Nvera | Full-Service Revenue Cycle Management, Enhanced by AI

Full-Service RCM

Everything Your Revenue Cycle Needs. One Team.

Every step from patient access to final payment. Real people, intelligent technology.

Medical Coding & Chart Review

CPC-certified coders on every chart, with AI flagging what gets missed.

Denial Prevention

Denials flagged before submission. Our team appeals the rest.

Payer Contract Optimization

Most practices have six figures in underpayments they don't know about.

Real-Time Eligibility & Prior Auth

Real-time eligibility on every patient, plus a full prior-auth command center.

Patient Billing

5× the outreach of a typical billing team, posting to your A/R in real time.

Quality & Value-Based Care

Every quality measure tracked, every incentive dollar maximized.

Credentialing & Enrollment

Every provider credentialed and enrolled, billing from day one.

Analytics & Intelligence

Real-time dashboards. Predictive modeling. Executive reporting that drives action.

Growth & Ancillary Revenue

The programs that grow revenue beyond billing mechanics.

Patient Access & Registration

Where most billing departments stop, we start. Worth millions a year to clients.

Provider Consulting & Feedback

Documentation coaching and coding feedback, straight to your clinical team.

Accounts Receivable Management

Aging buckets worked daily, from 0–30 through 120+ days.

Metric	Industry Average	Your Current RCM	Nvera: Real Client Results
First-Pass Clean Claim Rate	82%	78-85%	88–94%, by payer mix
Days in A/R	49 days	40-55 days	23–41 days, by size & specialty
Collections Rate	79-88%	Unknown	86–96%, by payer mix
Appeal Success Rate	45-55%	40-60%	70% target
Revenue Lift Year 1	Minimal	Unknown	11–32% in recent case studies
Cost (% of Collections)	7-10%	6-12%	Consistently competitive
Payer Contract Reviews	None	Rare	Benchmarked & renegotiated
Guarantee	None	Rare	6-month cancel-anytime + full refund

How It Works

The 11-Step Nvera Process

The same process we walk through in our demo, in full transparency.

Phase One

Prove It First

We show you the exact dollars you're missing before you sign anything.

The Free Analysis

Two reports and five benchmarks give us expected vs. actual collections, service by service.

Your Proposal, in ~2 Business Days

Our VP of RCM presents a transparent plan: only the services you need, with a clear fee.

Access & a Clean Transition Date

EDI transition in 30–45 days. One agreed cutover date, no claims caught in between.

The Second Analysis

With full access we go deeper: fee schedules, undercoding, diagnoses. The first number was the floor.

Phase Two

Build the Foundation

The structural work most billing companies never touch.

Credentialing, Contracts & Coding

Contracts benchmarked nationwide and renegotiated. Providers trained. Your EMR configured to capture it all.

Registration: Where Most Stop, We Start

Insurance discovery, retroactive Medicaid, MVA scrubbing, prior-auth command center. Millions more per year for clients.

Phase Three

Run It and Keep Growing

Every claim optimized, every dollar pursued, every report actionable.

Start With the Free Analysis

AI on Every Claim

Scrubbing, coding, payor rule engines, missing-charge detection. Every claim's status visible to you.

Every Dollar Owed

Every adjudicated claim audited against contract. Denials worked by value. AI appeals when needed.

Patient Balances

5× the outreach of a typical billing team: SMS, voice AI, live calls, all posting to your A/R in real time.

Reports That Drive Action

A live KPI dashboard, reviewed together: bi-weekly, then monthly, then quarterly.

Ahead of the Payers, Ahead on Growth

Your payer policies live in our platform, so we're ahead of rule changes before the denial occurs. Then we recommend growth programs like RPM and value-based contracting.

Case Studies

Real Practices. Real Results.

Ten recent engagements. Hover any card for the story. Named references available on request.

88–94%

First-Pass Rate, by Payer Mix

23–41

Days in A/R, by Size & Specialty

11–32%

Year-One Revenue Lift

600+

Clinics in Our Ecosystem

Family Medicine · 1 Provider · Blue Ridge, GA

Coverage Found for Patients Everyone Called "Self-Pay"

+$111Kmore in year one

One doctor, no dedicated biller. Anyone without a card in hand became "self-pay." Insurance discovery found active coverage on one in five of those visits: care already delivered, finally reimbursed.

First Pass 78% → 93% · Days in A/R 51 → 23 · Collections 84% → 95%

Pediatrics · 3 Providers · Columbus, OH

A Medicaid-Heavy Panel, Finally Paying Like One

+$220Kmore in year one

Medicaid churn turned covered kids into denials, and vaccine codes never made it onto claims. Real-time eligibility and missing-charge detection added about 9% more billable claims.

First Pass 74% → 90% · Days in A/R 58 → 34 · Collections 82% → 88%

Cardiology · 12 Providers · Dallas–Fort Worth, TX

$310K in Underpayments the Payers Never Mentioned

$310Kin underpayments surfaced

Missed prior auths, and nobody auditing what payers actually paid against contract. Underpayment detection surfaced $310K. Same case volume, $148 to $171 on every claim.

First Pass 71% → 93% · Days in A/R 64 → 31 · Collections 86% → 96%

Orthopedics · 6 Providers · Denver, CO

Accident Claims Rerouted to the Payers That Pay 3–4×

+$42more per claim

Surgical claims went out downcoded, and injury cases were billed to medical insurance instead of the auto and liability carriers that pay 3–4× more. Roughly $900K a year recovered on identical case volume.

First Pass 76% → 93% · Days in A/R 55 → 28 · Collections 85% → 95%

Behavioral Health · 15 Providers · Charlotte, NC

Four Providers Seeing Patients, and Not Getting Paid for It

+32%year-one revenue lift

Four clinicians ran full schedules while their claims sat unbillable behind a credentialing backlog. Clearing it made that volume billable again, with claim volume up 23%.

First Pass 69% → 88% · Days in A/R 71 → 38 · Collections 79% → 87%

Dermatology · 8 Providers · Tampa, FL

Undercoding Was Costing $13 on Every Single Claim

+11%year-one revenue lift

The money hid in the charts: procedures coded below the documented work, on a fee schedule years out of date. Chart review and renegotiation raised every claim from $118 to $131, over $600K a year.

First Pass 81% → 94% · Days in A/R 44 → 26 · Collections 87% → 95%

Multispecialty Group · 40 Providers · 7 Locations · Grand Rapids, MI

Two Billers Quit. The Backlog Never Stood a Chance.

60 daysto clear the backlog

Two senior billers resigned in one quarter and the unworked queue exploded. We standardized all seven locations, cleared the backlog in 60 days, and billed the recovered claims.

First Pass 72% → 91% · Days in A/R 67 → 41 · Collections 83% → 93%

Urgent Care · 18 Providers · 5 Locations · Phoenix, AZ

High Volume, High Self-Pay, Write-Offs Cut in Half

9%write-offs, down from 18%

Rushed walk-in registration left a mountain of small balances nobody could profitably chase. Tightened verification recovered denied claims; SMS, voice AI, and contact-center outreach collected the rest.

First Pass 77% → 92% · Days in A/R 49 → 27 · Collections 81% → 88%

Nephrology · 10 Providers · Sacramento, CA

The Severity Was in the Charts. The Codes Never Showed It.

+$1.3Myear-one revenue lift

Complex patients, coded like a healthy panel, so their value-based contract underpaid them. Diagnoses scrubbing and provider training fixed severity capture, chart-supported and audit-defensible.

First Pass 79% → 90% · Days in A/R 46 → 30 · Collections 88% → 93%

Community Health / Primary Care · 25 Providers · Philadelphia, PA

Days in A/R Cut From 74 to 39 Across 25 Providers

39days in A/R, down from 74

Denials arrived faster than the team could research payer rule changes, on years of aged A/R. Policy monitoring got ahead of the denials: $1.6M more a year, and the books close clean.

First Pass 70% → 89% · Days in A/R 74 → 39 · Collections 80% → 86%

Get Your Free Revenue Analysis

FAQ

Common Questions

Hover over any question for the answer.

How is Nvera different from our current billing company?

Most billing companies push claims and wait. We start where they stop: insurance discovery, prior auth, AI on every claim, and underpayment audits. A network learning loop means an error made anywhere is prevented everywhere.

What does Nvera charge?

Our pricing is competitive, but we pride ourselves on quality of service, not on being the lowest-cost provider. Whatever our fee is, it's made up for in the increased collections and reimbursement we obtain for our customers. Exact pricing comes with your free analysis.

Will switching disrupt our operations?

No. Your current billing runs until one clean, agreed cutover date. The EDI transition typically takes 30–45 days.

Do we have to change our EHR or PM system?

No. We work inside your existing system: Epic, Cerner, athenahealth, eClinicalWorks, and 40+ others. We configure it to capture more, we don't replace it.

What happens to our old A/R when we switch?

We work it. Our aged A/R program reviews claims up to 12 months old and frequently recovers $100K–$500K that previous teams gave up on.

Who actually works our account?

A dedicated team of certified coders, billers, and A/R specialists who know your practice, backed by a bilingual contact center hundreds strong. Senior coding review and client strategy are always US-based.

How do you handle denials and appeals?

Rejections are corrected and resubmitted immediately. Denials are worked by dollar value, appeals are AI-prepared when needed, and every adjudicated claim is audited against your contract for underpayment.

Will you be contacting our patients?

Yes, respectfully. SMS, voice AI, live calls, and statements, prioritized by likelihood to pay, with a payment portal and hardship handling. Collections is always a last resort.

What visibility and reporting do we get?

A live dashboard with net collection rate, first-pass rate, days in A/R, and top denial reasons. We review it together bi-weekly at first, then monthly, then quarterly.

How quickly will we see results?

Most practices see measurable improvement within 30 days, reviewed together bi-weekly and then monthly.

What guarantees do you offer?

Cancel anytime in the first six months, no questions asked. And if your collection rates haven't improved when you exit, we refund every dollar.

Do you handle credentialing and payer contracts?

Yes. Credentialing is handled entirely, and your contracts are benchmarked against thousands of providers nationwide, then renegotiated when the rates fall short.

Is our data safe?

HIPAA compliant and SOC 2 certified, with a dedicated Chief Information Security Officer. All data encrypted at rest and in transit.

Who owns our data if we ever leave?

You do. Payments post into your EMR and your accounts stay yours, so nothing is held hostage if you ever move on.

Still have questions? Talk to an RCM specialist

A Different Kind of RCM Company

Most Practices Don't Know How Much Revenue They're Losing

Denial Rates at 15–25%

45+ Days in A/R

Undercoding by 20–40%

Value-Based Contract Gaps

A Key Biller Just Gave Notice

Three Promises We Make Every Practice

Collect More Money

Gain the Right Visibility

Become More Hands-Off