Stage 01In flight
Eligibility Verified
Coverage, plan, deductible status, and prior-auth requirements confirmed before the patient is even seen.
Eligibility VerifiedMedical Billing & RCM · Nationwide
Your practiceheals patients.We heal your revenue.
MediRev Management is a full-service medical billing, coding, credentialing, and revenue cycle management partner for US healthcare providers. Certified coders, relentless denial follow-up, and reporting you can actually read — so more of what you earn actually lands in your account.
- HIPAA Compliant
- Certified Coders (CPC/CPB)
- All 50 States
- Specialty-Specific Teams
Explanation of Benefits
Claim #MR-2026-08841
- Billed charges
- $2,410.00
- Allowed amount
- $1,842.60
- Patient responsibility
- $120.00
- Payer deposit
- $1,722.60
VerifiedCodedScrubbedSubmittedPaid
The standards we work to
Not industry averages.The bar we set for your practice.
These are the targets our team is measured against — published openly rather than dressed up as results we haven't earned on your account yet. Every month you get the actual numbers next to these goals.
0%+
Clean claim ratio we hold ourselves to
Claims accepted by the payer without a single edit or rejection.
0%
First-pass acceptance target
Paid on the first submission — no rework, no resubmission delay.
<0
Days in A/R goal
The window we work toward for average outstanding receivables.
up to 0%
Typical revenue recovery from A/R cleanup
Recoverable balances found in aged receivables during onboarding.
The Claim's Journey
From patient encounterto deposited payment.
Every claim we touch travels the same disciplined path. Six checkpoints, each one owned by a named person on your team — not a queue.
Stage 02In flight
Coded (ICD-10 / CPT)
Certified coders assign diagnosis and procedure codes with correct modifiers and specificity from your documentation.
CodedStage 03In flight
Scrubbed
Claim runs through payer-specific edits, NCCI checks, and demographic validation. Errors die here, not at the payer.
ScrubbedStage 04In flight
Submitted
Transmitted electronically through the clearinghouse with acknowledgement tracked to a 277CA response.
SubmittedStage 05In flight
Adjudicated
Payer decision monitored daily. Underpayments and denials are flagged and worked, never filed away.
AdjudicatedStage 06Paid
PAID
ERA posted, patient balance billed, and the deposit reconciled against expected allowable.
PaidIn flight
Claim #MR-2026-08841 · Stage 01 of 6
Eligibility Verified
Scroll to move the claim through the pipeline
What we do
Six disciplines.One revenue cycle.
Take one piece or hand us the whole thing. Either way you get certified coders, a named account manager, and a written escalation path.
Medical Billing
End-to-end claim creation, submission, and payment posting — clean the first time, every time.
ExploreMedical Coding
Certified CPC/CPB coders assign ICD-10-CM, CPT, and HCPCS codes with modifier accuracy.
ExploreRevenue Cycle Management
Front desk to final deposit: eligibility, charge capture, AR follow-up, and reporting.
ExploreProvider Credentialing & Enrollment
CAQH maintenance, payer enrollment, revalidations, and contract follow-through.
ExploreDenial Management & A/R Recovery
Every denial is worked, appealed, and root-caused. Nothing quietly written off.
ExploreBilling Audits
Retrospective chart and claim audits that surface undercoding, leakage, and compliance risk.
ExploreDenial management
Every denial getsappealed. Notwritten off.
A denial is not a decision — it's a conversation. We read the remark code, fix the root cause, rebuild the claim with the documentation the payer actually needs, and refile inside the appeal window. Then we track the pattern so it stops happening.
0/5
denials reversed in this illustrative batch — worked, corrected, and reprocessed.
Illustrative example of a denial work queue. Remark codes shown are standard CARC values.
A/R aging
Old money is stillyour money.
Most practices we meet are carrying real cash in the 90-plus buckets — claims that stalled, were underpaid, or were never appealed. We triage by filing deadline first, then work the balance down bucket by bucket while new claims keep flowing clean.
- Inventory by payer, aging bucket, and timely-filing risk
- Written recovery plan before we touch a single account
- Weekly worked-account log you can audit line by line
0–30 days34%
31–60 days22%
61–90 days17%
91–120 days14%
120+ days13%
Illustrative example of an A/R cleanup shifting balances into the current bucket. Actual results depend on payer mix, documentation, and filing deadlines.
In-house vs. MediRev
A salaried biller is afixed cost. We're not.
An in-house biller costs the same in a slow month as a strong one. Our fee moves with your deposits — and it covers the software, the clearinghouse, and the coding bench with it.
In-house billing
Fixed payroll, fixed overhead, single point of failure.
- Biller salary
- $46,000 – $62,000 / yr
- Benefits & payroll taxes
- + 20–30% of salary
- Billing software & clearinghouse
- $3,000 – $9,000 / yr
- Workspace, hardware, training
- $2,000 – $5,000 / yr
- Coverage risk
- Vacation, illness, turnover
- Coding depth
- One person's specialty knowledge
MediRev Management
Percentage of collections. If it doesn't pay, we don't earn on it.
- Cost structure
- Percentage of what we collect
- Benefits & payroll
- None — not your employee
- Software & clearinghouse
- Included in the rate
- Overhead
- None
- Coverage risk
- A team, never a single point of failure
- Coding depth
- Certified coders per specialty
Illustrative example. Salary and software ranges vary by market and vendor; your MediRev rate is quoted per practice based on volume, payer mix, and specialty.
Who we serve
Billing rules changeby specialty. So do we.
The 8-minute rule, global surgical periods, panel bundling edits, time-based psychotherapy codes — these aren't interchangeable. You get coders who work your specialty daily.
Behavioral HealthCardiologyUrgent CareOrthopedicsLaboratoryUrologyPrimary CarePhysical TherapyPodiatryDermatologyPain ManagementOB/GYNGastroenterologySleep Medicine
See the billing challenges we solve per specialtyOur commitments
Built on the outcomesproviders actually care about
We're a new name, so we're not going to show you invented five-star reviews. Here's what we commit to instead — in writing, in our own words.
“Every denial gets appealed. Not written off.”
We read the remark code, fix the root cause, and refile inside the appeal window — then track the pattern so it stops recurring.
MediRev ManagementDenial policy “You see the same account manager every week, not a ticket queue.”
One named person who knows your payers, your providers, and your quirks. Direct line, standing weekly check-in.
MediRev ManagementHow we staff “Reporting you can actually read, delivered monthly.”
Collections, clean claim rate, denial reasons ranked by dollars, and A/R aging — written for a practice owner, not an analyst.
MediRev ManagementTransparency “Your chart workflow doesn't change on day one.”
We work inside your existing EHR/PM wherever possible, so clinical staff keep documenting exactly the way they do today.
MediRev ManagementOnboarding “We only earn on money that actually lands in your account.”
Percentage of collections, not of charges. Our incentive is your deposit, which is the only number that matters.
MediRev ManagementAlignment “PHI is handled like it's our own license on the line.”
Signed BAA, least-privilege access scoped to your practice, encryption in transit and at rest, audit logging on every record.
MediRev ManagementCompliance
Nationwide coverage
Serving providers inall 50 states.
We're remote-first by design, which means your billing team isn't limited to whoever lives within driving distance of your clinic. State Medicaid quirks, regional commercial payers, and multi-state group practices are all normal work for us.
- All 50 states
- Medicare, Medicaid, and commercial payers
- Multi-state groups
- Consolidated reporting across locations
- Telehealth-ready
- POS and modifier rules kept current
- Time-zone aware
- Support windows matched to your clinic hours
Questions providers ask
Straight answers,no sales fog.
If your question isn't here, call us. You'll reach a person who does this work, not a switchboard.
Call (555) 555-0142Click to call · no forms, ever
Talk to a billing expertbefore your next claim goes out.
Fifteen minutes on the phone is usually enough to tell whether your revenue cycle is leaking — and where. No forms, no demo funnel. Just a call.
Mon–Fri, 8:00 AM – 6:00 PM CT · Nationwide, remote-first service