MedXRCM is a United States medical billing and revenue cycle company. We run the full cycle (billing, coding, OASIS QA, credentialing, AR recovery and audits) as a single account for healthcare providers, and we go deepest in home health and hospice, where OASIS, the CMS-485 and the NOA are routine work rather than a specialty someone has to learn on your claims.
Why the call comes
For most providers the decision to bring in a billing company is not planned. It follows an event: the biller gives notice and claims stop leaving the building, or the aging report climbs because there is no one with the hours to work it.
The smaller the organization, the harder the math. Few providers carry enough volume to justify a certified coder, an AR specialist and a credentialing person on payroll, yet all three jobs still have to be done correctly, every week, whether or not someone is available to do them.
Handing the cycle to a team that does only this keeps it moving when someone is out sick, on leave, or gone for good. In home health and hospice it also means the people touching your claims already know OASIS, the plan of care and the NOA.
We would rather show you what that looks like on your own numbers than describe it. The conversation costs nothing and requires you to move nothing.
How the work runs
Whatever a provider hands over arrives in the same sequence. None of it is proprietary. It is simply what has to happen, done by people who do only this.
Enrollment and credentialing completed so the provider is approved to bill and to be paid.
Eligibility, benefits and authorizations confirmed at the front end, before a claim can be rejected on coverage.
ICD-10, CPT and HCPCS assigned and sequenced correctly for each visit or encounter type.
Charges entered and the claim assembled, with errors caught on the bench rather than at the payer.
Claims transmitted electronically, and any rejection worked the same day where the payer allows it.
Payments, ERAs and EOBs posted and reconciled, with every discrepancy flagged instead of absorbed.
AR worked to a set schedule, so unpaid and aging claims are chased rather than left in a queue.
Denied and underpaid claims corrected, appealed, and tracked through to resolution.
Statements prepared and patient billing questions handled on the provider's behalf.
Regular reporting on claims, payments and the state of the revenue cycle, written in plain language.
What we take on
From claim preparation and submission through payment posting and reconciliation, with every charge scrubbed before it is transmitted.
Certified coders assigning ICD-10, CPT and HCPCS with correct sequencing, across both facility and practice settings.
OASIS reviewed for accuracy, compliance and clean charting, with errors caught and fixed before submission rather than after a denial.
Provider and facility credentialing, Medicare, Medicaid and commercial enrollment, CAQH setup and maintenance, and panel enrollment with contract follow-up.
Unpaid and denied claims surfaced, payers followed on a set schedule, and outstanding balances worked rather than left to age out.
Billing processes reviewed to find errors, close compliance gaps and cut the exposure that becomes a payer audit later.
Where we work
MedXRCM works with healthcare providers across settings. Home health and hospice is the practice we have developed the deepest, and it carries its own dedicated section on our main site.
Medicare-certified home health agencies and hospices, from the Notice of Admission through payment posting. OASIS review and correction, the CMS-485 plan of care, and coding across start of care, recertification, resumption of care and discharge: the documentation the rest of the revenue cycle leans on.
Billing, AR follow-up and cash-flow reporting for DME suppliers.
End-to-end billing, coding and credentialing for practices with no in-house revenue cycle team.
Official website
Our full company website (services, practice areas, resources and contact) is at medxrcm.com. The company is also listed on LinkedIn. Both are the same MedXRCM you are reading here.
Not a switchboard and not a sales desk. Tell us your organization, your state, and the setting you bill in.