One partner for your entire revenue cycle
NextRCM runs the full revenue cycle from end to end, combining deep specialty expertise, smart technology, and a relentless focus on results. More collections. Fewer denials. Healthier cash flow.
- Maximize collections
- Reduce denials and rework
- Improve cash flow and visibility
Trusted by practices.
Proven every day.
- 98.2%Clean Claim Rate (typical)
- 19Services, End to End
- 50States Served
- 100%HIPAA Compliant
Clean claim rate is a typical figure across established clients, illustrative, not a guarantee.
Our Services
Every service, one accountable team
Start with a single service or hand us the whole cycle. Every claim is worked by a dedicated, certified team inside the systems you already use.
Showing 19 services
- Most popularMedical BillingClean claims out the door and money in the door.RCM CoreExplore
- Credentialing & Provider EnrollmentGet enrolled, stay enrolled, and never miss a payer window.RCM CoreExplore
- Most popularFull Revenue Cycle ManagementThe whole cycle, run end to end by one accountable team.RCM CoreExplore
- Medical CodingAccurate, compliant coding that holds up under review.RCM CoreExplore
- Clinical DocumentationDocumentation that supports the codes you bill.RCM CoreExplore
- Denial ManagementPrevent, appeal, and overturn denials at the root cause.RCM CoreExplore
- Practice AuditsIndependent audits that surface leakage before payers do.Audit & ComplianceExplore
- Accounts Receivable Follow-UpPersistent follow-up that turns aging AR into cash.RCM CoreExplore
- Eligibility VerificationVerify coverage before you deliver, not after.RCM CoreExplore
- Prior AuthorizationFaster approvals with fewer delays and less back and forth.RCM CoreExplore
- Most popularDME Growth SupportFull-field billing built for DME suppliers.DMEExplore
- Payment Posting & Patient BillingAccurate posting and clear statements patients understand.RCM CoreExplore
- End-to-End DME SetupEnrollment to go live: your supplier number, done right.DMEExplore
- DME Ownership Transfer (CHOW)Smooth change of ownership handled end to end.DMEExplore
- AI Agents & AutomationAutomate routine revenue cycle steps, keep people on exceptions.TechnologyExplore
- Custom Software DevelopmentCRMs, apps, and patient portals built for your workflows.TechnologyExplore
- Healthcare Digital MarketingGrow your practice with compliant, referral-friendly marketing.TechnologyExplore
- Healthcare Facility SetupLicenses, enrollment, and documentation from day one.OperationsExplore
- Medicare Audit SupportRespond, document, and appeal with defensible packets.Audit & ComplianceExplore
The complete catalog
Every service, in one list
Beyond the core services above, this is the full menu of work our teams take on, from single tasks to complete departments. Every entry links to the service page that covers it in depth.
75 services match
- Prior Authorization
Prior Authorization Management
Requirement verification; Submission; Status tracking; Payer follow-up; Escalation log
Best for: Specialty practices, DME suppliers, imaging, therapy, infusion and multi-provider clinics
See how we deliver it - Prior Authorization
Managed Prior Authorization Operations
Backlog inventory; Priority segmentation; Payer follow-up; Missing-document list; Disposition report
Best for: Practices with aged pending auth queues
See how we deliver it - Front-End RCM
Eligibility & Benefits Verification
Eligibility status; Benefit details; Deductible/copay; Network status when available; Auth requirement check
Best for: Practices, DME, labs, therapy and specialty clinics
See how we deliver it - DME Front-End
DME Same or Similar Verification
Same/Similar history review; Item/date comparison; Evidence capture; Escalation note
Best for: Medicare DME suppliers
See how we deliver it - Credentialing & Enrollment
Credentialing & Provider Enrollment
Intake checklist; Application preparation; Submission support; Payer follow-up; Status tracker
Best for: Physicians, groups, DME, labs, home health and clinics
See how we deliver it - Credentialing & Enrollment
Medicare PECOS Enrollment
Enrollment assessment; PECOS application prep; Document checklist; Submission coordination; Follow-up tracker
Best for: Physicians, groups and applicable suppliers/providers
See how we deliver it - Credentialing & Enrollment
Medicaid Enrollment
State requirement map; Application prep; Document checklist; Follow-up; Status reporting
Best for: Providers, groups, DME, labs and home health agencies
See how we deliver it - Credentialing & Enrollment
Commercial Payer Enrollment
Application prep; CAQH coordination; Payer follow-up; Status tracker; Effective date capture
Best for: Providers, groups, DME, labs and home health
See how we deliver it - Credentialing & Enrollment
CAQH Setup & Maintenance
Profile setup/update; Document checklist; Attestation support; Data consistency review
Best for: Individual providers and groups
See how we deliver it - Credentialing & Enrollment
Recredentialing & Revalidation
Expiration tracker; CAQH maintenance; Recredentialing actions; Revalidation support; Monthly status report
Best for: Established providers, groups, DME, labs and facilities
See how we deliver it - Credentialing & Enrollment
EFT / ERA / EDI Enrollment
Enrollment inventory; Form preparation; Submission coordination; Activation follow-up; Testing checklist
Best for: Practices and suppliers changing or adding payers/clearinghouses
See how we deliver it - Credentialing & Enrollment
NPI / NPPES Setup & Updates
NPI application/update support; Taxonomy review; Address/organization check
Best for: New providers, groups and organizations
See how we deliver it - RCM
Full Revenue Cycle Management
Charge/claim workflow; Claim submission; Rejection handling; Payment posting; Denials
Best for: Independent practices, specialty groups, DME, labs and clinics
See how we deliver it - Billing
Medical Billing
Claim preparation; Submission; Rejections; Claim status; Basic reporting
Best for: Physician practices and clinics
See how we deliver it - DME RCM
DME Billing & RCM
DME claim prep; HCPCS/modifier workflow checks; Submission; Rejections; Denials
Best for: DMEPOS suppliers
See how we deliver it - RCM
Home Health Billing & RCM
Billing workflow; Claim submission; Posting; Denials; AR
Best for: Home health agencies
See how we deliver it - RCM
Laboratory Billing & RCM
Claim workflow; Rejections; Posting; Denials; AR
Best for: Independent and specialty laboratories
See how we deliver it - Billing
Payment Posting & Patient Billing
ERA/EOB posting; Adjustment workflow; Patient balance update; Exception report
Best for: Practices, DME and billing companies
See how we deliver it - Revenue Recovery
Accounts Receivable Follow-up
AR inventory; Payer follow-up; Next-action notes; Weekly aging report
Best for: Practices, DME, labs and billing companies
See how we deliver it - Revenue Recovery
Aged AR Recovery Project
AR assessment; Aging segmentation; Payer follow-up; Appeal/correction routing; Recovery report
Best for: Practices and suppliers with 90+ day AR
See how we deliver it - Revenue Recovery
Denial Management & Recovery
Denial inventory; Root-cause classification; Correction/appeal routing; Payer follow-up; Reporting
Best for: Practices, DME, labs and billing companies
See how we deliver it - Billing
Claims Rejection & Correction
Rejection inventory; Edit correction; Resubmission; Acceptance tracking
Best for: Practices, DME and billing companies
See how we deliver it - Coding
Medical Coding
ICD-10/CPT/HCPCS coding within scope; Coding QA; Exception queue; Turnaround reporting
Best for: Practices, facilities and billing companies
See how we deliver it - Audit & Compliance Support
Coding QA / Audit
Sample methodology; Coding review; Finding severity; Evidence references; Action plan
Best for: Practices, facilities and billing companies
See how we deliver it - DME Documentation
DME Patient Document Audit
Claim-chain review; Order review; Clinical support review; POD review; Modifier/code checks
Best for: DME suppliers
See how we deliver it - DME Documentation
DME Pre-Bill Documentation Review
Pre-bill checklist; Document gap routing; Claim data review; Exception log; Weekly report
Best for: DME suppliers
See how we deliver it - Clinical Documentation
Clinical Documentation Gap Review
Evidence extraction; Policy checklist; Gap register; Non-leading query draft
Best for: Practices and DME suppliers
See how we deliver it - DME Operations
DME Intake & Order Management
Referral intake; Order entry; Document request tracking; Qualification checklist; Status updates
Best for: DME suppliers
See how we deliver it - DME Operations
DME Front Desk & Patient Coordination
Inbound/outbound admin calls; Document follow-up; Status updates; Scheduling/coordination within scope
Best for: DME suppliers
See how we deliver it - DME Operations
Refill & Recurring Supply Operations
Refill queue management; Approved patient contact; Documentation readiness; Exception routing; Reporting
Best for: DME suppliers with recurring/resupply items
See how we deliver it - Audit & Compliance Support
Medical Audit / Payment Integrity Support
Audit letter extraction; Claim chain; Evidence inventory; Gap register; Packet index
Best for: DME suppliers, practices and facilities responding to payer record requests
See how we deliver it - Audit & Compliance Support
TPE / SMRC / RAC / CERT Response Support
Request extraction; Policy mapping; Claim-level review; Evidence matrix; Packet assembly
Best for: Medicare DME and provider organizations
See how we deliver it - Audit & Compliance Support
Practice, Billing & Coding Audit
Sample design; Workflow review; Claim/coding findings; Risk ranking; Corrective action plan
Best for: Medical practices, DME, labs and billing companies
See how we deliver it - DME Setup
End-to-End DME Setup
Launch roadmap; Accreditation readiness coordination; Medicare/Medicaid/commercial enrollment coordination; NPI/PECOS checklist; Billing/EDI setup
Best for: Entrepreneurs and organizations launching a DME supplier
See how we deliver it - DME Setup
DME Accreditation Readiness
Readiness assessment; Policy gap list; Evidence binder structure; Mock readiness review; Corrective action tracker
Best for: New and existing DMEPOS suppliers
See how we deliver it - DME Setup
DMEPOS Medicare Enrollment
Enrollment readiness; PECOS/855S prep support; Document checklist; Fee/dependency checklist; Follow-up tracking
Best for: DMEPOS suppliers
See how we deliver it - DME Setup
DME State Licensing Coordination
Requirement research; Checklist; Application admin support; Third-party coordination; Status tracker
Best for: DME suppliers entering regulated states
See how we deliver it - DME Setup
DME CHOW Administrative Support
Transaction checklist; Enrollment dependency map; Accreditation coordination; Notification tracker; Status reporting
Best for: Buyers and sellers of DME suppliers
See how we deliver it - DME Setup
DME Revalidation / Change of Information
Record assessment; Change application prep; Document checklist; Follow-up
Best for: Existing DMEPOS suppliers
See how we deliver it - Healthcare Setup
Medical Practice Startup Administrative Support
Launch checklist; Credentialing coordination; RCM setup; EHR/PM coordination; Vendor tracker
Best for: Physicians and groups opening a new practice
See how we deliver it - Healthcare Setup
Healthcare Facility / Back-Office Setup
Operating model; Role design; Workflow maps; SOP framework; Systems checklist
Best for: Clinics, DME, labs, home health and healthcare startups
See how we deliver it - Credentialing & Enrollment
Home Health Credentialing & Enrollment
Payer applications; Document checklist; Follow-up; Status tracker
Best for: Home health agencies
See how we deliver it - Credentialing & Enrollment
Lab Credentialing & Enrollment
Application prep; Document checklist; Payer follow-up; Effective date capture
Best for: Independent and specialty labs
See how we deliver it - Staffing
Virtual Medical Billing Specialist
Dedicated specialist; SOP alignment; Supervisor oversight; Queue reporting
Best for: Practices, DME and billing companies needing dedicated capacity
See how we deliver it - Staffing
Virtual Prior Authorization Specialist
Dedicated specialist; Workflow training; Payer follow-up; Reporting; Supervisor coverage
Best for: Specialty practices and DME suppliers with steady PA volume
See how we deliver it - Staffing
Virtual Credentialing Specialist
Dedicated specialist; CAQH/application work; Follow-up; Roster report; Supervision
Best for: Groups, MSOs, billing companies and healthcare startups
See how we deliver it - Staffing
Virtual AR / Denial Specialist
Dedicated AR/denial specialist; Payer follow-up; Next actions; Weekly reporting
Best for: Practices, DME and billing companies
See how we deliver it - Staffing
Healthcare Virtual Assistant
Dedicated/managed resource; SOP alignment; Supervision; Reporting
Best for: Medical practices and healthcare businesses
See how we deliver it - Staffing
White-Label RCM Staffing
Dedicated FTE/team; SOP onboarding; Manager oversight; QA/reporting; White-label workflow
Best for: U.S. billing companies, MSOs and healthcare service firms
See how we deliver it - Healthcare Technology
EHR / PM / Brightree Configuration
Workflow assessment; Configuration plan; Template/queue setup within authorized access; Testing checklist; User guide
Best for: Practices and DME suppliers implementing or cleaning up workflows
See how we deliver it - Healthcare Technology
Healthcare Workflow Automation & AI Agents
Workflow discovery; Automation design; Integration plan; Human-review controls; Testing
Best for: Practices, DME, billing companies and healthcare operations teams
See how we deliver it - Growth
Provider Relations & Growth Support
Target account research; Approved outreach assets; CRM workflow; Follow-up cadence; Activity reporting
Best for: DME suppliers and healthcare organizations with legitimate B2B referral development
See how we deliver it - Growth
Healthcare Digital Marketing
Positioning; Content/calendar; Campaign assets; Basic reporting
Best for: Healthcare businesses seeking patient/provider awareness
See how we deliver it - Healthcare Technology
Custom Healthcare Software Development
Discovery; UX/workflow design; Development; Testing; Documentation
Best for: Healthcare businesses needing purpose-built internal tools
See how we deliver it - Prior Authorization
Prior Authorization Appeals Support
Denial intake and reason classification; Administrative appeal packet preparation; Deadline tracking; Payer status follow-up
Best for: Specialty clinics, DME suppliers and practices with recurring authorization denials
See how we deliver it - Credentialing & Enrollment
Payer Contracting & Negotiation Support
Contract inventory; Payer outreach and status tracking; Fee schedule comparison worksheet; Execution checklist
Best for: Independent practices, groups, DME suppliers and facilities adding or renegotiating payer relationships
See how we deliver it - Credentialing & Enrollment
Provider Roster Management
Master roster maintenance; Payer-specific roster submissions; Add/term/change tracking; Monthly status report
Best for: Multi-provider practices, MSOs, labs, home health agencies and DME groups
See how we deliver it - Credentialing & Enrollment
Credentialing Maintenance & Expirables
CAQH re-attestation calendar; Expirables tracking; Recredentialing reminders; Payer request follow-up
Best for: Practices and facilities with active provider panels
See how we deliver it - Revenue Cycle Management
Patient Statements & Soft Collections
Statement queue management; Approved patient follow-up; Payment-plan routing; Balance exception report
Best for: Physician practices, clinics and specialty groups with growing patient balances
See how we deliver it - Healthcare Back Office
Referral Intake & Coordination
Referral intake; Document indexing; Missing-document follow-up; Status reporting
Best for: Specialty clinics, DME suppliers, home health agencies and diagnostic providers
See how we deliver it - Credentialing & Enrollment
Provider & Facility Demographic Maintenance
Change inventory; Payer-specific submissions; Status tracking; Closure report
Best for: Practices, DME suppliers, labs and facilities with payer directory changes
See how we deliver it - DME Revenue Cycle
Wound Care DME Billing & Documentation Operations
Claim preparation and submission; Documentation completeness review; Payer follow-up; Denial tracking
Best for: DME suppliers furnishing wound care surgical dressings and related supplies
See how we deliver it - DME Revenue Cycle
Incontinence Supply Billing & Resupply Operations
Recurring eligibility checks; Authorization tracking; Reorder queue; Billing coordination
Best for: DME suppliers serving Medicaid and managed-care incontinence supply patients
See how we deliver it - Home Health
Home Health Intake & Authorization Operations
Referral intake; Eligibility verification; Authorization tracking; Administrative readiness handoff
Best for: Home health agencies with intake, eligibility and authorization backlogs
See how we deliver it - Laboratory
Laboratory Eligibility & Prior Authorization Operations
Eligibility and benefits; Authorization requirement check; Reference documentation; Exception escalation
Best for: Independent and specialty labs with payer verification and authorization workload
See how we deliver it - Revenue Cycle Consulting
Fee Schedule & Charge Master Setup
Current-state inventory; Charge-master build; Payer fee-schedule organization; Change-control SOP
Best for: New practices, groups, labs and facilities building or redesigning charge workflows
See how we deliver it - RCM Infrastructure
Clearinghouse & EDI Implementation
Clearinghouse account coordination; Payer ID mapping; EDI/ERA enrollment; Test-claim checklist
Best for: New practices, DME suppliers, labs and facilities implementing claims connectivity
See how we deliver it - Revenue Cycle Consulting
Revenue Cycle SOP & QA Program
Current-state workflow mapping; SOP development; QA checklist; Escalation matrix
Best for: Billing companies, medical practices and DME suppliers formalizing RCM operations
See how we deliver it - Compliance Operations
HIPAA Administrative Workflow Readiness
Administrative workflow inventory; Role/access matrix; Minimum-necessary workflow; Incident escalation map
Best for: Small practices, DME suppliers, labs and healthcare back-office teams
See how we deliver it - Healthcare Virtual Staffing
Offshore RCM Team Buildout & White-Label Operations
Role and queue design; Staffing; SOP alignment; QA and reporting
Best for: U.S. billing companies, MSOs, DME suppliers and groups building scalable offshore back-office capacity
See how we deliver it - Credentialing & Enrollment
Medicare Advantage Enrollment & Contracting
Plan identification; Application coordination; Contracting status follow-up; Roster tracker
Best for: Practices, DME suppliers, labs and facilities expanding into Medicare Advantage networks
See how we deliver it - Credentialing & Enrollment
Medicaid MCO Enrollment
MCO target list; Application coordination; Status follow-up; Effective-date tracker
Best for: Practices, DME suppliers, home health agencies and labs serving Medicaid managed care
See how we deliver it - Healthcare Digital
Healthcare Website Design & Development
Healthcare-focused UX and design; Responsive development; Core service/provider pages; Basic technical SEO; Contact/lead workflow
Best for: Medical practices, DME suppliers, labs, home health agencies and healthcare businesses
See how we deliver it - Healthcare AI
Healthcare AI Voice Agent
Workflow discovery; Voice-agent build/configuration; Approved script/knowledge workflow; Human handoff logic; Integration plan
Best for: Practices, DME suppliers and healthcare operations teams with repetitive inbound or outbound call workflows
See how we deliver it - Healthcare AI
Healthcare AI Chatbot & Website Agent
Knowledge-base design; Healthcare chatbot build; Approved FAQ/response controls; Lead/inquiry capture workflow; Human escalation rules
Best for: Healthcare websites, practices, DME suppliers and patient-access teams
See how we deliver it
DME billing, done to the last detail
We run the full revenue cycle across every provider type, with DME as our deepest specialty: workflows built around the documentation and compliance rules that decide whether a DME claim gets paid.
How It Works
From first call to steady cash flow
A clear path in, with your systems and your data staying yours.
Discovery call
Twenty minutes on your numbers, payer mix, and where revenue is leaking. No pitch deck.
Baseline audit
We review access, workflows, and an AR snapshot to set the starting line.
Go live in your systems
Your EHR, your clearinghouse, our team: SOPs, ownership, and a reporting cadence.
Measure and scale
Weekly numbers, monthly reviews, and capacity that flexes with your volume.
Industry insights worth knowing
What we see move the numbers when services work together, in plain terms.
The cycle leaks at the seams
Most lost revenue does not come from any single service done badly, it comes from the handoffs between them, where an eligibility gap, a coding question, or an unworked denial falls into the space between two teams. Combining services under one accountable owner closes those seams, so a problem caught at intake is the same problem fixed before the claim goes out.
Sequence the fix where the money leaks
You rarely need every service at once. The smartest starting point is wherever cash is actually slipping, often denials or aging AR, because fixing the loudest leak first frees the revenue and staff time to address the quieter ones. Combining services then becomes a deliberate progression rather than an all-or-nothing decision made before you have proof it works.
Front-end discipline decides back-end work
Eligibility, prior authorization, coding, and documentation done well upfront quietly shrink the denial management and AR follow-up needed downstream. When the same partner runs both ends, root causes flow backward into the front end instead of repeating, so combining services compounds over time rather than just adding more hands to the same recurring problems.
Services questions
Still have a question? Talk to our team and we'll walk through your specific situation, no pressure and no patient data needed.
Get a consultationNextRCM offers medical billing, medical coding, credentialing and provider enrollment, full revenue cycle management, clinical documentation support, denial management, billing and coding audits, accounts receivable follow-up, and DME growth support.
Ready to see your numbers clearly?
First call takes 20 minutes. No pitch deck, just your numbers.


