Orthopedic Medical Billing Software

The Revenue Cycle Engine

Boost your revenue and improve staff efficiency with highly tailored, automated rules that optimize your orthopedic revenue cycle management.

How Our Orthopedic Medical Billing Software Works:

“RCxRules has allowed us to write more specific rules tailored to our payers and providers, which in turn has allowed us to ensure that cleaner claims are going out the first time. We have cut down on both the time frame for payment from some payers and the denials we were seeing previously. As the person responsible for coding and collections, I’m very happy with the functionality, ease of use, and the customer support.”
Special Collections Manager
Orthopedic Client in Florida
"The RCxRules software has automated several manual processes such as reducing provider's time in the EHR and charge posting errors. The ease of customizing the software and the high-touch implementation led to a smooth go-live and set the stage for continued success."
Terry Keeling
Vice President of Information Technology

Get a Demo of Our Orthopedic Medical Billing Software.

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Customization and Control

You and your team are already experts at navigating the complex world of revenue cycle management. We’ll work with you to identify critical areas where custom rules can dramatically reduce the burden of manual effort by automatically correcting routine billing errors.

Custom Orthopedic Rule Examples

The Challenge

The GP modifier for outpatient physical therapy is missing.

The Solution

When billing Medicare for physical therapy services rendered under a physical therapy plan of care, a GP modifier is required. This rule automatically adds the necessary modifier.

How Pacific Cataract and Laser Institute Achieved Their Lowest-Ever Rejection Rates

Why Choose the Revenue Cycle Engine?

Our technology integrates with systems you already use. Working seamlessly on the front end of your process, RCxRules reviews each and every charge for coding completeness and accuracy immediately after it leaves your EMR, before a claim is created.

100% 100% of charges automatically verified against industry standard and client-specific rules
4 Million Charges are validated against over 4 million billing and coding conditions
50% Automatically corrects 50% of the billing issues identified
“I appreciate RCxRules for their quick responses, commitment to excellence, organization, and exceptional knowledge. They were fantastic to work with. During implementation, when there were unforeseeable bumps, they provided the best support to ensure all of our needs were met beyond expectation.”
Rebecca Ashley
Data Entry Team Lead, Pacific Cataract and Laser Institute