Revenue Cycle Management · Medical Billing & Coding · Revenue Intelligence

Kitronixe Solutions

An extension of your practice

Why Kitronixe

Your revenue cycle, managed like it belongs to us.

Kitronixe works as an extension of your practice: learning your workflow, fixing leakage before takeover, checking every claim before it leaves, teaching your team, and keeping providers and leadership informed with a practice-health view they can open on any device.

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What working with Kitronixe looks like
  1. Before day oneDiscovery of your workflows and leaks, typically 1–2 months before transition, and a correction plan.
  2. Before every claim leavesReviewed and checked against applicable claim edits before it reaches the clearinghouse.
  3. When something goes wrongDenials and documentation gaps explained to the practice, with the next action and the fix upstream.
  4. Every day afterPractice health, reporting and staff education, visible to providers and leadership on any device.

Before the transition

We start fixing the revenue cycle before day one.

Onboarding begins before we take over a single claim. A detailed discovery period, typically 1–2 months before transition, maps how your practice actually works today, where revenue can slip, and what should be corrected before active management starts.
From discovery to day oneChoose a step to see what happens in it

Before day one · Discovery period, typically 1–2 months before transition

  8. Day one

Discovery checklist

What we look for before the first claim is ours

Discovery is a structured review, not a sales audit. These are the areas it covers, and each one is checked against how your practice actually works.

  • Eligibility gapsCoverage not checked, or checked too late to act on.
  • Benefit-verification gapsPlan details that are not confirmed before the visit.
  • Authorization gapsServices scheduled without the approval the plan requires, where applicable.
  • Registration issuesDemographic and insurance details captured incompletely.
  • Documentation gapsNotes that do not yet support what is billed.
  • Coding workflow issuesHow codes are assigned, reviewed and corrected.
  • Claim edit failuresEdits that repeat because their cause is upstream.
  • Payer workflow problemsPayer-specific steps that are missed or handled inconsistently.
  • A/R leakageBalances that age without an owner or a next step.
  • Denial patternsDenials that recur by payer, reason or workflow.
  • Reporting limitationsQuestions the current reports cannot answer.
  • System / configuration gapsSet-up that works against the billing workflow.

Not every practice has every issue. Discovery records what is actually present in yours, and what is not.

Front to back

Revenue leakage starts upstream.

Many problems that surface as denials or aging A/R were created earlier, by whoever first captured the information. Kitronixe works with the staff who create that information before the claim exists, not only with the team that works the claim afterwards. Choose a zone to see who owns it and what can start there.
The revenue cycle, front to backChoose a zone: who owns the information there, and what can start there

Front desk

The patient and their coverage are recorded. Everything after this point relies on it.

  • Registration
  • Insurance capture
  • Eligibility
  • Benefits verification

Who owns the information

Front-desk and scheduling staff

What can start here

Rejections and eligibility denials when coverage or demographics are wrong or out of date.

Usually shows up at: Clearinghouse / payer.

Fixing only the back end leaves the upstream cause in place.

Correct, then improve

Fix the issue once. Teach the process so it happens less.

Correcting a claim recovers that claim. Tracing the error to the workflow that produced it, and sharing what we found with the people who run that workflow, is what can stop it repeating. It is collaborative process improvement, never blame.
Correct it, then teach itOne pass round the loop; choose any stage
  8. If the error repeats, back to stage 1

Who we work with in the loop

  • Front desk
  • Authorization staff
  • Clinical staff
  • Providers
  • Managers
  • Billing teams

The goal is the process, not the person.

Before submission

The clearinghouse should not be the first place a claim gets checked.

Every claim is reviewed, scrubbed and checked against the claim edits that apply to it before it goes to the clearinghouse. When a check finds something, the claim is held with a clear flag, the issue is fixed at its source, and only then is the claim released. Choose a flag to see where a claim stops and what clears it.

Claim quality gate

Every applicable check happens before the clearinghouse sees the claim

Sample claim walkthrough
  1. Encounter complete
  2. Documentation available
  3. Charge review
  4. Coding review
  5. Demographic / coverage review
  6. Claim edit review
  7. Required information check
  8. Ready for submission
  9. Quality gate, then Clearinghouse

Example Claim A is at encounter complete.

Choose a flag

Held at: Demographic / coverage review

Coverage issue

Eligibility or benefits on file do not match what the payer shows for the date of service.

What resolves it: Coverage is re-verified with the payer, the correct plan is attached, and the front desk hears what changed so the next visit starts right.

Once fixed, the claim is released to the next check. It never skips the gate.

A fictional claim walking through the checks, for illustration. Not a Kitronixe client result. Checks are applied where they apply to the claim, and passing them means the claim was reviewed, not that a payer will accept it.

Provider communication

Providers stay informed while it still matters.

A documentation question is easiest to answer while the visit is fresh and the claim is still open. We raise gaps promptly, in plain words, and keep providers up to date on the changes that affect how their work is billed.
A documentation question, start to finishA generic example. Choose a message to follow it.

  2. to the rcm team

  5. to the provider

  6. to the rcm team

Step 1 of 6, Provider: Provider documentation. Example Visit A is documented and signed.

  • Operational, coding and documentation updatesChanges that affect how visits are documented and billed, shared in a short, practical form.
  • Documentation gaps communicated promptlyWhen a note does not yet support what is billed, the provider is asked while the answer is still easy to give.
  • Repeat issues monitoredIf the same question keeps coming up, we look at the template or workflow behind it, not only the individual note.
  • Payer and industry workflow updatesRelevant payer and industry workflow changes are shared where they apply to the practice.

The provider remains responsible for clinical documentation and clinical judgment. Kitronixe asks and informs; it does not direct clinical decisions.

When a claim is denied

A denial is information — not something to hide.

A denial tells you where a process broke. We make it visible to the provider and the practice, find the root cause, act on it, and feed what we learn back upstream so the same cause can be addressed where it starts. Choose a cause to see what the practice would see.

Not every denial is recoverable; every denial is explained.

Transparent denial flow
  1. 01Denial received
  2. 02Provider / practice visibility
  3. 03Root cause review
  4. 04Solution / next action
  5. 05Correction / appeal / follow-up
  6. 06Prevention feedback
Prevention feedback returns to the checks before submission

What the practice sees

Choose a denial cause

Sample denial notice

Example Claim B · Payer A · Coverage

Denied: being worked
01What happened
The payer denied the claim because the patient’s coverage was not active on the date of service.
03Why it happened
The patient changed plans and the new coverage was not captured at check-in.
04What is being done
The new plan is being confirmed with the patient, and the claim will be billed to the correct payer where timely filing allows.
06What can prevent recurrence
Re-verify eligibility before each visit, and prompt the front desk to ask about plan changes.

A fictional denial, for illustration. Not a real claim and not a Kitronixe client result. Numbers beside each field refer to the flow above.

Practice visibility

You should never have to ask how your billing is performing.

Providers and practice managers can receive a consolidated practice-health dashboard: claims, collections, denials, A/R and the work still open, in one view. It opens in a browser, so you can check it from the office, at home or between patients.
  • PCFull dashboard in any modern browser
  • TabletThe same view, arranged for touch
  • PhoneStacked summaries for a quick check
Sample practice health dashboardFictional practice, one fictional monthIllustrative data

Illustrative data for a fictional practice; every rate is calculated from the sample counts and dollars shown. Not a Kitronixe client result, a benchmark or a client’s figures.

Claims and rates

Claims submitted

1,240

This month

Clean claim rate

94.0%

1,166 with no pre-submission edit

First-pass acceptance

97.5%

1,209 accepted first time

Denial ratio

7.9%

98 denied of 1,240

Six-month trend: 8.3%, 8.8%, 7.6%, 8.4%, 8.1%, 7.9%.

Collections

Days in A/R

35.0

$480.5K open ÷ average daily charges

Collections

$226.6K

Payments posted this month

Gross collection rate (GCR)

55.0%

Payments ÷ $412.0K charges

Net collection rate (NCR)

93.6%

Payments ÷ charges after contractual adjustments

No separate Power BI or third-party analytics subscription is required to access the Kitronixe reporting experience.

Ask for the report you need

You should not have to buy another report to understand your own practice.

Tell us the question you are trying to answer. If the underlying data is available and appropriate to use, Kitronixe works to build the report, deliver it and, where it helps, put it on a schedule. We will say plainly when a report cannot be produced because the source data does not exist.
From request to scheduled report

Request: You describe the question the report should answer.

A report can only be produced when the data behind it exists and is appropriate to use. There is no promise that every report can be built.

Example report catalogue

Examples of reports practices ask for. Availability depends on your data.

11 reports shown

FinancialWhere the money comes from, and where it is waiting.
  • Provider productivity
  • Payer analysis
  • A/R trends
  • Collections
  • Patient balances
Claims & denialsWhat happened to a claim, and why.
  • Denial root-cause analysis
  • Claim status
Front endThe checks that happen before a visit is billed.
  • Authorization tracking
  • Eligibility trends
OperationalThe work around the claim.
  • Provider documentation follow-up
  • Custom operational reporting

Part of the service model

Visibility is part of the service, not an add-on.

These come with the Kitronixe RCM relationship rather than as separate subscriptions.

  • Practice-health dashboard
  • Advanced reporting
  • Custom operational reporting
  • Management visibility
  • Mobile and browser access

Patient statements

Statements that reach patients without the envelope.

Where supported, Kitronixe provides secure electronic statement delivery with healthcare privacy and security controls: an itemized statement sent to the patient’s email address, with delivery status your team can see. Cadence is set with the practice.

Included with the Kitronixe RCM service, where supported

Statement cadence

Statement run day, shown on a four-week example strip

Monthly: One statement run a month, on a day agreed with the practice. Runs on day 1 of this example strip.

From email on file to delivery status
  1. Stage 1Valid patient emailStatements go only to an email address on file and confirmed for the patient.
  2. Stage 2Itemized statementEach statement lists the services and balance the patient is responsible for.
  3. Stage 3Secure electronic deliverySent through a delivery channel with healthcare privacy and security controls.
  4. Stage 4Patient accessThe patient opens and reviews the statement electronically.
  5. Stage 5Delivery and status visibilityYour team can see what was sent, and whether it was delivered or opened, where supported.

Independent eClinicalWorks optimization and RCM workflow support

For eClinicalWorks practices, the work goes beyond billing.

Included where applicable as part of the Kitronixe RCM relationship: we review how your eClinicalWorks environment is set up for billing, the front desk and reporting, and help configure it around how your practice actually works.
Your eClinicalWorks environmentAreas we review, where applicable to your setup

How claims are prepared, checked and worked.

  • Billing Work Queue dashboards
  • Billing rules
  • Claim-edit workflows

What happens before and at check-in.

  • Front-desk workflows
  • Eligibility workflows
  • Authorization workflows

What the practice can see, and how the system is set up.

  • Reporting
  • Custom dashboards
  • Practice analytics
  • Operational configuration review

Kitronixe is not affiliated with, certified by or a reseller for eClinicalWorks. Scope depends on the practice’s eCW environment and agreement.

Support availability

Revenue-cycle issues do not always wait for business hours.

24/7 operational support availability: an issue raised outside your office hours is logged, routed and picked up, rather than waiting for the next working morning.
  1. Raise it when it happensReport an issue at the time you notice it.
  2. Routed to the right peopleIssues are logged and passed to the team that owns them.
  3. Visible follow-throughYou can see what was picked up and where it stands.

Availability describes the support service as a whole. It does not mean every individual team member is on shift at all hours, and it is not a guaranteed response time.

One example dayIllustrative timeline
  • 06:30Clearinghouse rejection batch noticedLogged and routed
  • 19:15Eligibility question for tomorrow’s scheduleLogged and routed
  • 23:30Payer portal access issue reportedLogged and routed

Illustrative example day with invented issues and example office hours. Not a Kitronixe client result or a response-time commitment.

Included value

What the Kitronixe relationship includes.

One relationship covers the team, the workflow, the reporting and the systems work. Items marked with a qualifier depend on your system and agreed scope.

Team & workflow

  • RCM teamIncluded
  • Eligibility workflow supportIncluded
  • Prior authorization workflow supportIncluded
  • Provider and staff educationIncluded

Quality & denials

  • Claim quality reviewIncluded
  • Denial managementIncluded
  • A/R follow-upIncluded

Visibility & reporting

  • Practice-health dashboardIncluded
  • Advanced reportingIncluded
  • Custom reportingIncluded
  • Patient e-statementsWhere supportedIncluded
  • Ongoing performance monitoringIncluded

Systems & optimization

  • eClinicalWorks workflow optimizationWhere applicableIncluded
  • Billing Work Queue optimizationWhere applicableIncluded
  • Billing-rule configuration supportWhere applicableIncluded
  • Operational consultingIncluded

Included under the standard RCM relationship; items marked “where applicable” depend on your system, platform and agreed scope. “Included” does not mean free: the service fee is agreed in writing (see pricing).

The cost side

Everything you'd normally pay for in-house — included.

More care.
Less overhead.

KitronixeIncluded in your service1099 service relationship

  • Wages

    In-house team
    Per hour / salary
    Kitronixe
    Included

  • Social Security Tax

    In-house team
    Yes
    Kitronixe
    Included

  • Medicare Tax

    In-house team
    Yes
    Kitronixe
    Included

  • Unemployment Tax

    In-house team
    Yes
    Kitronixe
    Included

  • Payroll Expense

    In-house team
    Yes
    Kitronixe
    Included

  • Overtime

    In-house team
    May apply
    Kitronixe
    Included

  • 401(k)

    In-house team
    May apply
    Kitronixe
    Included

  • Health Benefits

    In-house team
    May apply
    Kitronixe
    Included

  • Training

    In-house team
    Common cost
    Kitronixe
    Included

  • Advertising Job Opening

    In-house team
    May apply
    Kitronixe
    Included

  • Interviewing Expense

    In-house team
    Common cost
    Kitronixe
    Included

  • Pre-Employment Expense

    In-house team
    May apply
    Kitronixe
    Included

What “included” means. These are employment costs you no longer carry for the role. Kitronixe charges its own service fee, agreed in writing before work begins — see pricing. Employment costs vary by state, employer and benefit plan, and not every practice carries every line — the in-house column is a typical pattern, not tax advice.

See what you could save with Kitronixe

How we work

Not outsourced billing. An embedded revenue-cycle operating model.

Billing work is one part of it. The model runs from understanding the practice before takeover to showing the health of the revenue cycle every month after, and each step feeds the next.
Operating model: Discover, Fix, Prevent, Verify, Communicate, Measure

  1. 01Discover

    Understand the practice before takeover: workflows, payers, systems and where revenue is at risk.

  2. 02Fix

    Address the leakage and workflow gaps found in discovery, starting with what matters most.

  3. 03Prevent

    Train the team and improve upstream processes, so issues are addressed where they start.

  4. 04Verify

    Review claim quality before submission, against the checks and edits that apply.

  5. 05Communicate

    Keep providers and management informed, with issues explained and next actions named.

  6. 06Measure

    Show the health of the revenue cycle continuously, where the underlying data is available.

6 steps, each feeding the next.

“Embedded” describes how closely we work with your team. It is an operational partnership, not an employment relationship.

Visibility

You should be able to see how your revenue cycle is run.

Two ways of running a practice’s billing. One reports status and works problems out of sight. The other shows the practice what is happening, why, and what comes next.

  • Reporting

    Practice-health visibility

  • Corrections

    Upstream root-cause feedback

  • Submission

    Claims reviewed before submission

  • Problems

    Problems communicated with next actions

  • Reporting cadence

    Interactive management visibility

A description of two ways of working, not a statement about any named company.

Commitments, not promises

What you can hold us to.

In writing

Scope, measures and cadence agreed before work starts

Your numbers

Reported against the baseline we establish together

Named team

The same specialists on your account, not a queue

No lock-in

Notice periods and data handover agreed up front

Start with an RCM assessment

Kitronixe does not publish client outcome statistics on this website. What a practice can expect depends on its specialty, payer mix and starting position - which is what the assessment establishes.

Common questions

What practices ask before they hand us the keys.

A billing company typically works claims once they arrive. We start before takeover, work with the people who create the claim information - front desk, authorization staff, providers - check every claim before it goes to the clearinghouse, explain every denial, and report the health of the whole cycle so you can see it for yourself.

Start with discovery

Let us learn your practice before you trust us with its revenue cycle.

A conversation, then an RCM assessment of how your revenue cycle actually runs. You see what we find before you decide anything.

Get a Free RCM AssessmentStart an RCM assessmentRevenue leakage calculator