Services / Specialty-Specific RCM
Specialty-Specific RCM
SPECIALTY-SPECIFIC RCM, GUARANTEED
Every specialty bills differently.
Your outcomes guarantee shouldn't have to guess which.

Reviora builds coding, prior-authorization, and denial-management protocols around the specific way each specialty gets denied. Choose yours below.

Wound Care

Skin substitutes, HBOT, and NPWT billing built for CMS's CY2026 restructuring.

Orthopedic

Implant bundling, global periods, and prior auth handled before they become denials.

Behavioral Health

Parity-law appeals and authorization tracking across every level of care.

Dermatology

Modifier accuracy and medical-necessity documentation that hold up under audit.

Primary Care

High-volume eligibility verification and E/M accuracy built for daily claim volume.

Multi-Specialty

Department-by-department benchmarking instead of one blended average.

THE REVIORA GUARANTEE
Five benchmarks. Five guarantees.
Written into the contract, not just the marketing.

The Managed Outcomes Agreement ties five measurable benchmarks to every engagement. Miss two months running and the Benchmark Recovery Protocol activates automatically — no negotiation required.

≥ 97%
Clean Claim Rate

Coding and modifier errors are the #1 driver of first-submission failure.

≥ 90%
First Pass Resolution

Rework costs $25–$181 per claim industry-wide. Fewer reworks, more kept revenue.

< 5%
Denial Rate

The number that decides if revenue arrives the first time, or gets fought for later.

< 35 days
Days in AR

Cash flow discipline — most industry benchmarks run well past this even at “good.”

≥ 98¢
Net Revenue Recovery

Per dollar billed. The only number that answers: did the money actually arrive?

Contractual benchmarks defined in the Managed Outcomes Agreement, Section 4. Subject to Maryland healthcare counsel review prior to publication on any client-facing page.

HOW REVIORA DELIVERS
A guarantee is only as good
as the system built to keep it.

Expert-led, not automated away. Here's what actually stands behind the numbers on this page.

A Named Specialist, Not a Queue

Every account gets a dedicated RCM Specialist supervised by an Account Manager who owns SLA accountability end to end.

Sized to the Practice

Core, Complete, and Enterprise tiers scale from solo practices to 26+ provider groups — staffed to match, not force-fit.

See It, Don't Just Trust It

Your benchmark scorecard updates automatically — the same numbers your Account Manager sees, visible to you in real time.

The Guarantee Enforces Itself

Miss a benchmark two months running and the Benchmark Recovery Protocol activates automatically — no negotiation, no waiting for someone to notice.

LET'S TALK NUMBERS
Your denial rate isn't a mystery.
Let's find out what's actually happening in yours.

A 30-minute consultation, not a sales pitch. We'll walk through your current benchmarks and show you exactly where the Managed Outcomes Agreement would apply.

Schedule Your Consultation

Takes 3 minutes to book. No commitment, no obligation, no scripted sales call.