Staff Retention & Risk
1.8 Years
Constant turnover disrupts cash flow and creates billing backlogs

Specialized Billing Across All Major Disciplines

Every specialty has unique documentation quirks, modifier nuances, and payer fee schedules. Our certified billing teams know the exact billing rules for your clinical domain.

Primary Care & Family Practice
Internal Medicine
Pediatrics & Adolescent Care
Cardiology & Vascular
Orthopedics & Spine
Dermatology & Mohs
Behavioral Health & Psychiatry
Physical & Occupational Therapy
Urgent Care & Walk-in Clinics
OB/GYN & Women's Health
Neurology & Pain Management
Ambulatory Surgery & More
Don't see your specific sub-specialty? We support medical practices in all 50 states. Ask our team about your custom specialty fee schedules.
Orthopedic specialist reviewing digital diagnostic imaging scans
Surgical & Diagnostic Specialties
Complex global surgery periods, operative reports, and specialty modifier compliance.
Pediatrician consulting with child patient and parent in modern clinic
Family & Pediatric Medicine
Preventive well-child visits, developmental assessments, and vaccine charge capture.

Go-Live in Just 15 Days Without Missing a Beat

We understand switching billing partners can feel stressful. Our battle-tested 15-day onboarding protocol guarantees zero claim stoppage, zero software migrations, and complete continuity.

01
Day 1

BAA & Consultation

Confidential review of your current billing challenges. Agreement and HIPAA BAA executed.

02
Days 2 – 5

EHR Access & Payers

Secure credentialing into your EHR/PM system, payer fee schedule review, and clearinghouse linking.

03
Days 6 – 12

Testing & Workflow

Test claim scrubbing, EDI electronic setup, ERA payment routing, and workflow alignment with your front desk.

05
Ongoing

Monthly Reviews

Dedicated account manager conducts monthly financial reviews to continuously enhance cash flow.

RevoCentra onboarding team collaborating with practice managers in conference room

Seamless Workflow Alignment from Day One

Our onboarding specialists sit down with your clinic leadership to map every payer nuance, fee schedule rule, and front-desk hand-off. We eliminate billing friction before submitting your first batch of claims.

  • Dedicated Implementation Lead assigned directly to your practice
  • Daily clearinghouse EDI testing and ERA route verification
  • Complete confidence that zero claims sit unworked during go-live

Choose the Pricing Model That Fits Your Practice

Every practice has different volumes and cash flow needs. We offer three transparent pricing models with simple, clear terms and zero hidden fees.

Flat Fee Per Claim
Predictable cost per filed claim. Perfect for high-encounter clinics and urgent care.
$3.25 – $5.00
per submitted electronic claim
  • Up to 500 claims/mo: $5.00 / claim
  • 501 – 1,500 claims/mo: $4.00 / claim
  • 1,500+ claims/mo: $3.25 / claim
  • Clearinghouse scrubbing & ERA posting
  • Monthly submission & denial reports
Fixed Fee Per Provider
Flat monthly predictability. Great for established group clinics with steady visit counts.
$450 – $650
per provider / per month
  • Solo Provider: $650 / month
  • 3-5 Providers: $550 / provider / mo
  • 6+ Providers: $450 / provider / mo
  • Full billing & accounts receivable follow-up
  • Budget certainty with no volume variance
Our Commitment: You only pay for what you need. Onboarding & setup fees are completely waived on 12-month agreements. Contact our practice advisory team for a personalized proposal.

Trusted by Independent Practices Nationwide

See what clinic managers and healthcare providers say about partnering with RevoCentra.

"Our internal staff was overwhelmed with prior auths and payer denial calls. Within 60 days of partnering with RevoCentra, our first-pass clean claim rate surged to 97.4%, and our monthly revenue increased by nearly 18%."

MH
Dr. Marcus Hayes, MD
Internal Medicine & Primary Care, Austin, TX

"We had over $130,000 in aged AR sitting beyond 120 days that our previous agency wrote off as uncollectable. The RevoCentra team went into the trenches and recovered more than 60% of it in under 90 days."

SL
Sarah Lin, Practice Administrator
Florida Orthopedic & Sports Institute, Miami, FL

"The transition was effortless. We didn't change our EHR or retrain any front desk staff. RevoCentra logged in, aligned workflows, and went live in 14 days. Truly night and day compared to standard billing companies."

DM
Dr. Elena Rostova, MD
Midwest Pediatric & Adolescent Associates, Chicago, IL

Frequently Asked Questions

Everything you need to know about working with RevoCentra. If you have an inquiry not listed here, our team is always ready to assist.

No. We work directly within your existing EHR and practice management system (e.g. Epic, AthenaHealth, eClinicalWorks, Kareo, NextGen, AdvancedMD, etc.), or we can provide our own platform if you prefer. Your clinical staff continues using the screens they are already trained on, ensuring zero disruption to patient scheduling or charting.
Yes, 100%. We operate strictly under HIPAA rules and execute a mutual Business Associate Agreement (BAA) before any patient data or system access is shared. All interactions occur through 256-bit encrypted, access-controlled systems adhering to the highest U.S. healthcare data-handling protocols.
Most practices notice an immediate surge in clean-claim acceptance rates within the first 30 days, as our pre-submission scrubbers catch errors before filing. Measurable collection gains and significant reductions in average days in A/R occur within 60 to 90 days as older receivables are worked down.
Yes. We offer dedicated aged Accounts Receivable recovery projects specifically targeting claims older than 120 days that were left unworked by prior billing departments. We audit the denial reasons, gather clinical records, and submit targeted appeals before timely filing limits lapse.
We offer both flexible month-to-month and 12-month agreement terms. For practices choosing a 12-month agreement, onboarding and system setup fees are 100% waived. Our contracts feature clear, standard 60-day written cancellation terms with no penalties.
Our service agreements guarantee: (1) Claims submitted electronically within 24-48 hours of complete encounter receipt; (2) Target clean-claim first-pass rate of 95% or higher; (3) All payer denials reviewed and worked within 5 business days; (4) Full HIPAA compliance and BAA protection; (5) Regular monthly performance and financial review consultations with your practice.

Ready to see how much revenue you could recover?

Book a 100% confidential, no-obligation medical billing review. Our revenue cycle specialists will analyze your denial rate, CPT coding patterns, and days in A/R.

Direct Toll-Free Line
(800) 518-REVO (7386)
Direct Practice Inquiries
info@revocentra.net
Service Reach
Serving Healthcare Providers in All 50 States
Confidentiality Guaranteed under formal HIPAA Business Associate Agreement
✓ Thank you! Your free practice review request has been received. A Senior RCM Specialist will contact you within 1 business day.
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