HIPAA Compliant · Founded 2025
Revenue Cycle Management Built on Transparency, Accountability, and Measurable KPIs.
Dedicated billing, coding, and AR specialists managing your entire revenue cycle — with monthly performance scorecards you can actually verify.
Monthly Performance Scorecard
Sample · reported every month
Clean-Claim Rate
of claims accepted on first submission
- 95%
Target
Average AR Days
days in accounts receivable
- <25
Target
Denial Rate
of submitted claims denied
- <5%
Target
First-Pass Resolution
claims resolved on first pass
- >90%
Target
Targets we commit to in writing — not claims of past results.
Contractual performance standards · monthly scorecards · exit anytime if we miss.
Who We Serve
Built for the practices enterprise RCM vendors overlook
We specialize in the providers that big vendors under-serve — with workflows tuned to how you actually bill.
Independent Practices
Solo and small independent practices lose real revenue to denials and stalled AR that no one has time to work. We run your full cycle — eligibility to zero balance — with a scorecard you can audit.
Workflow: Daily claim scrubbing + same-week denial rework.
Designed to reduce average AR below 25 days.
Multispecialty Groups
Groups juggle multiple fee schedules, payer contracts, and provider enrollments. We standardize coding and denial workflows across specialties while keeping per-provider visibility.
Workflow: Per-specialty denial-pattern detection across payers.
Designed to lift first-pass resolution above 90%.
Behavioral Health
Behavioral health billing lives and dies on authorizations, units, and session documentation. We track auths to approval and reconcile units so sessions aren't written off.
Workflow: Authorization tracking tied to session units.
Designed to keep denial rate under 5%.
Specialty Clinics
Specialty clinics carry high-dollar claims where a single underpayment matters. We verify complex benefits up front and pursue underpayment recovery line by line.
Workflow: Contract-rate checks with underpayment recovery.
Designed to protect earned revenue on every claim.
Services
End-to-end revenue cycle management
Every step of the cycle, handled by specialists and tracked against targets on your scorecard.
Eligibility & Benefits Verification
Real-time eligibility and benefits checks before the visit, so front-desk surprises and preventable denials never reach your AR.
Learn about Eligibility & Benefits VerificationPrior Authorization
Payer-specific authorization workflows tracked to approval, with proactive follow-up so procedures aren't delayed or written off.
Learn about Prior AuthorizationMedical Coding & CDI
Certified coders and clinical documentation improvement that capture the correct CPT and ICD-10 detail — no quiet downgrades.
Learn about Medical Coding & CDIBilling & Claim Submission
Scrubbed, clean claims submitted daily to a clean-claim target of 99%+, tracked on your monthly scorecard.
Learn about Billing & Claim SubmissionDenial Management
Root-cause denial analysis, appeals, and pattern detection to lift first-pass resolution and stop repeat denials.
Learn about Denial ManagementAR Follow-Up
Disciplined accounts-receivable work and underpayment recovery aimed at keeping average AR days below 25.
Learn about AR Follow-UpPayment Posting & Reconciliation
Accurate ERA/EOB posting and reconciliation so every dollar is matched, and underpayments surface instead of hiding.
Learn about Payment Posting & ReconciliationCredentialing & Enrollment
Provider enrollment and payer credentialing managed end to end, so new providers start billing without revenue gaps.
Learn about Credentialing & EnrollmentEHR / PM Compatibility
Systems we work in
We work inside your existing systems — no migration required. These are platforms we operate in, not integrations we claim.
Major EHR / PM
- Epic
- Cerner / Oracle Health
- athenahealth
- eClinicalWorks
- NextGen
Mid-market
- AdvancedMD
- DrChrono
- Kareo / Tebra
- ModMed
Clearinghouses
- Waystar
- Availity
- Office Ally
How It Works
A structured, low-risk transition
Six steps from free audit to continuous optimization — with a side-by-side parallel run so nothing breaks.
- 1
Discovery & Revenue Audit
Free
- 2
Custom Solution Design
- 3
EHR Integration
No migration
- 4
Parallel Run
1–2 weeks
- 5
Full Operations
- 6
Continuous Optimization
Weekly + monthly
Why NuGenera Health
Trust you can verify — not scale we invented
We're a new company. Our strategy is to earn trust through transparency and written commitments, never fabricated numbers.
Contractual performance standards
We commit to clean-claim, AR, and denial targets in writing — and give you an exit if we miss for 90 days.
Radical transparency
Your revenue-cycle data belongs to you. Every KPI is reported on a monthly scorecard you can audit line by line.
Technology-first, built by technologists
Founded by a team with 25+ years in tech and software. We automate eligibility, scrubbing, and denial-pattern detection so people focus on appeals and recovery.
Right-sized for overlooked practices
Independent practices, small groups, and specialty clinics get enterprise-grade rigor without enterprise pricing or neglect.
Founding Client Program
Honest social proof, by design
Instead of borrowed logos and invented testimonials, we offer preferred pricing to early partners in exchange for publishable 90-day performance baselines. Real results, measured and shared.
- Preferred pricing for early partners
- Publishable before/after baselines within 90 days
- A straight value exchange — no fabricated proof
Placeholder
First case studies
Coming Q3 2026
We won't publish results until a founding client reaches a verified 90-day baseline.
Resources
Insights for billing managers
What Is Revenue Cycle Management? A Complete Guide for Healthcare Providers
A plain-language guide to the full revenue cycle — from eligibility to zero balance — and the KPIs that tell you whether it's working.
11 min readPricingHow Much Does Medical Billing Outsourcing Cost in 2026?
Percentage of collections vs per-claim vs flat monthly — real ranges, comparison tables, and how to tell which model actually fits your practice.
12 min readDenialsHow to Reduce Claim Denials: 10 Strategies That Actually Work
Denials are mostly preventable. Ten concrete, front-to-back strategies to raise first-pass resolution and protect earned revenue.
13 min readBook a Free Revenue Audit
Tell us about your practice and we'll show you where revenue is leaking — and the targets we'd commit to in writing.
(855) 455-2873No commitment required · Results in 48 hours.
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