Every claim.
Every dollar.
Accounted for.
Exact Core Group helps healthcare organisations maximise practice revenue efficiency and optimise operations through technology-enabled revenue cycle management.
Certified & compliant
Claims worked by people, not queues
Where the cycle actually starts
one cycle.Billing · Coding · Denials · AR · Credentialing · Eligibility
Denials read, not just counted
Claims Followed Up with Payers
Eight disciplines,
managed as one cycle.
Revenue is lost in the gaps between functions. A coding decision, a denial and an ageing balance are the same problem at different stages.
Medical billing
Claim production, scrubbing and submission across payers — with rejections corrected at source rather than reworked downstream.
Medical coding
Accurate, documentation-supported coding. Undercoding and coding errors both reduce what you are paid.
Denial management
Denials categorised by root cause, appealed where appealable, and fed back so the same denial stops recurring.
AR Management
Aged receivables worked by value and recoverability — oldest and highest-impact balances first.
Credentialing
Payer enrolment tracked through to approval, with expirations monitored before they interrupt reimbursement.
Eligibility verification
Coverage and benefits confirmed before the visit, so avoidable write-offs never enter the cycle.
Patient support
Calls, scheduling and billing questions answered — before an unanswered phone becomes a cancelled appointment.
Front office management
Registration, verification and authorisation handled at the desk, where a denial is still cheap to prevent.
Revenue rarely disappears
all at once.
It leaks. A denial nobody reworked. A balance that aged out. A credential that lapsed unnoticed. Individually small — together, material.
Denials nobody reworked
A denied claim is not automatically a lost claim — but only if someone works it to resolution and fixes the cause.
Receivables that aged out
The longer a balance sits, the less of it comes back. Prioritisation matters more than effort.
Coding that undersells the work
Undercoding quietly reduces reimbursement for care that was delivered and documented.
Credentialing gaps
A provider who is not enrolled, or whose credential lapsed, cannot be reimbursed — however good the billing is.
Eligibility checked too late
Verification gaps do not look like a problem on the day. They surface weeks later as write-offs.
No visibility into the cycle
Without clear reporting, leakage stays invisible until it appears as a shortfall you cannot explain.
The revenue cycle,
managed end to end.
Each stage creates the next stage’s problems. Managing them in isolation is why leakage persists.
Verify
Coverage and benefits confirmed before the encounter, so the claim starts clean.
Code
Documentation translated into accurate, defensible codes.
Submit
Claims scrubbed against payer rules, then submitted.
Resolve
Rejections and denials categorised, corrected and appealed.
Recover
Balances pursued by value, with root causes fed back upstream.
Technology-enabled,
not technology-first.
Revenue cycle work is high volume and rule-driven, which makes it well suited to automation — claim scrubbing against payer rules, denial categorisation, and prioritising receivables by recoverability rather than age alone.
Technology is applied where it removes repetitive work and surfaces patterns a person would not see at scale. Judgement — appeals, documentation, payer relationships — stays with people.
We work in the system
you already use.
Exact Core works inside your existing practice management or EHR system under your own user accounts. No migration, and the audit trail stays where you can see it.
Practice management & EHR systems we work in
Payers we bill
- Medicare
- Medicaid
- Aetna
- Cigna
- UnitedHealthcare / Optum
- Humana
- Blue Cross Blue Shield
- Molina Healthcare
- MetLife
- Progressive
What you can hold us to.
Stated plainly, so you can check any of it against your own data once we start.
One cycle, not eight services
Billing, denials and AR are stages of the same process. We connect them, rather than reporting them as separate problems.
The cause, not just the claim
A denial gets worked to resolution — and then we identify what produced it, so the same one stops arriving next month.
Prioritised by what is recoverable
Aged AR is worked by recoverability and by the deadlines that close it, not simply by which balance is oldest.
Visibility you can act on
Reporting shows what is being worked, what it is worth and why it is ranked that way — not another set of numbers.
Your systems, your audit trail
We work inside the practice management or EHR you already use, under your own user accounts. No migration.
People where judgement is needed
Automation removes repetition and surfaces patterns. Appeals, documentation queries and payer escalation stay with people.
What our clients say.
Practice owners, administrators and finance leads on what changed after the revenue cycle was managed as one process.
Exact Core brought much more visibility to our revenue cycle. Instead of looking at billing, denials, and AR as separate problems, their team helped us understand how they were connected and where we were actually losing revenue.
Dr. Michael Reynolds
Medical Director
Exact Core has been a reliable extension of our internal team. Communication is clear, questions are answered quickly, and we always have a better understanding of what’s happening across our revenue cycle.
Robert Anderson
Practice Owner
Before Exact Core, different parts of our revenue cycle were being handled independently. Their approach helped us connect the dots between eligibility, coding, billing, denials, and AR.
Amanda Brooks
Practice Administrator
Our organization has several specialties with different payer requirements and workflows. Exact Core has been able to bring consistency to the revenue cycle while still understanding the differences between each area of the practice.
Nicole Richardson
Director of Revenue Cycle
Sometimes you need an outside team to identify problems that have become normal internally. Exact Core brought that perspective to our revenue cycle and helped us identify areas where our processes could be improved.
Andrew Collins
Managing Partner
Better revenue-cycle visibility has made it easier for us to make operational decisions. The reporting we receive from Exact Core helps us understand what’s happening rather than simply giving us another set of numbers.
Jonathan Reed
Chief Financial Officer
Handling revenue means
handling patient data.
Revenue cycle work touches protected health information at every stage. These are the standards that work is held to.
HIPAA compliant
Safeguards for protected health information across every stage of the cycle.
ISO/IEC 27001 certified
A certified information security management system, not an informal policy.
Certified by SGS
Independently audited and certified against ISO/IEC 27001.
Common questions.
What is a revenue assessment?
A review of your revenue cycle across billing, coding, denial management, AR Management, credentialing and eligibility verification — so you can see where reimbursement is being lost, and why.
Which parts of the revenue cycle do you cover?
All eight: medical billing, medical coding, denial management, AR management, credentialing and eligibility verification. They are managed as one cycle rather than separate services.
Why does denial management need its own discipline?
Reworking a denial and preventing the next one are different jobs. Categorising denials by root cause is what stops the same rejection recurring every month.
We already have a billing team. Is this still relevant?
The assessment looks at the revenue cycle as it currently runs, whoever runs it. The output is where revenue is leaking — not a presumption about how you should be structured.
How do we start?
Request a revenue assessment using the form. Tell us your role, your size and your most pressing revenue priority, and a member of the team will follow up.
See where your revenue
is leaking.
Tell us about your organisation and we will review your revenue cycle end to end, across all eight disciplines.