Medical Billing for Group Practices
Eliminate the “Revenue Gap” between your top-performing and under-performing providers. Power your multi-location group with a unified, high-velocity billing engine.
First-Pass Acceptance Rate
Recovery of 90+ Day AR
Days in A/R
↓
Reduced Denial Velocity
Core Services
Core Revenue Cycle & Group Billing Services
We provide centralized control for multi-location groups, ensuring consistent billing standards across every NPI. Our Expert Pods (dedicated teams for coding, credentialing, and denials) provide specialized oversight for every claim, ensuring your group maintains a healthy, consistent cash flow across all tax IDs.
AI-Powered Claim Scrubbing
We utilize predictive technology to catch technical and clinical errors, ensuring a 98.8% acceptance rate and reducing total denials.
Automated Eligibility & Yield Optimization
We perform real-time insurance checks and capture deductibles before the patient encounter even begins at your multi-location facility.
24-Hour Claim Transmission
We guarantee daily transmission via advanced clearinghouses, accelerating cash flow and ensuring much faster reimbursements from all payers.
Advanced RCM Performance Dashboards
Monitor net collections, denial trends, and individual provider performance in real-time from any device, anywhere.
Coding & Compliance
Specialty-Mix & Complex Compliance
Managing a multi-specialty group requires nuanced coding. We handle the complexity of different specialty requirements simultaneously, from surgical modifiers to behavioral health bundles.
Incident-To & Split/Shared Visits
We strictly manage CMS “incident-to” and split/shared visit rules to ensure mid-level provider services are billed at the maximum allowable rate without triggering audit red flags.
MIPS & Value-Based Care
Our team masters 2026 value-based payment models and MIPS reporting, ensuring your multi-physician team captures all available quality incentives.
HCC & Risk Adjustment
Specialized coding for Hierarchical Condition Categories ensures your Medicare Advantage RAF scores accurately reflect the true clinical complexity of your patient population.
AR Liquidation & Clinical Appeals
Our recovery team specializes in clearing 90-day backlogs and handling complex clinical appeals using payer-specific guidelines to protect your practice from recurring revenue leakage.
Credentialing
Precision Provider Credentialing
Initial Enrollment & Re-Validation
We manage the entire enrollment cycle with Medicare (PECOS), Medicaid, and commercial payers for all new and existing providers.
CAQH & License Monitoring
We handle the 120-day re-attestation requirements and provide real-time tracking of DEA and board certifications to prevent billing freezes.
Managed Care Contracting
Our experts negotiate and manage your group payer contracts, ensuring your fee schedules are optimized for maximum reimbursement.
Getting Started
The Revix MD Transition: 30-Day Onboarding
PHASE 1
Discovery & Audit
We perform a deep-dive analysis of your group’s current AR, credentialing status, and provider-level performance.
PHASE 2
Technical Integration
Seamless synchronization with your existing EHR/PM system with zero interruption to your current cash flow.
PHASE 3
Coding Alignment
We train your staff on incident-to documentation and split/shared visit rules to ensure compliance and capture every billable dollar through advanced data analytics & yield optimization.
PHASE 4
High-Velocity Execution
Full-cycle billing begins with daily claim submissions, aggressive AR follow-up, and real- time dashboard access.
Client Results
What Our Group Partners Say
Our net revenue increased by 22% within four months. Revix MD’s ability to handle our complex multi-specialty coding and MIPS reporting has turned our billing department from a cost center into a growth engine.
CEO
Mid-Atlantic Multi-Specialty Group
The ROI was immediate. They liquidated our 90-day AR backlog and streamlined our credentialing for 15 new providers across three states without a single payment interruption.
Director of Operations
Regional Surgical Group
Ready to Unify Your Group's Revenue?
Consolidate multi-location RCM into one high-velocity engine. Eliminate revenue leaks, ensure CMS compliance, and achieve 98.8% clean claim accuracy. Partner with our experts today to maximize your group’s total yield.
FAQs
What is the Medicare FQHC PPS base payment rate for 2026?
As of January 1, 2026, the Medicare FQHC PPS base payment rate is $207.72, reflecting a 2.5% market basket increase. Revix MD ensures your system captures this full rate plus the Geographic Adjustment Factor (GAF).
How do you handle new vs. established patient PPS rate differences?
CMS pays a higher PPS rate for new patient encounters. We implement front-end triggers to ensure these encounters are flagged and billed correctly, preventing the revenue loss that occurs when new patients are mistakenly billed at established rates.
Do you support 340B program billing coordination?
Yes. We ensure that claims for 340B-acquired drugs are identified with the correct modifiers to prevent duplicate discounts, ensuring your pharmacy program remains compliant with HRSA and manufacturer requirements.
Can FQHCs bill for Behavioral Health Integration (BHI)?
Yes. CMS has finalized optional add-on codes (G0568-G0570) for BHI and CoCM services when provided in conjunction with Advanced Primary Care Management (APCM). We automate this bundling to prevent technical rejections.
How does Revix MD handle "Shadow Claims" for wrap-around payments?
We utilize a specialized tracking ledger to reconcile every MCO-adjudicated claim against your state’s full PPS rate, ensuring your supplemental “wrap” payments are filed and recovered within 30 days of the initial adjudication.
What happens during an HRSA site visit audit?
We provide full data support. Our team pulls the necessary sliding fee scale logs, encounter data, and UDS snapshots to prove financial and clinical alignment with your grant requirements.