Services / Medical Billing & Coding
Medical Billing & Coding
Managed Billing & Coding, Guaranteed
Your claims aren't the problem.
What happens to them after submission is.

Most practices don't lose revenue at the point of care — they lose it in the six weeks after a claim leaves the building, in denials nobody reworks and follow-up nobody has time for. Reviora exists to close that gap, and we guarantee the result in writing.

60% of denied claims are never reworked industry-wide — becoming permanent revenue loss
Source: HFMA, 2024
8–12% average denial rate across U.S. practices — Reviora guarantees under 5%
Source: MGMA Benchmarking Report
40+ days average AR aging at underperforming practices — Reviora guarantees under 35
Source: MGMA / HFMA
See Where You Stand — Free Benchmark Assessment

Takes 3 minutes. No commitment, no sales call required to see your results.

The Managed Outcomes Agreement
We don't promise vague improvements. We guarantee five measurable outcomes that drive your cash flow.

Every number below is written into your Managed Outcomes Agreement — not marketing copy, a contractual standard your Account Manager is held to.

Hover or tap a card to see how it compares to the industry.

Clean Claim Rate

Fewer rejections, faster payments, less rework for your team.

Industry benchmark: ~95%

First Pass Resolution Rate

More claims paid on first submission — no edits, no rework.

Industry benchmark: ~85–90%

Denial Rate

Top-performer threshold — strong front-end and coding discipline.

Industry average: 8–12%

Days in AR

Cash converts faster when aging claims don't sit untouched.

Industry benchmark: 40–50 days

Net Revenue Recovery

Guaranteed recovery per dollar billed — not typically offered industry-wide.

Industry norm: not commonly guaranteed

Every Number, Contractual

No verbal promises. All five benchmarks above are written into your Managed Outcomes Agreement and measured monthly — where you stand is never a guess.

Miss a benchmark two months in a row, and our Benchmark Recovery Protocol activates automatically — a structured correction plan with your named Account Manager, not a quiet apology.

Industry benchmark figures compiled from MGMA Benchmarking Report on Denials and Appeals (2024) and HFMA revenue cycle research. Reviora guarantee figures are contractual Managed Outcomes Agreement benchmarks. Final published figures subject to Maryland healthcare counsel review.

Expert-Led, Not Automated
A guarantee only works if you can see who's accountable for it.

No ticket queues, no anonymous offshore pool. Every account is run by named, credentialed specialists who report to a single person you can call.

Step 1
Soft-Match Onboarding

Your dedicated RCM Specialist is matched to your specialty before day one — not assigned reactively once the contract is signed.

Step 2
Daily Claim Management

Coding, submission, and denial follow-up handled by a specialist who works your account daily — not a rotating pool.

Step 3
AM-Owned QA

Your Account Manager owns SLA accountability and quality review on every claim cycle — the person who answers when something's off.

Step 4
Live Monthly Scorecard

Your five MOA benchmarks, delivered on a live dashboard — the same numbers we're contractually held to, visible to you in real time.

Technology supports the work — credentialed specialists make every coding and appeal decision. That's the Reviora model: Expert-Led Technology, not a black box you're asked to trust on faith.

Built for Your Specialty
Generic billing misses specialty-specific revenue. We don't.

Coding rules, payer quirks, and denial patterns differ by specialty. Your RCM Specialist is matched to your vertical — here's what that means for each one.

WC
Wound Care

Skin substitute reimbursement rules shifted materially in 2026 — specialists who track CMS restructuring in real time protect your margin.

OR
Orthopedic

Bundled procedure codes and prior authorization complexity are where orthopedic claims typically stall — we build the workflow around it.

PC
Primary Care

High claim volume rewards process discipline over heroics — our specialists are built for consistent, repeatable throughput.

BH
Behavioral Health

Session limits, authorization renewals, and payer-specific documentation rules are where behavioral health claims commonly break.

DR
Dermatology

Medical versus cosmetic distinctions drive a large share of dermatology denials — our specialists code to the distinction, not the shortcut.

MS
Multi-Specialty

Cross-specialty groups need one accountable team, not a patchwork of vendors — a single Account Manager oversees every specialty in your group.

Accountability Runs Both Ways
A guarantee means nothing without a real consequence for missing it.

Every Managed Outcomes Agreement carries a defined 12-month term — and a defined structure for what happens if we don't deliver on it. That structure protects you, not us.

Miss Once

A single missed benchmark triggers a documented review with your Account Manager — addressed before it becomes a pattern.

Miss Twice in a Row

The Benchmark Recovery Protocol activates automatically — a structured, time-bound correction plan, not a verbal promise to do better.

Two Quarters Unresolved

Unresolved misses trigger a fully enforced Benchmark Recovery Protocol escalation — a stricter, more hands-on correction plan focused on fixing the numbers, not walking away from them.

See Your Benchmark Gap — Free Assessment

Or Talk to an Account Manager Directly

No pricing pressure on this call — just a look at your numbers against the benchmarks above.