Eligibility & Benefits Verification
- Insurance & benefits verification
- Authorization requirement checks
- Real-time eligibility checks
Result: fewer denials and accurate patient estimates
Revenue Cycle Management
Turning every claim into collected revenue
End-to-end RCM for U.S. medical and dental practices. From patient registration to final payment, Lumaxis RCM handles your entire revenue cycle so your team can focus on patient care.
HIPAA Compliant
AI-Enabled
U.S. Healthcare Focused
98%Clean claim rate target
95%Denial recovery target
40%Faster AR turnaround goal
Performance targets we work toward with every practice.
The Problem
Practices are losing revenue they've already earned
Payer rules change constantly, skilled billers are hard to keep, and every delayed claim strains cash flow.
Rising Denial Rates
Payers reject more claims on first submission.
Staffing Shortages
Billing experts are costly to recruit and retain.
Payer Complexity
Ever-changing rules and prior authorization requirements.
Revenue Leakage
Reimbursements quietly lost to inefficiencies.
Administrative Burden
Staff time consumed by non-clinical work.
Compliance Risks
HIPAA and coding rules demand constant vigilance.
Delayed Payments
Slow AR cycles strain practice cash flow.
Your team should focus on patient care, not chasing payments.
That's where we come in.
Our Services
Complete revenue cycle coverage
One partner for every step, from patient registration to payment recovery.
1
Patient Registration
2
Eligibility Verification
3
Coding & Charge Entry
4
Claim Submission
5
Payment Posting
6
Denial Management
7
AR Follow-Up
8
Reporting & Analytics
Coding & Charge Entry
- CPT, ICD-10 & CDT (dental) coding
- Documentation review
- Charge accuracy validation
Result: fewer coding errors, compliant claims
Claim Submission
- Claim scrubbing & edits
- Payer-specific electronic submission
- Error correction & real-time tracking
Result: higher clean claim rate, faster acceptance
Payment Posting
- ERA & EOB posting
- Account reconciliation
- Variance & contractual review
Result: financial accuracy and audit readiness
Denial Management
- Denial analysis & appeals
- Root-cause identification
- Payer trend monitoring
Result: higher recovery, fewer repeat denials
AR Follow-Up & Recovery
- Insurance follow-up calls
- AR aging review & escalation
- Underpayment recovery
Result: fewer days in AR, healthier cash flow
Credentialing & Enrollment
- Initial & re-credentialing
- Payer enrollment & contracting
- CAQH profile maintenance
Result: faster payer participation
Reporting & Analytics
- Revenue dashboards
- Denial & collection analytics
- Month-over-month trends
Result: data turned into decisions
Patient Registration
- Demographic capture
- Insurance information entry
- Front-end accuracy checks
Result: clean data from the very first step
Our Mission
"To empower healthcare practices through intelligent revenue cycle management, data-driven decisions, operational excellence and meaningful partnerships that drive sustainable financial success."
Why practices choose Lumaxis RCM
HIPAA compliant operations
AI & automation enabled
Human expertise driven results
Transparent reporting
Dedicated account management
Scalable solutions
Continuous improvement
Proactive communication
Data-driven decisions
An extension of your team
Performance
The targets we track for your practice
Every engagement is measured against clear, industry-standard KPIs, reported to you every month.
Claims
98%Clean claim rate
95%First pass resolution
<5%Denial rate
Collections
97%Net collection rate
99%Gross collection rate
96%Collection efficiency
Accounts Receivable
<35Days in AR
<5%AR aging >90 days
94%Recovery rate
Financial
35%Less revenue leakage
28%More underpayment recovery
22%Reimbursement uplift
Figures are performance targets based on industry benchmarks. Actual results vary by practice.
Beyond Billing
Additional operational support
Scheduling Support
Appointment coordination & optimization
Patient Billing
Clear, accurate patient statements
Patient Collections
Compassionate balance resolution
Voice Assistance
Live agent support for your patients
Appointment Reminders
Automated outreach reduces no-shows
Inbound & Outbound Calls
Full call center support services
Your full back-office partner
Operational efficiency and a better patient experience, under one roof. Scale up or down without hiring.
Talk to us
Our Approach
A partnership built in six steps
01
Discovery Call
We learn your practice's unique needs and challenges.
02
RCM Health Check
A complete assessment of your current revenue cycle.
03
Opportunity Assessment
Identify revenue leakage, inefficiencies and quick wins.
04
Implementation
Seamless onboarding with your team and systems.
05
Optimization
Fine-tune processes based on performance data.
06
Continuous Improvement
Ongoing reviews and performance enhancement.
Who We Help
Medical & dental specialties we support
Family MedicineInternal MedicineUrgent CareCardiologyOrthopedicsPediatricsBehavioral HealthPhysical TherapyDermatologyGeneral DentistryOral SurgeryMulti-Specialty Groups
Complimentary
Free RCM Health Check
Find out where your practice is losing revenue, at no cost and with no obligation.
- Revenue leakage opportunities
- Denial trends & root causes
- Workflow inefficiencies
- Coding optimization opportunities
- AR bottlenecks & aging analysis
- Process improvement areas
What you'll receive
- Assessment Summary
- Findings Report
- Improvement Roadmap
- Revenue Opportunity Analysis
No obligation. No cost. Pure insight.
Outsourcing Benefits
Why outsource your revenue cycle?
01Reduced operational overhead
06Improved collections performance
02Lower staffing burden
07Faster reimbursements
03Cost efficiency & predictability
08Reduced denial rates
04Scalability without hiring
09Better compliance management
05Access to specialized expertise
10More focus on patient care
Let's connect
Let's build a stronger, healthier and more profitable practice together.