US Medical Billing · Revenue Cycle Management

Eaze Healthcare runs your entire revenue cycle — from the first eligibility check to the final appeal. Claims go out clean the first time, payments post the day they land, and your staff gets out of the rework business.

  • HIPAA-COMPLIANT
  • AAPC-CERTIFIED CODERS
  • MONTH-TO-MONTH
Services · 01 — 09

One revenue cycle. Nine steps. Zero hand-offs.

These aren’t nine separate services — they’re one pipeline, in strict order, with one team accountable for all of it. Follow a claim through.

Front office
01

Appointment Scheduling

The revenue cycle starts before the visit does — an empty slot or an unverified patient is money you never see. We manage scheduling inside your PM system, keep provider templates full, and cut no-shows with confirmation workflows patients actually answer.

Template optimizationNo-show reductionRecall & remindersWorks in your PM system
02

Eligibility, Benefits Verification & Prior Auth

Every patient is verified through real-time 270/271 checks the moment they hit the schedule — coverage, copay, and deductible in hand at check-in. Prior auths are submitted, tracked, and chased through payer portals so care never waits and no claim dies for a missing auth number.

270/271 real-time checksCopay & deductible capturePrior auth trackingPayer portal follow-up
Mid cycle
03

Medical Coding

Certified coders turn clinical documentation into accurate ICD-10-CM, CPT, and HCPCS with the modifiers and specificity payers demand — nothing upcoded, nothing left on the table. Coding is where first-pass acceptance is won or lost, and ours is built to survive both the edit and the audit.

ICD-10-CM / CPT / HCPCSNCCI edit complianceModifier accuracyAAPC-certified coders
04

Charge Entry

Charges post within 24–48 hours, reconciled against the day’s schedule so no encounter goes unbilled, and validated against your fee schedule so nothing goes out underpriced. Missed charge capture is the quietest leak in the cycle — we plug it daily.

24–48 hr turnaroundSchedule reconciliationFee schedule validation99%+ entry accuracy
05

Claim Scrubbing

Every claim runs a gauntlet of edits — NCCI pairs, LCD/NCD coverage rules, payer-specific rules, demographic and eligibility mismatches — before the 837 ever leaves the building. The cheapest denial is the one that never happens.

Payer-specific edit library837P/837I validationNCCI & LCD/NCD checksPre-submission audit
Back end
06

Rejection Management

Clearinghouse rejections get worked the same day they land — not discovered three weeks later in an aging report. Every fix feeds back into our scrub-edit library so the same rejection doesn’t come back next month.

Same-day rework277CA trackingRoot-cause edit updatesZero-claim-left-behind
07

Payment Posting

835 ERAs auto-post and paper EOBs post at line level within 24 hours, so your A/R reflects reality every morning. We flag contractual adjustments that don’t match your fee schedule — underpayments are denials in disguise.

835/ERA auto-postingLine-level EOB postingUnderpayment flagsDaily reconciliation
08

A/R & Denial Management

We trace every denial to root cause through CARC/RARC codes — the payer’s machine-readable denial reasons — file appeals with the documentation already attached, and work aged A/R down bucket by bucket before timely filing runs out. Nothing gets written off without a fight and a signature.

CARC/RARC root causeAged A/R workdownAppeals & escalationTimely-filing safeguards
Full cycle
09

Reporting & Dashboards

Days in A/R, first-pass yield, net collections, and denial rate by payer — on a dashboard you can read in the minute before the partners’ meeting. When a number moves the wrong way, you’ll know why before your CFO asks.

Days in A/RFirst-pass acceptanceNet collection rateDenial rate by payer
Process

Patient. Provider. Payer. Paid.

A patient books, and their coverage is verified before they reach your front desk. Within 48 hours the visit is coded, charged, scrubbed, and on its way to the payer as a clean claim. Anything short of full payment gets chased, appealed, or escalated until the money is in your account.

STEP 1

Patient

Books a visit. Coverage verified before check-in.
STEP 2

Provider

Documents the encounter. We code and charge it within 48 hours.
STEP 3

Payer

Receives one clean claim. Acknowledgment tracked from minute one.
STEP 4

Paid

Remittance posts same day. Variances flagged, denials fought.
837 →the claim file, sent clean the first time
← 277CAthe payer’s acknowledgment, tracked from minute one
← 835the remittance, posted to your ledger the day it lands
$145.00Charge — billed to the payer
− $36.58CO-45 — contractual adjustment, expected and verified
$108.42Paid — posted the day the 835 lands; patient share collected at check-in
Results

The statement.

No dashboards in motion, no vanity counters. Four numbers, the way an auditor would set them.

Eaze Healthcare · Performance StatementPortfolio averages
First-pass claim acceptanceClaims accepted on first submission
96%
Days in A/RAverage across client practices
34
Net collection rateCollected vs. collectible after adjustments
98%
Charge-to-claim turnaroundEncounter documented to claim out the door
< 48 hrs
Portfolio averages across client practices. Your free assessment shows the same four numbers for your practice — measured, not promised.
Why Eaze

Built to be checked.

Free RCM assessment

Find out where your A/R is Stuck.

Book your free assessment — once a BAA is signed and a secure transfer link is open, send us 90 days of billing data and we’ll return your first-pass acceptance, days in A/R, denial rate by payer, and exactly where revenue is leaking. No obligation, no pitch deck — just numbers.

Get my free RCM assessment
NO OBLIGATION · NO PITCH DECK · JUST NUMBERS