Where Precision
Meets Performance
— Your Revenue Is
Our Priority

Hexa RCM manages your entire revenue cycle — from eligibility verification to old A/R recovery — so claims get paid faster, denials shrink, and you can focus on providing care.

Claim Approved

2 min ago

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+40% Collections

estimated increase*

40%

Est. revenue collection increase*

98%+

Clean claims rate target

9

End-to-end RCM services

6+

Major PMS/EHR platforms supported

We work inside the systems you already use

Epic

Cerner

athenaheatlth

NextGen

Kareo

eClinicalWorks


What We Do

End-to-End Revenue Cycle
Management

Nine tightly integrated services cover every step of your billing lifecycle — from the
moment a patient is scheduled to the last dollar recovered.

Eligibility & Benefits Verification

Starting Right to End Right

We verify coverage, benefits, copays, and deductibles before the visit — eliminating surprise denials at the source.

01

Authorization Management

Preemptive Approvals for Hassle-Free
Billing

Prior authorizations secured before services are rendered, tracked to completion, and documented for every payer.

02

Charge Entry & Medical Coding

Precision Billing for Maximum
Reimbursement

Certified coders apply CPT, ICD-10, and HCPCS with a dual-review process that protects every dollar you earn.

03

Clean Claim Submission

Faster Payments through Clean
Submissions

Claims scrubbed against payer-specific rules before submission — so they get accepted and paid the first time.

04

Payment Posting &
Reconciliation

Clear and Accurate Payment Tracking

Every ERA and EOB posted promptly and reconciled to the penny, with underpayments flagged for action.

05

Denial Management & Appeals

Resolving Issues to Maximize Revenue

Denials analyzed by root cause, corrected, appealed, and tracked — then prevented from recurring.

06

A/R Follow-Up

Chasing Every Dollar, Every Day

Systematic, aging-based follow-up on every outstanding claim, so receivables never slip through the cracks.

07

Patient Billing & Collection

Clear Communication for Effective Patient Payments

Friendly, transparent patient statements and support that improve collections while protecting your reputation.

08

Old Billing & Recovery

We Fix the Past to Secure the Future

Our signature service: we dig into your aged A/R — even claims other billers gave up on — and recover revenue you thought was lost.

Flagship

Our Differentiator

Sitting on Aged A/R? We Recover It.

Most billing companies focus only on new claims. Hexa RCM’s Old Billing & Recovery service resurrects the revenue buried in your aging report — researching, correcting, resubmitting, and appealing old claims until they pay.

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Why Hexa RCM

Five Pillars of Better Billing
Management

Everything we do is built on the fundamentals that move your revenue numbers in the right direction.

Comprehensive Expertise

Specialists across the full revenue cycle and 25+ medical specialties.

Efficient & Clean Billing

Scrubbed, payer-ready claims submitted fast and right the first time.

Proactive Denial Management

We prevent denials before they happen and fight the ones that do.

Tailored A/R Follow-
Up

Follow-up cadence built around your payers, specialty, and aging profile.

Effective Billing Resolution

Old problems fixed for good — including aged A/R others wrote off.


Getting Started

Onboarding Is Simple

We plug into your existing systems — no software migration, no workflow disruption, no lost time

01

Free Billing Analysis

We review your current billing performance, denial patterns, and aging A/R — and show you exactly where revenue is leaking

02

Seamless Onboarding

We connect to your existing PMS/EHR (Epic, Cerner, athenahealth, NextGen, Kareo, eClinicalWorks) and agree on your custom reporting.

03

Collect & Optimize

Clean claims go out daily, denials get worked immediately, and you see the results in bi-monthly performance reviews.


Social Proof

What Practices Say About Us

Our denial rate dropped dramatically within the first quarter, and the bi-monthly reviews finally gave us real visibility into our numbers.

PM

Practice Manager

Multi Provider Famnily Practice

They recovered old A/R we had honestly written off. The contingency model meant zero risk for us — it was found money.

MD

Physician Owner

Specialty Clinic

Onboarding was painless — they worked inside our existing EHR from day one and our staff kept their normal workflow.

DA

Director of Administration

Outpatient Group

Representative client experiences. Client names withheld for privacy; detailed case studies available on request

Find Out What Your Practice Is Leaving on the Table

We plug into your existing systems — no software migration, no workflow disruption, no lost time