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Nine Services. One Seamless Revenue
Cycle.

From the first eligibility check to the last recovered dollar, Hexa RCM manages every step of your billing lifecycle with precision.

01

Insurance Eligibility & Benefits Verification

“Starting Right to End Right

Denied claims often start with something as simple as inactive coverage or an unmet deductible. We verify every patient’s insurance before the visit, so your front desk checks in patients with confidence and your claims start life clean.

01

“Starting Right to End Right

02

Authorization
Management

“Preemptive Approvals for Hassle-Free Billing”

Missing prior authorization is one of the costliest and most avoidable denial reasons. Our team identifies which services need authorization, submits complete requests, and tracks every approval to completion — before care is delivered.

02

“Preemptive Approvals for Hassle-Free Billing”

03

Accurate Charge Entry & Medical Coding

“Precision Billing for Maximum Reimbursement”

Every encounter is translated into precise CPT, ICD-10, and HCPCS codes by experienced coders — then verified through our dual-review process. Accurate coding means full, compliant reimbursement without triggering audits.

03

“Precision Billing for Maximum Reimbursement”

04

Clean Claim Submission

“Faster Payments through Clean Submissions”

A clean claim is paid on first pass — no rejections, no rework, no delay. We scrub every claim against payer-specific edits before it leaves the building, keeping your first-pass acceptance rate at the top of the industry.

04

“Faster Payments through Clean Submissions”

05

Payment Posting & Reconciliation

“Clear and Accurate Payment Tracking”

Payments only count when they’re posted accurately. We post every ERA and EOB promptly, reconcile deposits to the penny, and flag underpayments and incorrect adjustments for immediate follow-up

05

“Clear and Accurate Payment Tracking”

06

Denial Management & Appeals

“Resolving Issues to Maximize Revenue”

We treat every denial as recoverable revenue and as a lesson. Each one is analyzed for root cause, corrected and appealed with supporting documentation, then fed back into the process so the same denial never happens twice.

06

“Resolving Issues to Maximize Revenue

07

A/R Follow-Up

“Chasing Every Dollar, Every Day”

Unworked claims quietly become write-offs. Our A/R team runs a disciplined, aging-driven follow-up cadence on every outstanding claim — calling payers, escalating stalled claims, and documenting every touch until the balance resolves.

07

“Chasing Every Dollar, Every Day”

08

Patient Billing & Collection

“Resolving Issues to Maximize Revenue”

Patients pay faster when they understand what they owe and why. We send clear, friendly statements, answer billing questions professionally on your behalf, and offer payment options that convert balances into revenue — without damaging patient relationships.

08

“Clear Communication for Effective Patient Payments”

Flagship Service

09

Old Billing & Recovery

“We Fix the Past to Secure the Future”

Our flagship service. Most practices are sitting on months — sometimes years — of aged A/R that previous billers abandoned. We audit it, work it, appeal it, and recover it. You pay only a percentage of what we actually collect, so there is zero downside.

09

“We Fix the Past to Secure the Future”

Not Sure Where Your Revenue Cycle Is Leaking?

Our free billing analysis pinpoints the exact stage where your practice loses money — and what it’s worth to fix it.