Revenue Cycle Management
Revenue Cycle Management is the heart of what we do. From eligibility and coding through claim submission, denial management, A/R follow-up, payment posting, and reporting, Quantix runs your entire billing operation so your team can focus on patients — and you always have a clear view of every dollar.
Why practices choose us for this
- One accountable partner for the whole revenue cycle
- Faster reimbursement and steadier cash flow
- Lower denial rates through clean-claim discipline
- Transparent, real-time reporting on every metric
How it works
What's included
Verify & code
Eligibility, benefits, and accurate coding before claims go out.
Submit clean claims
Automated scrubbing keeps first-pass acceptance high.
Work denials & A/R
Every denial appealed and every balance followed to resolution.
Post & report
Reconciled posting and clear dashboards on the metrics that matter.
Every part of the billing cycle, covered
These sub-services are all included under Revenue Cycle Management — one accountable partner for the whole cycle.
Eligibility & Benefits Verification
Confirm coverage, copays, deductibles, and authorizations before every visit — stopping denials at the source.
Medical Coding
Certified, specialty-aware ICD-10/CPT/HCPCS coding aligned to current payer and CMS rules.
Corrective Coding
Identify and fix code errors and documentation gaps to rescue at-risk claims before they deny.
Claim Submission & Billing
Daily clean-claim submission with scrubbing, plus clear, respectful patient billing.
Denial Management & Appeals
Work and appeal every denial, and fix the root cause so it stops recurring.
A/R Recovery & Follow-Up
Systematic follow-up on aging and outstanding claims to recover what you are owed.
Payment Posting & Reporting
ERA/EOB posting reconciled to the penny, with dashboards on collections, A/R, and denials.
The metrics we manage — and report to you
You get transparent dashboards and a plain-English monthly review. These are the numbers that actually tell you whether you are getting paid what you earned.
- First-pass clean-claim rate
- Denial rate by payer and reason
- Days in accounts receivable (A/R)
- Percentage of A/R over 90 days
- Net collection rate
- Payment lag by payer
Changing billing companies is easier than you think
Switching billing companies is lower-risk than most practices expect. We map payer enrollment and EDI/ERA dependencies, set up work queues and report cadence, and work your legacy A/R alongside new claims so aging balances do not fall through the cracks during the transition. Most practices are up and running within a few weeks — and in most cases you keep your existing EHR and practice-management system.
Specialty-aware billing across Southern California
Every specialty bills differently. Our RCM is tuned to how yours actually works.
Let's talk about revenue cycle management
Tell us about your practice and we'll show you exactly how we can help — at no cost and no obligation.
- No long-term lock-in
- Physician-founded, Southern California team
- A clear plan tailored to your specialty
Revenue Cycle Management questions
How much does revenue cycle management cost?
Most RCM services are priced as a percentage of collections, so we only do well when you get paid. The exact rate depends on your specialty, claim volume, and scope of services. We provide a clear, itemized quote after a free consultation, with no hidden fees.
Do we have to change our EHR or practice-management software?
No. In most cases we work within your existing EHR and practice-management systems, so there is no disruptive migration. If your current setup is holding you back, we will tell you — but the choice is always yours.
How long does it take to transition to Quantix?
Most practices are up and running within a few weeks, depending on payer setup and how quickly credentialing and EDI enrollments transfer. We manage the transition carefully to avoid gaps in cash flow.
What happens to our existing accounts receivable?
We can work your legacy A/R alongside new claims so aging balances are pursued before timely-filing deadlines. Recovering revenue that would otherwise age out is often one of the fastest wins when practices move to Quantix.
What reporting will we see?
Transparent, current dashboards plus a plain-English monthly review covering collections, days in A/R, first-pass clean-claim rate, denial rate, and net collection rate — the numbers that tell you whether you are getting paid what you earned.
Is Quantix HIPAA compliant?
Yes. We operate under HIPAA-conscious, compliance-first policies, sign Business Associate Agreements (BAAs), and train staff on safe handling of protected health information.
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