Revenue Cycle Management Services

Your Medical Practice Deserves a Billing Team That Follows the Money

Medaura Medical Billing provides Revenue Cycle Management services for healthcare providers and medical practices across the USA. Based in New Jersey, we manage the billing work that takes an account from registration and insurance verification through claims, payments, denials, A/R, and patient balances.

Our RCM services are built around the actual billing work your practice needs, not a one size fits all package.

Get Your RCM Reviewed Talk to Medaura Medical Billing

Revenue cycle management: reviewing claims and performance dashboards

Revenue Cycle Management from Patient Registration to Final Payment

A practice can provide excellent medical services and still have revenue sitting unpaid.

That happens when information is incomplete, claims are not followed up, denials remain unresolved, payments are posted late, or older accounts receive little attention.

Medaura brings these billing functions together under one revenue cycle.

Our RCM services can cover:

Patient registration review
Insurance eligibility and benefits verification
Prior authorization support
Charge entry
Medical coding
Claim preparation
Claim submission
Claim rejection handling
Payment posting
Denial management
Appeals
Insurance A/R follow up
Underpayment review
Patient billing
Patient A/R
Revenue cycle reporting

Your practice can use the complete service or assign specific billing functions to Medaura based on your existing operation.

Why Medical Practices Outsource Revenue Cycle Management

Running an internal billing department requires more than submitting claims.

Someone has to check eligibility. Someone has to review charges. Someone has to monitor rejected claims. Someone has to work payer portals and claim status. Someone has to post payments. Someone has to work denials and appeals. Someone has to follow old A/R.

The work keeps coming even when the office is busy with other priorities.

An outsourced RCM team gives these responsibilities a dedicated place in your billing operation.

Medaura can work alongside your practice staff or manage the revenue cycle functions you choose to outsource. The arrangement depends on your billing volume, specialty, payer mix, existing staff, and current workflow.

The important part is accountability. Every billing task should have an owner and every unresolved account should have a next step.

What Medaura Medical Billing Brings to Your Revenue Cycle

One Billing Process Instead of Scattered Tasks

Your claims, payments, denials, A/R, and patient balances are connected. Medaura manages these areas as parts of the same revenue cycle.

Attention to Unpaid Accounts

An unpaid claim should not simply remain on an aging report. It needs to be reviewed and assigned the correct action.

Practical Denial Follow Up

Different denials require different responses. Medaura reviews the payer's reason before determining whether a claim needs correction, documentation, resubmission, reconsideration, or appeal.

Better Visibility Into A/R

A practice should know how much money is outstanding, how old those accounts are, which payers are involved, and why the balances remain open.

Billing Support That Fits Your Practice

Your internal team may already handle some billing functions. Medaura can take responsibility for the areas where additional billing support is needed.

The Revenue Problems We Work On Every Day

Claims Are Going Out but Payments Are Not Coming Back

Submitting a claim does not guarantee payment.

A claim can reject before adjudication, deny after processing, remain pending, or require additional information.

Medaura tracks claim activity and works the appropriate follow up instead of treating submission as the end of the billing process.

Your A/R Keeps Getting Older

Older A/R deserves more attention than simply appearing on a monthly report.

Medaura reviews outstanding accounts according to age, payer, claim status, denial reason, balance, and available next steps.

Denials Keep Coming Back

Repeated denials often point to a process problem.

If the same payer repeatedly denies claims for authorization, coding, eligibility, or another reason, working each account individually may not solve the larger issue.

Medaura can review denial patterns and identify areas that need attention within the billing workflow.

Payments Are Posted but Balances Still Look Wrong

Payment posting affects the entire patient account.

Insurance payments, contractual adjustments, deductibles, coinsurance, copayments, and other patient responsibility amounts need to be reflected correctly.

Accurate posting gives the practice a more reliable picture of its outstanding A/R.

Your Billing Staff Has Too Much to Handle

When a small internal team has to manage new claims, old claims, denials, patient balances, payment posting, and payer follow up at the same time, older accounts can easily get pushed aside.

Medaura can take over selected billing functions or manage the broader RCM process according to the practice's needs.

How Medaura Handles Your Revenue Cycle

Step 1

Patient and Insurance Information

The billing process begins with accurate information.

Medaura can support patient registration review and insurance eligibility workflows so the billing team has the information needed to prepare claims and identify potential coverage issues.

Step 2

Authorization and Referral Requirements

Some services require prior authorization or referrals.

Medaura can support authorization related workflows by tracking required information and incorporating available authorization details into the billing process.

Step 3

Charge Entry and Coding

Charges must reflect the services documented by the provider.

The billing workflow may involve CPT, HCPCS, ICD 10 CM, modifiers, units, diagnosis linkage, place of service, and other claim information.

When clarification is needed, the issue should go back to the appropriate practice staff rather than being guessed.

Step 4

Claim Submission

Claims are prepared and submitted using the information available from the practice.

The process does not stop after transmission. Submitted claims continue into the follow up stage.

Step 5

Rejection Management

Rejected claims may contain correctable submission or data problems.

Medaura reviews the rejection, identifies the issue, makes the appropriate correction within the agreed workflow, and resubmits when appropriate.

Step 6

Payment Posting

Remittance information is reviewed and payments are posted to the appropriate accounts.

This includes insurance payments, adjustments, and patient responsibility based on the payer's adjudication.

Step 7

Denial Management

Denied claims are reviewed by reason.

The next step may involve correction, additional documentation, reconsideration, appeal, or payer follow up depending on the account.

Step 8

A/R Recovery

Open balances are followed according to claim status, age, payer, and the available resolution path.

The purpose is to keep accounts moving rather than allowing unpaid claims to age without action.

Step 9

Patient Billing

Once insurance has processed the claim, remaining patient responsibility can be reflected in the account and billing workflow.

Patient A/R is monitored alongside insurance A/R so balances do not become disconnected from the original claim.

Common Revenue Cycle Issues and How We Address Them

Eligibility Problems

A claim can fail because the patient's coverage was inactive or the wrong insurance information was used. We check the available eligibility and claim information, identify the reason for the payer response, and determine whether correction or follow up is appropriate.

Coding and Modifier Problems

A payer may question a submitted procedure, diagnosis relationship, modifier, units, or another coding element. We identify the denial or rejection information and route coding or documentation questions through the appropriate billing workflow.

Missing Authorization

A payer may deny a service when required authorization was not obtained or cannot be matched to the claim. We see available authorization information and determine whether correction, reconsideration, appeal, or another payer process applies.

Timely Filing Problems

Payers establish filing deadlines, and claims submitted after those deadlines may be denied. We check submission history and available payer information to determine whether the account has a valid correction or appeal path.

Duplicate Claims

A payer may identify a submission as a duplicate. We find the original claim, payer processing history, and claim status before taking further action.

Coordination of Benefits

Patients with more than one insurance plan can create billing complications when the primary and secondary payer information is unclear. We review available insurance information and payer responses to determine the appropriate billing sequence.

Underpayments

A claim can be processed and paid without necessarily resolving the account correctly. We confirm payment and adjustment information against the claim and applicable reimbursement information available to the practice.

RCM Services for Different Healthcare Practices

Medical billing is not identical across every specialty.

The services performed, coding requirements, payer mix, authorization rules, documentation, and claim volume can all affect the revenue cycle.

Medaura provides RCM support for practices that need help managing their billing operations across different healthcare settings.

Physician Practices

Support can cover the full billing cycle from eligibility and claims through payment posting, denials, and A/R.

Multi Provider Practices

Larger provider groups may need reporting and A/R visibility across multiple physicians, locations, payers, and service lines.

Specialty Practices

Specialty billing can involve specific coding, authorization, documentation, and payer requirements. The billing workflow can be structured around the services the practice actually provides.

Healthcare Facilities

Facilities with larger claim volumes may need dedicated support for claims, payment posting, denials, A/R, and reporting.

Revenue Cycle Management for Major Payer Types

Medaura can support billing workflows involving different payer categories, including:

Medicare
Medicaid
Medicare Advantage
Commercial insurance
Workers' compensation
Self-pay accounts
Other applicable insurance arrangements

Payer rules are not interchangeable. Claim requirements, authorization policies, reimbursement rules, filing deadlines, and appeal procedures can vary.

The billing team needs to work from the requirements applicable to the individual claim.

Why Medaura Medical Billing

New Jersey Based RCM Support

Medaura Medical Billing is based in New Jersey and serves medical practices across the USA.

Our location does not limit the practices we serve. We work with providers across different states and billing environments.

A Billing Process Built Around Your Practice

Medaura does not need every practice to follow the same internal workflow.

The service can be structured around the responsibilities you want to outsource, your existing staff, your billing system, your specialty, and your payer mix.

A Clear Place for Every Unresolved Account

A claim should not sit in the system without a reason.

Rejected claims need correction. Denied claims need review. Pending claims need monitoring. Old A/R needs focused follow up. Patient balances need accurate account information.

The purpose of RCM management is to keep those accounts moving.

What You Can Expect From an RCM Partner

A useful RCM relationship should give your practice more than claim submission.

You should know:

What has been billed
What has been paid
What has been denied
What remains pending
What is sitting in A/R
Which accounts are aging
Which payer issues are recurring
What requires practice action
What the billing team is working
What remains unresolved

That information gives practice owners and managers a better basis for reviewing their revenue cycle.

Reviewing revenue cycle performance and reporting with the team

Reviewing revenue cycle reports and collections data

Revenue Cycle Reporting

Medaura can organize reporting around the billing information your practice needs to monitor.

Typical RCM reports may include:

Report	What It Shows
A/R aging	Outstanding balances by age
Payer A/R	Balances associated with individual payers
Denial report	Denied claims and denial reasons
Claim status	Submitted claims and current status
Payment report	Posted insurance and patient payments
Adjustment report	Contractual and other posted adjustments
Patient A/R	Outstanding patient responsibility
Collection report	Payments received against billed services

The exact reports depend on the practice's billing environment and agreed reporting requirements.

Outsource Your Revenue Cycle Without Losing Visibility

Outsourcing should not mean handing over your billing and waiting for a monthly number.

Your practice should still have visibility into claims, A/R, denials, payments, and outstanding balances.

Medaura works as an extension of the practice's billing operation. The responsibilities are defined, unresolved issues are tracked, and reporting keeps the practice informed about the status of its revenue cycle.

Whether you need complete RCM management or support with specific billing functions, the scope can be built around your operation.

Frequently Asked Questions

Revenue cycle management services cover the financial and billing activities that move a healthcare account from registration and insurance verification through claim submission, payment, denial management, A/R follow up, and patient billing.

An RCM company can manage some or all of the practice's billing operations. Services may include eligibility verification, authorization support, coding, claims, payment posting, denials, appeals, A/R follow up, patient billing, and reporting.

Denial management can be included within Medaura's RCM services. The billing team reviews payer responses and determines the appropriate next action based on the denial reason and available claim information.

An outsourced RCM arrangement can be structured around the functions your practice wants to retain internally and the functions it wants Medaura to manage.

A/R follow up is a core part of revenue cycle management. It involves reviewing outstanding insurance and patient balances, checking claim status, addressing unresolved issues, and moving accounts toward resolution.

Payment posting can be included in an RCM arrangement. It involves recording insurance payments, adjustments, and patient responsibility based on payer remittance information.

Yes. Medaura Medical Billing is New Jersey based and serves medical practices across the USA.

RCM pricing depends on factors such as the services outsourced, claim volume, specialty, payer mix, A/R workload, and practice requirements. Medaura can determine the appropriate service scope based on the practice's billing operation.

Still have a question? Book a call.

Book a Call (862) 445-6754

Get expert Revenue Cycle Management Services

Medaura Medical Billing provides Revenue Cycle Management services for medical practices in New Jersey and across the USA.

If your practice needs help with claims, denials, payment posting, A/R, patient billing, or the complete revenue cycle, Medaura can build an RCM service around your actual billing operation.

Let's Look at Your Revenue Cycle

MedAura Medical Billing

34 Forest Dr

Piscataway, NJ 08854

Phone

(862) 445-6754

info@medauramedicalbilling.com