Our Model — Managed Service Provider
Turnover isn't your billing team's biggest risk.
Having no model behind it is.
Most practices don't lack billing staff — they lack a system behind them: a dedicated Account Manager, a named RCM Specialist, and a performance guarantee that holds regardless of who's on vacation this week. That's the model Reviora runs on.
36%
of practice leaders say their organization is outsourcing or automating revenue cycle management this year — the shift toward managed models is already underway.
Source: MGMA Stat Poll, Nov. 2024
11.81%
national initial claim denial rate in 2024, and still climbing — Reviora's MOA guarantees your Denial Rate stays under 5%.
Source: Kodiak Solutions data, via AHA
13 hrs/wk
average physician and staff time lost to prior authorization alone — that workload sits with your dedicated Specialist, not your front desk.
Source: AMA, 2025 Physician Survey
See Where You Stand — Free Revenue Cycle Assessment
Takes minutes. No commitment, no sales call required to see your results.
How the MSP Model Works
Five Structural Pieces. Zero Guesswork.
Every Guardian client — Core, Complete, or Enterprise — runs on the same operating structure. Nothing here changes by tier; only capacity does.
Dedicated Account Manager
Your single point of contact — not a ticket queue. Your AM owns SLA accountability and personally reviews every client-facing report before it reaches you.
Dedicated RCM Specialist
One named specialist works your account day to day, supervised directly by your AM — no explaining your practice's history to a new voice every month.
The Managed Outcomes Agreement
Five performance benchmarks — Clean Claim Rate, First Pass Resolution, Denial Rate, Days in AR, and Net Revenue Recovery — written into your agreement, not buried in a sales deck.
Benchmark Recovery Protocol
If any benchmark is missed two months in a row, a structured recovery protocol activates automatically — you don't have to escalate, the process escalates itself.
Guardian Service Tiers
Core (1–10 providers), Complete (11–25), or Enterprise (26+) — the same accountability structure and the same guarantee at every tier. Scale changes; standards don't.
Why the Model Wins
Built for the Numbers That Are Actually Getting Worse
Denials aren't trending down industry-wide. Your performance shouldn't be left to trend with them.
Denial Rate
11.81%
national initial claim denial rate in 2024, and still climbing.
Reviora MOA
Under 5%
Source: Kodiak Solutions data, via AHA
Clean Claim Rate
95%
the industry benchmark set by HFMA's MAP Keys.
Reviora MOA
97% or Higher
Source: HFMA MAP Keys
Admin Burden
13 hrs/wk
physician and staff time lost to prior authorization alone.
Reviora Model
Owned by Your Specialist
Source: AMA, 2025 Physician Survey
Common Questions About the Model
What is a Managed Service Provider model in medical billing?
It means Reviora operates as your outsourced revenue cycle department — not a vendor you send claims to, but a managed team with a dedicated Account Manager, a named RCM Specialist, and a written performance guarantee behind every claim.
How is Reviora different from a traditional billing company?
Traditional billing companies bill you for activity. Reviora's Managed Outcomes Agreement ties your service to five measurable benchmarks, with a recovery protocol that activates automatically if performance slips two months in a row.
Who actually handles my account day to day?
A named RCM Specialist works your account directly, supervised by your dedicated Account Manager, who owns SLA accountability and reviews every client-facing report before it reaches you.
What happens if Reviora misses a performance benchmark?
If any of the five MOA benchmarks is missed two consecutive months, the Benchmark Recovery Protocol activates automatically — a structured escalation process designed to correct course before it affects your revenue.
Does the model change based on practice size?
No. Core, Complete, and Enterprise Guardian tiers scale to your provider count, but every tier runs on the same Account Manager, Specialist, MOA, and Benchmark Recovery Protocol structure.
See Where Your Revenue Cycle Stands Today
A free assessment against the same five benchmarks your MOA would guarantee — no pressure, no obligation.
Book My Free Consultation
Prefer to talk now? Call (240) 393-9664