Revenex RCM is the leading medical billing and revenue cycle management company serving healthcare providers of all sizes and specialties nationwide— including practices, labs, clinics, urgent care centers, specialty groups, DME, healthcare organizations, hospitals, and health systems.  Our service can be delivered as an End-to-End RCM solution or custom support for only the revenue cycle functions you need.  

With over 20 years of RCM leadership, we’re more than just medical billers— we optimize revenue, maximize collections, streamline administrative workflows, and reduce operational costs to accelerate growth. Revenex RCM empowers providers to focus on patient care, not paperwork.  

Visit www.revenexrcm.com to learn more and speak with our team.  

To simplify and transform how healthcare organizations grow revenue—through professional, scalable, and contract-free billing services that optimize revenue, maximize collections, streamline administrative workflows, and reduce operational costs to accelerate growth. 

We were founded in 2023  

The entire US healthcare provider industry. All 50 states, all medical specialties from primary care, to mental health, to internal medicine, radiology, orthopedic groups – all medical businesses and healthcare organizations.   

• End-to-End Revenue Cycle Management.  

• Full-Time Equivalent Medical Billers & Coders.  

• Customized support for specific medical billing functions such as claims management, credentialing, medical coding, eligibility verification, prior authorizations, accounts receivable collections, and denied claims resolution.  

• We can cover all RCM stages or specific functions according to each client’s preferences.  

• 24/7 billing, 24/7 live support  

• Simple Agreements – No Lock-Ins, No Setup Costs  

• 98% Claim Acceptance Rate   

• Courtesy Revenue Cycle Reports  

• Industry-Leading Rates as low as 3%, $1,500 month, or $12 hour  

• 1-Day Onboarding, Immediate Start  

• Experienced in 60+ PMS, EHR, and Clearinghouse Platforms  

Yes, we have 3 pricing models based on the monthly revenue, scope of work and claims volume, and service requirements.  

Service Model 1: “Full-Time Equivalent” Medical Billers & Coders   

• Hourly Rate Option: $12-$15 per biller/coder   

• Monthly Rate Option: 160 hours/ $1,500   

Our FTE Model is best suited for small/ mid-sized practices as a seamless solution for professional billing and coding.  It delivers maximum flexibility, scalability, and efficiency for all your billing needs in one place. Choose your level of coverage, team size, and specific functions or End-to-End support.  

Service Model 2: Revenue Cycle Management As low as 3% of net revenue that Revenex RCM collects for you.  Our RCM Model provides an entire curated team of medical billing specialists to provide comprehensive support for all desired aspects of billing, coding, claims, denials, collections, credentialing, and more.   

• How many years of experience do you have in the medical billing industry?
  Revenex RCM’s leadership team brings decades of combined experience in medical billing, coding, and revenue cycle management across nearly every specialty and care setting.  

• Do you use both phone calls and electronic methods to follow up on claim statuses?
  Yes. Revenex uses both proactive phone outreach and electronic payer inquiries to aggressively track claims, reduce aging, and accelerate reimbursement.  

• Are your billers and coders experienced in my specialty?
  Yes. Revenex assigns experienced, specialty-trained billing and coding experts who understand the nuances of your practice area—from documentation to modifier use to payer-specific rules.  

• Will you sign a Business Associate Agreement (BAA)?
  Absolutely. Revenex signs a BAA with every client to ensure full HIPAA compliance and data protection.  

• Do you aggressively handle denials and go through all levels of appeals?
  Yes. Revenex has a dedicated denial management team that pursues every valid reimbursement through structured appeals, reconsiderations, and escalation processes.  

• Can you work within my existing PMS, clearinghouse, and EHR systems?
  Yes. Revenex works within your current tech stack.  We are power users in the top 60 most popular and commonly used PMS, EHR, and Clearinghouse platforms such as AdvancedMD, eClinicalWorks, ModMed, Athena, Kareo, Allscripts, Office Ally, Simple Practice, Therapy Notes, NextGen, Availity, Trizetto, Waystar, ClaimMD, and many many more so there’s no disruption to your workflow.  

• How often do you send revenue reports, and can they be customized?
  We provide revenue cycle reports weekly and monthly, and we can tailor them to your KPIs—collections, aging buckets, denial trends, payer performance, and more.  

• Will you help ensure payers honor their contracted rates?
  Yes. We help enforce your contracted payor rates and compare payor reimbursements to your contracted fee schedules.  We challenge underpayments to ensure you’re paid what you’re owed.  

• How do you stay up to date on billing regulations and coding changes?
  Our coders and compliance team stay current with CMS updates, payer bulletins, and coding guidelines through ongoing training and certifications throughout the entire year so you don’t have to.  

• How do you manage accounts receivable collections to maximize recovery?
  Revenex uses assertive, multi-channel AR follow-up strategies, aging prioritization, and payer-specific tactics to drive fast, full recoveries—even on legacy AR.  We break the AR into 30 day (0-30 days, 30-60 days).  We strategically pursue simultaneous collections across the earliest and latest buckets at the same time then work backwards to the day zero baseline.  

• Do you offer credentialing support and help with payer contracts and compliance?
  Yes. We specialize in full-service credentialing, recredentialing, and payer enrollment support to ensure your providers are active, compliant, and reimbursable.  We even help renegotiate more favorable contracted rates for our clients based on patient volumes, claims volumes, industry benchmarks, your tenure with the payor, and geographic indexes.  

• How do you structure your fees—by claims volume, collections, or flat rate? Are there setup fees or long-term contracts?
  We have two pricing models: an FTE model with a flat hourly rate option or monthly rate option; and our Full RCM model which is a percentage of net collections. We have no setup fees, no onboarding fees, and there are no long-term contracts—just performance-driven billing with real results.  

• Will I have a dedicated account manager or main point of contact?
  Yes. Every client is assigned a dedicated Strategic Account Manager who provides consistent oversight, communication, and ensures service deliverables are met.  

• What are your hours of operation, and do you provide backup coverage?
  Revenex operates 24/7, with 24/7 live support!  Our staff is available around the clock to ensure uninterrupted service and issue resolution.  

• How soon can you start, and what are the next steps?
  1-Day Onboarding.  We can begin onboarding immediately. Once we execute a Service Agreement and BAA, we can do a Kick-Off Call as early as the next day.  In some cases, if clients request, we will perform a courtesy revenue cycle report to show all aspects of claims volumes.   

Revenex RCM is a supportive, efficient, and professional team. I have known Sanjay Patel (CEO) for over a decade. His passion and dedication are driving forces within the company. Revenex provides each of their services with ease, reducing stress and liberating extra time for patient care.  They will increase your revenue by decreasing your denied claims. With one of the best rates in the industry and no hidden costs, you will save time and money so that you can focus more on your business.

—Dr. Nikhil Thakkar – Anesthesiologist, MA

We highly recommend Revenex RCM for their exceptional service and expertise. While it took some time to smooth out the initial transition, their team was instrumental in helping us develop tailored processes that have greatly improved our billing operations. Specifically, they worked with us to implement a more efficient system for tracking unpaid claims and handling denials, significantly reducing our claim rejection rates.

…most importantly, their team has been incredibly supportive and responsive, always ready to assist with any questions or challenges. We truly appreciate the collaborative partnership we’ve built with them and the positive impact they’ve had on our practice’s financial health.

—Keeley Teemsma – CEO, Psychotherapy, NY

I would recommend Revenex RCM without reservation because they practice what they preach. It’s in their name!  They are a highly knowledgeable group that prioritizes transparency and accuracy. Their contract is open-ended, and onboarding is incredibly seamless. Revenex resolves issues professionally and delivers prompt service around the clock. They will save your practice thousands of dollars and boost revenue by reducing your operational costs while growing your net revenue collections.

—Tejas R. Gandhi – COO, Baystate Health, MA

We are incredibly grateful for our fruitful partnership with Revenex RCM, as their collaboration enables MyRemoteDr to further its reach with Remote Patient Monitoring to enhance patient outcomes and deliver exceptional healthcare experiences that truly make a difference.

—Dr. John Harding – PhD, FL      

This is an ideal solution for practices looking to eliminate administrative burdens and lower costs while maximizing revenue and making no changes to their existing RCM. Revenex is extremely supportive and communicative. They are always readily available to answer any questions or concerns. Revenex has one of the lowest rates in the industry and exceptional services – it’s truly an easy choice!

—Dr. Neel Patel – Urologist, NJ