Platform Live

Medical Billing & RCM Services · Florida

Our approach

We don't just submit claims. We manage your revenue cycle as a system.

Most billing companies give you a point of contact and a monthly report. We give you a dedicated account manager, a proprietary real-time dashboard, SLA-backed submission timelines, and monthly performance reviews. Every action is visible and accountable.

Percentage-of-collections modelClaims in under 24 hoursReal-time dashboard includedBAA signed at engagement startMonthly denial trend reviews

Service 01

Medical Billing & Revenue Cycle Management

Full-cycle billing from eligibility to reconciliation.

We manage every touchpoint of your revenue cycle — from patient eligibility verification to claim submission, payment posting, and final reconciliation. Claims go out within 24 hours. Nothing falls through the cracks.

What's included

Patient eligibility verification
Medical coding (ICD-10, CPT, HCPCS)
Claim scrubbing and validation
Electronic claim submission
Payment posting and ERA reconciliation
Patient statement management
Monthly financial reporting with KPIs
Dedicated account manager

Expected outcomes

>97% clean claim rate on first submission
Claims submitted within 24 hours
DSO reduced by 30–50%
Real-time dashboard visibility on every claim
Monthly performance reports with benchmarks

Service 02

Denial Management & Revenue Recovery

Root-cause analysis. Pattern elimination. Revenue recovery.

We don't just work denials — we eliminate their source. Our denial management process combines data analysis, payer-specific expertise, and aggressive appeals to recover lost revenue and prevent future rejections.

What's included

Denial categorization and root-cause analysis
Technical and clinical appeal preparation
Payer-specific appeal strategies
Historical denial pattern analysis
Preventive rule updates to billing workflow
Denial tracking dashboard with trend analysis
Monthly denial performance review

Expected outcomes

Denial rate reduced below 5% within 90 days
90%+ appeal success rate on valid claims
Pattern-based prevention of repeat denials
Full denial reporting by payer and reason code
Automatic billing rule updates to prevent recurrence

Service 03

AR Follow-Up & Collections

No claim left behind. Every dollar recovered.

Unpaid claims cost you more than money — they cost cash flow and staff time. Our AR team works aging buckets daily with systematic payer follow-up on every outstanding balance.

What's included

Daily AR aging monitoring across all payers
Systematic follow-up by aging bucket (30/60/90/90+)
Escalation workflows for non-responsive payers
Secondary and tertiary billing
Balance write-off review and approval process
AR aging dashboard and weekly status reports

Expected outcomes

AR aging reduced by 40–60%
DSO (Days Sales Outstanding) reduced significantly
Systematic daily follow-up on all open balances
Recovery of previously stagnant or at-risk claims
Clear aging reports by payer, date, and provider

Service 04

HIPAA Compliance & Risk Audit

Protect your practice. Protect your patients.

HIPAA violations are expensive — penalties range from $100 to $50,000 per violation. We conduct structured risk assessments, identify vulnerabilities, and implement the controls necessary to protect your practice and your patients.

What's included

HIPAA Security Risk Assessment (SRA)
Physical and digital vulnerability review
Policy and procedure audit and update
Staff access control and privilege review
Business Associate Agreement (BAA) audit
Incident response plan development
Ongoing compliance monitoring

Expected outcomes

Full HIPAA Security Risk Assessment documentation
Identified and remediated compliance gaps
Updated policies with staff training records
Formal incident response protocol in place
BAA audit completed and gaps remediated

Service 05

Practice Onboarding & Billing Setup

Live in 2 weeks. Clean claims from day one.

Switching billing companies shouldn't be a project. We set a cut-off date — Leymax takes over from there. You keep running; we handle the setup in the background. First claims go out within two weeks of signing.

What's included

Cut-off date planning and transition coordination
Payer configuration and NPI/TIN verification
Fee schedule setup and billing rule configuration
Platform access and user role setup
Staff training on dashboard and claim workflows
2-week go-live support

Expected outcomes

First claims submitted within 2 weeks of signing
Clean cut-off date — no overlap, no confusion
Payers configured and verified before go-live
Team trained on the dashboard before day one
Dedicated setup contact throughout the process

Service 06

RCM Process Optimization & Consulting

Find the leaks. Fix the revenue.

For practices with in-house billing teams that want expert guidance, our consulting service audits your current workflows, benchmarks your KPIs, and delivers a concrete action plan to improve collections.

What's included

Current billing workflow audit
KPI benchmarking (denial rate, clean claim rate, DSO)
Payer mix and contract analysis
Staff process efficiency review
Revenue recovery opportunity report
30-60-90 day optimization roadmap
Optional ongoing advisory retainer

Expected outcomes

Revenue leakage identified and quantified
Clear action plan with prioritized fixes
KPI benchmarks vs. specialty-specific standards
Management dashboard configured for ongoing oversight
Training recommendations for billing staff

How it works

From first conversation to full operation

Step 01

Free RCM Audit

We analyze your revenue cycle and identify exactly where money is leaking. Written report in 48 hours.

Step 02

Tailored Proposal

A plan built around your specialty, payer mix, and claim volume. No templates.

Step 03

Parallel Onboarding

Your current operation stays live while we transition. Zero revenue gap.

Step 04

Live Operations

Full real-time visibility from day one. Every claim visible in your dashboard.

Step 05

Monthly Reviews

Denial trends, AR analysis, and payer performance reviewed with you every month.

Also available

Need the tools without the managed service?

The Leymax platform is available as a standalone membership for billing companies, independent billers, and in-house teams. The same system we use internally — without the outsourcing commitment.