Revenue Cycle Management
Medical Billing & Revenue Cycle Management
Day-to-day revenue cycle work, from registration and coding through payment, follow-up, and review.
- Registration & eligibility tied to the visit
- Claims scrubbed before submission
- Rejections & denials followed up
Service overview
One revenue cycle, followed end to end
MRX works the day-to-day revenue cycle as one connected process, so registration, coding, claims, payments, and follow-up stay tied to the same encounter.
Common challenge
Claims go out, but rejections, denials, and open balances build up when no one owns the follow-up.
Solution pathRunning an established practiceFront-end accuracy
Registration details, eligibility, and charge entry stay tied to the encounter.
Clean claim preparation
Claims are prepared, scrubbed, and submitted to the payer.
Rejection & denial follow-up
Rejected or denied claims are corrected or appealed, then followed again.
Posting & open balances
Payments are posted and open balances are worked until resolved or queued for review.
MRX handles
- Claim preparation, scrubbing, and submission
- Rejection, denial, and appeal follow-up
- Payment posting and open-balance work
The practice provides
- Accurate patient and insurance details
- Visit documentation for coding
- Decisions on balances queued for review
Eleven stages
How the Revenue Cycle Moves
From patient registration to payment in your practice bank account.
Rejection branch · from Step 6
- Claim rejected
- Identify error
- Correct claim
Rejected claims are corrected and resubmitted where appropriate.
From Step 9 · Correction & resubmission
- Investigate
- Correct claim
Correct the claim when appropriate, then return it to submission.
From Step 9 · Appeal
- Review reason
- Submit appeal
- Track response
A denial can be corrected and resubmitted, or appealed. MRX tracks the response.
Stage 01
Patient Registration & Information Capture
Capture accurate patient demographics, insurance details and encounter information.
Key activities
- Confirm patient demographics and contact details
- Record insurance and encounter information
- Tie registration data to the visit
Read every stage
1. Patient Registration & Information Capture
Capture accurate patient demographics, insurance details and encounter information.
2. VOB & Eligibility Verification
Verify coverage, benefits and patient responsibility.
3. Prior Authorization, When Required
When required
Obtain authorization when required by the payer or plan.
4. Medical Coding & Charge Entry
Review documented services, coding and charges.
5. Claim Scrubbing & Submission
Check claims for errors and submit them to the appropriate payer.
6. Claim Acknowledgements & Rejection Resolution
Monitor claim acknowledgements, correct rejections and resubmit claims.
Rejection: Claim rejected, then identify the error, correct the claim, and return to claim scrubbing and submission. Rejected claims are corrected and resubmitted where appropriate.
7. Payment Posting & Reconciliation
Post insurance and patient payments, adjustments and contractual amounts accurately.
8. AR Follow-up
Follow up on outstanding balances with payers and track unresolved claims.
9. Denial Management & Appeals
Investigate denials, correct errors and submit appeals when appropriate.
Denial: A corrected claim can return to submission. An appeal is tracked until the payer responds. A denial can be corrected and resubmitted, or appealed. MRX tracks the response.
10. Reporting & Revenue Cycle Review
Review submissions, payments, denials and outstanding balances.
11. Payment Received in Practice Bank Account
MRX posts and reconciles payments. The funds remain with the practice.
Use arrow keys while the workflow board is focused to move between 11 stages and the final outcome.
See where the revenue cycle needs attention.
Ask about claims, denials, open balances, or the billing workflow. Submissions are sent only when email delivery is configured on the server. Nothing is stored on this website.