Billing, Coding & RCM
Your Denials Are Costing You Six Figures a Year
Independent pain practices often lose revenue to billing errors, undercoding, unworked denials, and slow follow-up. DxTx finds the leakage, fixes the workflow, and builds systems so it does not come back.
The Pain You Already Know
Billing, coding, and RCM problems often show up as denials, undercoding, weak contract terms, and follow-up gaps. If any of these sound familiar, your practice is leaving money on the table.
Denials Are Draining Revenue
Your denial rate is above 5% — or worse, you do not track it at all. Every unworked denial is revenue you earned but will never collect.
Undercoding Is Costing You
Your coding is conservative because you are afraid of audits, not because it is accurate. Undercoding is the most common form of revenue loss in pain practices.
Old Contracts, Lower Payments
You have not renegotiated payor contracts in years. Reimbursement rates erode quietly, and most independent practices are being paid below market.
What DxTx Does About It
Specific actions with timelines, ownership, and measurable revenue-cycle priorities.
DxTx reviews claims history, denial patterns, CPT trends, documentation-to-code alignment, and collections discipline, then turns the findings into a practical operating plan.
01
Full RCM
Audit
Analyze 12 months of claims data, benchmark collection performance, and identify denial patterns by payor, CPT, and reason code.
02
Denial
Management
Rework aged denials, redesign prior-authorization workflows, and monitor clean-claim performance with regular scorecards.
03
Coding
Review
Audit documentation-to-code alignment, identify undercoding patterns, and guide provider education around compliant documentation.
04
Collections
Optimization
Improve patient-balance follow-up, payment-plan workflows, point-of-service collections, and front-desk accountability.
What Better RCM Produces
For some practices, that starts with fast operational corrections. For others, it becomes the foundation for broader management support across staffing, compliance, payor strategy, and growth.
12-18%
Average year-one improvement in net collections
90 Days
Typical timeline to measurable revenue improvement
$100K+
Typical annual improvement opportunity identified through the Practice Optimization Plan
Case Studies in Practice
See how physician-owner situations can move from operating pressure to clearer value, stronger systems, and measurable results.
Multi-Site Turnaround
A large multi-site interventional pain and spine group moved from significant annual losses to strong multimillion-dollar profitability after DxTx took over management.
The Practice
A large interventional pain and spine group with multiple practice locations, ambulatory surgery centers, physicians, and advanced practitioners.
The Problem
Growth had outpaced the back-office systems, creating expense pressure, weak management controls, and significant annual losses.
What We Did
DxTx rebuilt the revenue cycle, reduced operating costs, strengthened call center workflows, and improved payer and credentialing discipline.
The Results
Annualized EBITDA improved by more than $6M, operating costs dropped, new-patient volume rose, and referral abandonment fell sharply.
100-Day Profitability Rebuild
A smaller multi-site pain and spine practice returned to profitability within the first 100 days of DxTx management support.
The Practice
A lean multi-location interventional pain and spine group with physician owners, APP support, and ambulatory surgery center operations.
The Problem
Expansion had moved faster than the operating infrastructure, turning a profitable practice into one carrying heavy losses and debt.
What We Did
DxTx took over RCM, reduced expenses, improved APP productivity, managed call center performance, and supported ASC development.
The Results
Annualized EBITDA swung from a $1.2M loss to $0.9M profit, with lower expenses, higher throughput, and stronger referral follow-up.
Practice Management Services
Integrated solutions built to support long-term practice growth.