Engineered To Recover Every
In US Healthcare Architecture
Eliminate operational friction, systemic payer underpayments, and locked cash flow with disciplined claim architecture and rapid AR aging liquidation.
SixDedicatedPillarsofHealthcare Revenue Infrastructure
From full cycle medical billing to surgical coding, aged AR recovery, and dedicated virtual assistance step through each specialized operational capability below.
Medical Billing & Claim Transmission
Transform your practice into a high-performing financial entity. We execute audit-proof billing workflows that excel in technical velocity and mathematical accuracy.
Medical Billing & Claim Transmission
Transform your practice into a high-performing financial entity. We execute audit-proof billing workflows that excel in technical velocity and mathematical accuracy.
The Four Pillars of Revenue Assurance
Non-negotiable operational standards applied across all provider accounts, surgical centers, and DME pipelines under Medavyn RCM command.
Denial Management & Root-Cause Appeals
Systematic categorization of CO, PR, and OA adjustment codes. We intercept zero-dollar 835 remittances within 12 hours, overturn medical necessity denials via LCDs, and file certified Level 1–3 redeterminations.
Denial Management & Root-Cause Appeals
Systematic categorization of CO, PR, and OA adjustment codes. We intercept zero-dollar 835 remittances within 12 hours, overturn medical necessity denials via LCDs, and file certified Level 1–3 redeterminations.
90+ & 120+ Day AR Aging Liquidation
Aggressive liquidation of dormant legacy bucket backlogs. We deploy forensic ledger audits, electronic clearinghouse 277CA status tracking, and statutory prompt-pay interest legal enforcement against payer stall tactics.
DME & Out-of-Network Specialty Billing
Maximizing reimbursement on high-ticket Durable Medical Equipment (DMEPOS) and non-contracted surgical interventions via Standard Written Order (SWO) verification, Gap Exceptions, and No Surprises Act Federal IDR dispute defense.
Precision Charge Entry & Payment Posting
Flawless ICD-10-CM, CPT, and HCPCS charge capture with strict NCCI Column 1/2 edit screening. Every encounter is scrubbed upstream, accompanied by daily bank lockbox reconciliation ensuring $0.00 unapplied cash.
Claim Resolution Lifecycle Engine
Trace how a denied $14,850.00 specialty claim is scrubbed, appealed, and liquidated through our operational pipeline.
835 Electronic Remittance Triage & Parsing
Inbound ERA/835 batches are programmatically intercepted to isolate non-zero balance remark codes, categorizing zero-dollar adjudications before they enter dormant buckets.
Institutional Compliance & Scrutiny
Every workflow adheres strictly to statutory federal billing standards, HIPAA BAA mandates, and ASC X12 EDI transmission protocols.
ASC X12 Standard Transaction Sets
• Direct HIPAA ANSI 5010 Clearinghouse EDI Pipelines
Enterprise EDI connectivity guaranteeing pre-submission syntax validation, zero missing fields, and real-time electronic claim and remittance synchronization.
Professional and institutional electronic claim batch transmissions with automated NCCI Column 1/2 edit screening prior to payer delivery.
Automated ERA parsing extracting line-item CARC/RARC remark codes into active appeal worklists within 12 hours of transmission.
Real-time verification of active insurance coverage, copays, deductibles, and secondary payer coordination of benefits.
Continuous clearinghouse 277CA telemetry preventing silent claim drop-offs and timely filing forfeitures.
Multi-EHR Ecosystem Fluency
• Native Task Queue Command & Zero-Migration Friction
Frictionless plug-and-play capability inside your practice's existing electronic health record and practice management systems. We execute within your native clinical task queues.
Native unbilled claim bucket management, custom billing rule engine enforcement, and automated patient statement generation.
Electronic super-bill crosswalk validation, denial reason tracking, and patient responsibility isolation.
Account activity audit logs, guarantor ledger balancing, and hospital-based multi-provider credentialing management.
Custom fee-ticket templates, automated payer matrix crosswalks, and high-volume billing batch synchronization.
Performance-Based Recovery & SLAs
• Incentive-Aligned Engagements with Audited Warranties
Our aged AR recovery engagements operate purely on realized cash collections. We tie our operational compensation directly to your practice's net recovered revenue.
Zero upfront licensing costs for AR aging projects; fees are calibrated strictly as a percentage of net liquid cash recovered.
100% of received provider clinical encounter sheets are coded, scrubbed, and batched within 24 business hours of receipt.
Zero-dollar and partial ERA 835 remittances are categorized and routed to appeal queues within 12 hours of batch arrival.
Daily deposit lockbox reconciliation against posted batches to guarantee $0.00 unapplied cash.
Ready to Liquidate Your Unresolved Claims Bucket?
Send us an anonymized aging AR report or sample EOB denial. We will return a line-item recovery feasibility breakdown within 24 hours.