U.S. Healthcare RCM Solutions
End-to-end revenue cycle management for U.S. healthcare providers.
IXORA supports U.S. healthcare providers and payers with comprehensive revenue cycle services spanning patient access, coding, claims, collections, payer operations and analytics.
Operating model
Client coordination + 24/7 teams
01 / At a glance
IXORA Healthcare RCM at a glance
A mature delivery partner for U.S. healthcare operations, combining experienced people, structured processes and practical analytics.
20+
Years in Healthcare RCM
150+
Employees
U.S.
Provider & payer coverage
24/7
Offshore team support
02 / Service coverage
End-to-End RCM Services
Provider & Payer Coverage
Provider RCM
Scheduling, eligibility verification, coding, billing and collections across outpatient and inpatient settings.
Payer Services
Claims adjudication, risk adjustment, MRA audits, appeals processing, customer service and network/provider analytics.
Support Functions
Denial management, appeals management, accounts receivable follow-up and reporting & analytics.
Certified coders
AAPC/AHIMA-certified coders proficient in CPT, ICD-10, HCPCS and specific payer rules.
03 / Provider operations
Provider RCM Capabilities
IXORA handles the full revenue cycle from eligibility checks and medical coding through claims submission and denial appeal. Specialists use automated tools to minimize errors and support timely payments.
Patient Access
Scheduling and eligibility verification
Coding & Charge Entry
CPT, ICD-10, HCPCS and charge accuracy
Claims Processing
Clean claims submission and payer coordination
Denial Management
Denial review, appeals and resolution support
A/R & Follow-up
Accounts receivable and payment follow-up
Reporting
Operational reporting and revenue analytics
A connected lifecycle
Every handoff is visible, accountable and ready to improve.
From patient access through reporting, the provider RCM lifecycle brings operational teams and analytics into one coordinated view.
04 / Payer operations
Payer Services & Analytics
Structured support for adjudication, risk adjustment, appeals, analytics and network operations.
Claims Processing
Adjudication support, error correction and payer liaison.
Risk Adjustment
HCC/MRA coding audits and chart reviews, with an objective of maximizing risk scores.
Appeals & Audits
Post-payment validation, audit queries and appeals management.
Data Analytics
Payment trend analysis and provider reimbursement benchmarking.
Network Management
Provider enrollment support and credentialing.
05 / Process visibility
Our RCM Workflow
Clean Claims & Cash Flow
Intake, Scanning & EDP System
Coding
Demographic Entry
Charge Entry
Claims Submission
Payment Posting
Denial Management
A/R Follow-Up
Reporting & Analytics
Quality assurance
Each step includes QA for accuracy and compliance, leading to clean claims, faster reimbursements, fewer denials and improved cash flow.
06 / Trust infrastructure
Robust Infrastructure & Compliance
Secure and resilient operating foundations for sensitive healthcare administration.
Data security
HIPAA-aligned processes, encrypted data handling and regular audits.
Physical security
24/7 facility surveillance and biometric or secure access controls.
IT redundancy
Multi-layer backup, power and network redundancy, and disaster recovery plans.
Compliance
SOC-2 Compliance and strict regulatory adherence.
07 / Partnership value
Why Partner with IXORA
A practical combination of domain expertise, operating discipline and flexible global delivery.
Specialized expertise
AAPC/AHIMA-certified coders across multiple specialties.
End-to-end RCM
Comprehensive revenue cycle coverage from scheduling through collections.
Technology & analytics
Custom dashboards and investment in AI and automation for enhanced efficiency.
Cost-effective
Competitive pricing supported by efficient 24/7 global teams.
Client focus
Outcome-driven culture, measurable KPIs and continuous improvement.
08 / Targets & context
Measurable RCM Targets & Industry Benchmarks
IXORA's operating targets are aligned with recognized RCM best-practice benchmarks.
Targets shown below represent operating aims/goals. Industry comparisons are benchmark references identified in the client-provided material and should not be interpreted as historical IXORA client performance unless specifically stated.
~5%
Denial Rate
Aim
95–98%
First-Pass Claim
Goal
<30 days
Days in A/R
Target
95–99%
Net Collection
Target
7–8%
Cost-to-Collect
Target
+5–15%
Revenue Capture
Target increase
Cost-to-Collect Comparison
Net Collection Rate
Days in A/R
IXORA target
<30 days
Typical reference
45–60 days
Optimized RCM benchmark: 25–30% reduction
Denial Rate
First-Pass Claim
IXORA goal
95–98%
Clean-claim / top operations benchmark
~95–98%
Revenue Capture Target: +5–15% increase
Benchmark references supplied by IXORA include MGMA, HFMA, KFF and industry survey data.
09 / Operating model
Delivery & Partnership Model
A hybrid structure designed for continuity, transparency and measurable operating discipline.
Hybrid team structure
Dedicated U.S. client liaison, offshore support center and round-the-clock availability.
Flexible engagement models
Staff augmentation, managed services and FTE, transaction fee or hybrid pricing options.
Client portal & real-time reporting
Live dashboards, immediate operational insights and enhanced transparency.
Quality management
SLAs, KPIs and continuous audits.
United States
Client coordination
Hyderabad, India
24/7 offshore team
10 / Start a conversation
Let's Optimize Your Revenue Cycle
Partner with IXORA for compliance, efficiency and measurable RCM results. Begin with a complimentary RCM assessment or pilot project.