Recover Smarter.
Collect Faster.
Billing, coding, denials, AR, credentialing and eligibility — managed as one revenue cycle, so nothing leaks between the stages.
Eight disciplines,
one revenue cycle.
Revenue is lost in the gaps between functions. We close the gaps.
Medical billing
Claims produced, scrubbed and submitted — rejections fixed at source.
Medical coding
Documentation-supported coding. Undercoding costs as much as errors.
Denial management
Categorised by root cause, appealed, and fed back so they stop recurring.
AR Management
Receivables worked by recoverability, not just by age.
Credentialing
Enrolment tracked to approval, expirations caught before they bite.
Eligibility verification
Coverage confirmed before the visit, not after the denial.
Patient support
Calls, scheduling and patient questions answered.
Front office management
The front desk run so claims start clean.
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 somebody works it to resolution and removes 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. It feels like the safe option; it is not.
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 reporting built around the stages, leakage stays invisible until it appears as a shortfall nobody can explain.
The revenue cycle,
end to end.
Each stage creates the next stage’s problems. Managing them in isolation is why leakage persists.
Verify
Coverage 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, root causes fed back upstream.
Technology-enabled,
not technology-first.
One half of revenue cycle work is high volume and rule-driven — eligibility checks, claim scrubbing, status follow-up, ageing reports. Software does that better than people do.
The other half is judgement. An appeal argues a case. A documentation query is a conversation with a clinician. A payer escalation is a relationship. Automating that produces confident nonsense at scale.
The value is in drawing that line correctly and then holding it.
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
Handling revenue means
handling patient data.
Revenue cycle work touches protected health information at every stage.
HIPAA compliant
Safeguards for protected health information at every stage.
ISO/IEC 27001 certified
A certified information security management system.
Certified by SGS
Independently audited against ISO/IEC 27001.
Before you ask.
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, managed as one cycle rather than as separate services. Revenue is lost in the gaps between them, which is exactly what running them separately preserves.
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.