Solutions
Where in your revenue cycle do you need help?
Kitronixe works across the whole cycle, from patient access through payment and the reporting that explains it. Start from the problem you are seeing, and engage the whole cycle or only the part that needs attention.
How the cycle connects
A cycle that learns from itself.
Services at this stage
Patient Access
Measure → Learn → ImproveFindings flow back up to Patient Access and Claims & Collections.
What flows back upstream
- MeasureClaims, remittances and work queues are measured against the reporting you agree.
- LearnPatterns are traced to the step, payer or workflow that produced them.
- ImproveThe fix goes to the stage that caused it: front desk, coding, submission or follow-up.
Every service, by stage
The full catalogue, in cycle order.
Front End
Patient Access
Everything that happens before the encounter is billable.
4 services
- Eligibility VerificationCoverage and benefits verified before the date of service, so a visit is billable before it happens.
- Prior AuthorizationAuthorizations requested, tracked to approval, and checked for expiry before the service is delivered.
- CredentialingProvider credentialing, payer enrollment, recredentialing, CAQH maintenance and EFT/ERA enrollment.
- Staffing & Workforce ServicesAdministrative and revenue-cycle workforce support for front-desk, eligibility, authorization, billing, A/R, denial, posting and reporting workflows - within an agreed scope.
Mid Cycle
Capture & Coding
Turning care delivered into a claim that will survive review.
6 services
- Medical BillingProfessional and institutional billing, electronic claim submission, clearinghouse management and claim status monitoring.
- Medical CodingCPT, HCPCS and ICD-10-CM coding, modifier review, E/M support, coding audits and documentation review.
- Physician BillingProfessional-fee billing for physicians and advanced practice providers, from documentation and charge capture through coding, claims, posting and follow-up.
- Laboratory BillingBilling workflow support for laboratory services - order and provider information, diagnosis and coding review, claim validation, denials, records requests and A/R.
- Hospital BillingHospital and facility billing workflow support within the agreed scope - patient access, authorization, charges, coding coordination, claims, records requests, denials and A/R.
- Imaging & Radiology BillingImaging and radiology billing workflow support - orders, authorization, documentation and interpretation workflow, coding coordination, component considerations, claims, denials and A/R.
Back End
Claims & Collections
Submission, adjudication, denials, appeals and payment.
4 services
- Denial ManagementDenial categorisation, root cause analysis, corrected claims, reconsiderations and appeals - plus removing the cause.
- A/R RecoveryInsurance A/R follow-up, aging analysis, high-dollar and no-response claim recovery, and legacy A/R cleanup.
- Payment PostingERA and EOB posting, adjustment reconciliation, patient responsibility transfer and secondary billing.
- Underpayment RecoveryExpected versus actual reimbursement compared against contracted rates, with recovery of verified shortfalls.
Intelligence
Revenue Intelligence
Measuring what happened, and changing what happens next.
7 services
- Revenue Cycle ManagementEnd-to-end management of the revenue cycle, from patient access through final payment and reporting.
- Chronic Care Management SupportOperational and billing workflow support for chronic care management programs: enrollment tracking, monthly activity, documentation workflow, billing readiness and reporting.
- Remote Patient Monitoring SupportOperational and billing workflow support for eligible remote patient monitoring programs: enrollment, device workflow, data-availability follow-up, documentation, billing readiness and reporting.
- Revenue IntelligenceExecutive dashboards and RCM analytics that show what happened, why, and what to change.
- RCM AuditAn independent review of revenue cycle performance, billing accuracy, coding quality and revenue leakage.
- Practice AnalyticsReporting on revenue, provider productivity, payer trends, A/R and operational KPIs for medical practices.
- Kitronixe ConsultingIndependent eCW optimization and healthcare IT consulting: workflow audits, configuration, reporting, dashboards and RCM workflow support.
Data & Intelligence
Know which question you are asking.
Revenue Intelligence
Where did the money go, and why?
Trace revenue movement, leakage and its financial root causes.
Ongoing financial intelligence
Explore Revenue IntelligencePractice Analytics
How is the practice operating?
See provider, patient-access, location and operational performance.
Ongoing operational reporting
Explore Practice AnalyticsRCM Audit
Is the revenue cycle working the way it should?
Test workflows, document findings and prioritize remediation.
A one-off diagnostic engagement
Explore RCM Audit
How an engagement runs
No mystery about how we run it.
Assess
We review your denials, A/R ageing and payer mix against your own reporting, and set out where the problems appear to be.
Agree the measures
Scope, measures and reporting cadence are written down before work starts, so you know what is being reported and how often.
Run the work
Our specialists work inside your existing systems. No migration, and no replacing the EHR or practice management system you already run.
Report and correct
Work is reported against the agreed measures, and recurring causes are fed back as fixes rather than resubmissions.
Keep exploring
More of how Kitronixe works.
- Revenue Leakage CalculatorEstimate where your own numbers say revenue is leaking. Runs in your browser; nothing is sent.
- IndustriesHow the same cycle applies to different kinds of practice.
- TechnologyThe software that sits behind the service team, and how data is handled.
- ResourcesGuides and explainers on the revenue cycle, written for practice teams.
Can you provide modality-level reporting?
Where the billing data carries modality or service information, reporting can be broken down by modality, alongside payer, location and age.
Can you work imaging A/R?
Yes. Open imaging claims are prioritized by status, payer response, filing limits, balance and age. No outcome can be guaranteed.
Can you handle medical-record requests?
Yes. Requests are tracked, the documentation and reports are gathered and sent, and the claim is followed until the payer responds.
Can you work denied imaging claims?
Yes. Denials are worked by cause - including authorization-related denials - and corrected, appealed where appropriate, or closed with a reason.
Can you help with modifier review?
Yes. Modifiers such as those used for technical or professional components are reviewed where applicable, based on the arrangement, documentation and payer requirements.
What are professional and technical components?
Broadly, the technical component is the equipment and technical side of performing the service, and the professional component is the physician’s interpretation. Whether a service is billed by component or globally depends on the actual circumstances and payer rules - there is no single rule for every case.
Not sure where to start? Let us look first.
An assessment reviews your denials, A/R ageing, charge lag and payer mix, and reports what it finds. No obligation, and you keep the findings.