At HEALTHRIX, we gather essential metadata from your organization to assess your practice’s revenue cycle management performance. This includes:
Front office medical records
Billing and coding data, including ICD-10/CPT coding compliance
Reimbursement rates from various payers
By analyzing these critical data points, we identify gaps in your processes. With our expert medical billing services for healthcare providers, we offer actionable recommendations to enhance revenue generation, streamline workflows, and improve insurance claims management, all while ensuring strict HIPAA compliance.
At Healthrix Billing & Consulting, we know that a healthy revenue cycle depends on ongoing tracking and improvement of Key Performance Indicators (KPIs). By setting clear benchmarks like maintaining a 30–35 day claim payment cycle for Accounts Receivable we help ensure steady cash flow for your practice.
We focus on critical areas, including:
Clean Claims Ratio – Submitting accurate claims the first time to reduce denials and rework.
Denial Management – Identifying patterns, addressing root causes, and preventing recurring issues.
Payer Compliance – Monitoring fee schedules, contract renewals, and ensuring every claim meets HIPAA and payer requirements.
Our mission is to help your practice avoid costly errors, streamline operations, and maximize profitability through smarter revenue cycle management.
At Healthrix Billing & Consulting, we believe that quality is more than a standard—it is the very foundation upon which successful medical practices are built. In today’s evolving healthcare landscape, maintaining high quality is not just about delivering excellent patient care; it’s about ensuring that care is measurable, compliant with industry regulations, and aligned with the financial and operational goals of your practice. Our advanced clinical performance analytics give you a complete picture of how your practice is performing, both clinically and operationally. We go beyond surface-level metrics to provide meaningful insights that empower you to make informed decisions, improve processes, and elevate the standard of care.
We create in-depth reports to assess and improve the productivity of your providers. Working with experienced healthcare consultants and analysts, we evaluate: Individual provider performance and its effect on overall practice efficiency Comparisons against benchmarks from similar practices Key strengths and areas for improvement in provider performance These insights promote a culture of high-quality care and continuous improvement. We also help providers avoid common pitfalls such as the misuse of evaluation and management codes, which can lead to significant revenue loss. By ensuring accurate coding and compliance, we maximize reimbursements and strengthen the financial health of your practice.
