Medical billing with accountability

See more of your revenue cycle. Control more of it.

CareMedox combines day-to-day billing operations with disciplined follow-up, transparent reporting and practice-level analysis—so your team can understand what is happening behind every collection number.

U.S. healthcare practices PM / EHR friendly Weekly + monthly reporting
CareMedox operating metrics

Real performance ranges, shown with the context they require.

These are CareMedox operating ranges and workflow benchmarks—not universal guarantees. Practice-specific results depend on the quality and timing of upstream information, payer rules, specialty, coding and claim readiness.

92–96%First-Pass Claim AcceptanceObserved CareMedox operating range; results vary by documentation, payer rules, coding, eligibility and claim readiness.
4–8%Denial RatioCareMedox operating range; actual denial performance varies by specialty, payer mix and upstream practice workflow.
90%Billing RatioCareMedox workflow benchmark for billing received versus billing moved through submission; dependent on complete, timely and claim-ready information from the practice.
Measured, not marketedOperational ranges, not blanket guarantees.Practice results depend on payer mix, specialty, documentation, coding and the timeliness/completeness of information supplied.
Core services

Revenue-cycle support built around the way a practice actually gets paid.

Use CareMedox for a focused function or as an end-to-end billing and RCM partner.

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01

Medical Billing

Claim creation, submission, monitoring, posting, follow-up and reporting organized around clean workflow and financial visibility.

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02

AR Follow-Up & Aging

Structured follow-up with strong attention to 60-, 90-, 120- and 120+ day receivables and the causes that keep balances aging.

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03

Denial Management

Root-cause review, correction, payer follow-up and recurrence prevention—connected back to front-end and billing workflow.

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04

Eligibility & Authorization

Front-end coverage, benefit and authorization support designed to reduce preventable downstream billing disruption.

Eligibility services
05

Payment Posting

ERA/EOB and patient payment posting with reconciliation awareness and transparent correction handling when prior reporting changes.

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06

Reporting & Analytics

Weekly and monthly views that can go from payment totals to claim- and CPT-level detail for a deeper picture of practice performance.

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Start with the problem

You do not need to know which billing service you need.

Start with the revenue-cycle symptom. We can trace it back to the workflow that needs attention.

Our AR keeps getting older

Prioritize aging, deadlines, payer follow-up and root causes.

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Denials keep repeating

Separate one-off fixes from recurring workflow failures.

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Collections changed and we do not know why

Connect payments, corrections, claims and CPT activity to the change.

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We suspect revenue leakage

Review missed charges, underpayments, denials, posting and other leakage points.

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Why CareMedox

Accountability should show up in the workflow—not only in the sales pitch.

These operating principles are intended to keep providers informed while giving the billing team clear responsibility for the work it controls.

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TFL accountability

If CareMedox negligence causes an eligible claim to become unrecoverable because the applicable timely filing limit was missed, CareMedox accepts responsibility under the governing service agreement and applicable Medicare fee schedule.

Reporting with context

Depending on service scope, CareMedox reporting can include weekly and monthly payment views, claim-level detail, CPT-level analysis, aging, denial trends and broader RCM indicators—plus explanations of material collection changes.

60–120+ aging focus

CareMedox places strong operational focus on 60-, 90-, 120- and 120+ day AR, prioritizing work by age, balance, payer status, remaining deadlines and collectability.

Transparent corrections

When a previously counted payment is corrected, reversed or removed, CareMedox reflects the reducing adjustment transparently in the following reporting cycle and documents the reason rather than hiding the change.

PM / EHR friendly

CareMedox works within the practice’s existing PM, EHR, billing-software and clearinghouse environment whenever payer, security, technical and workflow requirements allow, without forcing an unnecessary system change.

Provider visibility

CareMedox reporting—and the planned client portal—are designed to keep providers and authorized practice teams informed, able to review practice-level analysis and coordinated with the CareMedox team.

Technology flexibility

Keep the systems that already work for your practice.

CareMedox works within the practice’s existing PM, EHR, billing-software and clearinghouse environment whenever payer, security, technical and workflow requirements allow, without forcing an unnecessary system change.

  • PM and EHR friendly onboarding
  • Clearinghouse flexibility where compatible
  • Workflow review before unnecessary system changes
A clearer start

Begin with an audit, not a sales assumption.

A focused audit helps identify the actual problem before deciding what level of support makes sense.

Tell us what is happening

Share the practice profile, current workflow and the areas you want reviewed.

Review the revenue cycle

We look for patterns in claims, aging, denials, posting, collections and workflow.

Explain the findings

Findings should tell you what changed, why it matters, and which process may need attention.

Choose the right scope

Use the findings to decide whether you need a targeted service or broader RCM support.

Learning is part of better RCM
CM Academy

CareMedox invests in education as well as service delivery.

Through CM Academy, we extend practical medical-billing knowledge to providers, clients, employees, students and anyone who wants to learn. Better understanding creates better questions, better workflows and stronger collaboration across the revenue cycle.

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Start with visibility

See what your revenue cycle is telling you.

Request a 30-day billing audit and let CareMedox review the areas that may be limiting collections, visibility, or follow-up.