Nexus IO is a dedicated Revenue Cycle Management (RCM) company, providing fully customized outsourced medical billing services in the USA. Our billing specialists can handles medical services like coding, denial resolution and payment posting to improve your practices financial health. By partnering with Nexus IO, you can increase your claim acceptance rate.
Collection Ratio
First Pass Clean Claim Rate
Reduction in A/R
At Nexus IO, we customize end‑to‑end medical billing services to how your practice runs whether you’re a solo clinic or a large hospital. Our customized solutions serve all type of practices.
Our Medical billing specialist handles every revenue cycle management step like verifying eligibility, coding, claims submitting to posting payments. Secure HIPAA‑compliant software syncs with major EHR systems and gives you a real‑time dashboard of claim acceptance rates. Our specialized billers catch coding details, fix denied claims quickly, and ensure you stay compliant. You get fewer mistakes, faster payments, and more time to focus on your patients.
Coding Accuracy Rate
Revenue Growth
States Served
Clean Claim Rate
Choosing the right billing partner can improve your practice’s performance. Nexus io is a USA-based, third‑party billing provider, delivers end‑to‑end healthcare revenue services through AAPC‑certified billing specialists.
Smart growth starts with the right choice. When it comes to managing your medical billing services, factors such as cost, accuracy, efficiency, and collection rates play a crucial role in maintaining your financial health. Below is a comparison between in-house vs outsource medical billing services.
In-house medical billing often comes with hidden costs and performance gaps. Practices typically spend 7–10% of their monthly collections on salaries, benefits, and overhead, yet still face lower efficiency. According to MGMA and the Journal of Medical Practice Management, in-house teams average a 94.5% clean claim rate, only a 68% first-pass payment rate, and around 70% accuracy. Overworked staff and coding errors can delay claim filing for weeks and increase the risk of compliance and legal issues.
Outsourcing medical billing services typically costs between 4–10% of net monthly collections, with some providers offering rates as low as 2–5%. According to MGMA, it can increase clean claim rates to 96.5% and improve first-pass payment rates to 80%, as noted by the Journal of Medical Practice Management. With up to 99% coding accuracy, claims processed within 24–72 hours, and 100% regulatory compliance, outsourcing offers a faster, more reliable path to revenue growth.
We follow a step-by-step approach to file your claims. Our medical billing process aims to secure full reimbursement on the first submission. We work closely with healthcare providers to prepare and file accurate medical claims. These are the 7 steps we follow to manage the medical billing process:
Requirement Gathering: We begin by understanding your practice’s needs, collecting patient details, and setting clear revenue goals.
Patient & Insurance Verification: All patient information and insurance coverage are carefully verified to prevent claim rejections.
Medical Coding: Our AAPC-certified coders perform CPT analysis and assign the correct CPT codes for the medical services and procedures provided.
Claim Submission: Claims are prepared and submitted promptly to insurance companies for processing.
Denial Management: If a claim is denied, we review the Explanation of Benefits (EOB), file an appeal, and resubmit the medical claim to insurance company.
Payment Posting: Once medical claim paid, payments are posted into EHR System or billing software for records.
Ongoing Follow-Up: We track each claim until it is fully paid to maximize your reimbursements.
An outsource medical billing company, Nexus io helps healthcare providers and practices across all 50 states grow their revenue by 20–30% in just a few months. We make EHR integration billing easy to follow and fully clear, so you can see where every dollar comes from. We offer specialized medical coding services through experienced billers and coders located in every state. They know all the local rules, insurance company policies (both government and private), and federal tax and billing laws. With Nexus io, you get fast payments, fewer mistakes, and more money for your practice, no matter where you are in the U.S.
Please provide the required information so we can reach you out.
Nexus io can manage your entire billing workflow to reduce revenue leakage and strengthen your revenue cycle. Our medical billing experts handle the front-end with precision, verifying patient eligibility in real time, validating demographics, and collecting copays accurately. This reduces rework, minimizes errors, and ensures cleaner claims from the start.
On the back-end, Our Medical Billing Company handles everything after the visit: insurance claim submission, payment posting, denial management, and AR follow-ups. With certified coders and billing specialists managing each step, your claims are more likely to be approved on the first try, leading to faster reimbursements and a more efficient billing process overall.
With our medical billing company managing your revenue cycle, you benefit from full transparency, advanced analytics, and actionable reporting while we handle the backend complexity. We ensure your practice operates at peak performance. Our intelligent healthcare RCM services dashboard allows you to monitor KPIs, track claim statuses in real time, and identify revenue leakage at every stage of the billing process.
Moreover, our advanced online reporting and analytics platform provides you with 24/7 financial visibility and a performance tracking system so you can make informed decisions.
Our reporting process involves:
At Nexus io, we understand that each medical specialty faces unique billing challenges. That’s why we offer round-the-clock customer support tailored to your practice’s specific needs. Whether you’re managing complex oncology claims, dermatology coding, or cardiology reimbursements, our team is available 24/7 to provide expert guidance and fast resolutions.
Our achievements are a testament to our hard work team to deliver exceptional revenue boost results and gain the client’s trust in us.
What are medical billing services, and why are they important?
Medical billing services handle the submission, tracking, and management of healthcare claims to insurance companies. In the medical billing industry, these services are important to ensure accurate coding, timely payments, and compliance with changing payer rules. Without professional medical billing services, providers risk delayed reimbursements and revenue loss.
What are the benefits of outsourcing medical billing operations?
Outsourcing your medical billing operations can reduce administrative workload, cut overhead costs, and improve claim accuracy. It also allows your staff to focus more on patient care while certified billing professionals handle all your work.
How do you handle claim denials and appeals?
We manage claim denials by identifying the root cause, fixing any errors, and resubmitting the claim quickly. For appeals, our team compiles the required documentation, adheres to payer-specific rules, and actively works to secure the correct reimbursement.
Can you integrate with my existing electronic health record (EHR) system for scheduling?
Yes, we integrate smoothly with your existing EHR system, enabling efficient data sharing and a streamlined scheduling process. You can schedule appointments directly through your EHR, view real-time patient balance details, and receive timely copay reminders at the point of care.
How does HIPAA compliance influence the healthcare billing process?
HIPAA sets strict standards to protect patient privacy and prevent data breaches in healthcare. Ensuring your billing process follows these regulations helps safeguard sensitive information and avoid costly penalties.
Nexus io place the utmost priority on our patient privacy, we ensure that our healthcare revenue cycle management services fully comply with HIPAA regulations; to protect patient’s data with strong security measures:
Get result- oriented medical billing services today to increase your revenue by up to 20%, and enhance your patient-care relationship. Just fill out this quick form to contact us, and one of our billing experts will gladly assist you within the next 12 hours.
Please provide the required information so we can reach you out.
