One accountable RCM team
Billing, coding, credentialing, scribing, authorization, and receivables managed without fragmented vendors.
Apex Health RCM manages the full lifecycle — eligibility through payment — under one accountable team. Step through the ledger to see exactly what happens at each stage, and where practices typically lose revenue.
We confirm active coverage, benefits, and referrals before the visit even happens — before it can become a denial.
Explore Eligibility VerificationAuthorizations are initiated and tracked ahead of the visit — the single largest cause of denials, stopped early.
Explore Prior AuthorizationAAPC-certified, specialty-trained coders assign accurate, defensible CPT, ICD-10, and HCPCS codes — the same day.
Explore Medical CodingScrubbed claims go out within 24 hours of coding — no batching delays, no missed timely-filing deadlines.
Explore Medical BillingRoot-caused & appealed within deadline
If a claim comes back denied, it’s triaged within 48 hours — not left to age out past its appeal window.
Explore Denial ManagementPayments are posted and reconciled against your AR — the loop closes, and the cycle starts again.
Explore AR ManagementApex Health RCM LLC is a full-service revenue cycle partner for U.S. healthcare practices — billing, coding, credentialing, scribing, prior authorization, workers’ compensation, and digital marketing, delivered by one accountable, fully HIPAA-compliant team across all 50 states.
Apex Health RCM LLC is a full-service medical billing and revenue cycle management company serving healthcare practices across all 50 U.S. states. Instead of splitting billing, credentialing, and scribing across separate vendors, we manage the entire revenue cycle — from scheduling and documentation through coding, claim submission, denial recovery, and payment posting — under one accountable team.
Most practices don’t lose revenue because of how medicine is practiced — they lose it in the revenue cycle. The average physician practice loses 13–18% of earned revenue to preventable billing failures, roughly $130,000–$180,000 a year for a $1M practice. Nearly half of all denials trace back to eligibility and prior-authorization errors, and more than half of denied claims are never reworked at all. Apex Health RCM exists to close every one of those gaps — and prove it in dollars, not promises.
Delivered by trained specialists under one roof, with every service connected to the same performance standard and reporting structure.
Charge capture, claim scrubbing, and rapid submission across all major payers.
02 ↗AAPC-certified, specialty-trained coding across CPT, ICD-10 and HCPCS.
03 ↗Aging-bucket monitoring and structured follow-up on every open receivable.
04 ↗Every denial triaged within 48 hours, root-caused, and appealed within deadline.
05 ↗Authorizations initiated and tracked before the visit to prevent avoidable denials.
06 ↗Full pre-visit verification of coverage, benefits, referrals, and patient responsibility.
07 ↗Enrollment with Medicare, Medicaid, and commercial payers, including revalidation.
08 ↗Carrier-specific documentation, fee-schedule billing, lien tracking, and adjuster follow-up.
09 ↗Real-time, billing-ready clinical documentation built around the encounter.
10 ↗Scheduling, reminder calls, and patient communication designed to reduce no-shows.
11 ↗Local SEO, Google Business optimization, and reputation management for sustainable growth.
12 ↗A written review of denials, coding, and AR with clear dollar-impact findings.
Our model combines specialist execution with one accountable operating structure, so every improvement can be traced from workflow to collections.
Billing, coding, credentialing, scribing, authorization, and receivables managed without fragmented vendors.
AAPC-certified coders aligned to the documentation and payer rules of each specialty we serve.
Our incentives stay aligned with yours—we earn when your practice collects.
48-hour denial triage, proactive prior authorization, and documentation designed to withstand payer review.
Workers’ compensation billing and structured AR follow-up are handled as specialist workflows, not afterthoughts.
Digital marketing support helps practices strengthen visibility, reputation, and patient acquisition.
Operational and performance improvements are measured from the first 30 days.
BAAs, controlled access, and compliant workflows wherever protected health information is involved.
Request a complimentary practice audit and receive a written review of denial patterns, coding exposure, AR opportunities, and the workflow gaps affecting cash flow.