Services
Precision-Driven Healthcare Revenue Solutions
TxHyd offers a comprehensive suite of healthcare revenue cycle management services designed for providers who demand accuracy, speed, and compliance. Every service is built around your specialty, your payers, and your practice’s goals.
01
SERVICE 01 — PRIMARY OFFERING
Revenue Cycle Management (RCM)
Our flagship service. TxHyd manages the full billing lifecycle from the moment a patient is registered to the final dollar collected. We reduce denials, accelerate cash flow, and eliminate revenue leakage across your practice.
What's Included:
- Patient Eligibility & Benefits Verification — Real-time insurance verification before every encounter.
- Prior Authorization Coordination — Proactive PA management to prevent treatment delays and claim rejections.
- Medical Coding (ICD-10, CPT, HCPCS) — Specialty-certified coders ensure accuracy and compliance across 30+ specialties.
- Charge Capture & Entry — Audit-ready charge submission with zero-error protocols.
- Claims Submission & Scrubbing — Clean claim submission with AI-assisted scrubbing to maximize first-pass acceptance.
- Payment Posting & ERA Processing — Accurate, real-time posting of EOBs and ERAs.
- Denial Management & Appeals — Root-cause denial analysis with aggressive follow-up and appeal management.
- Accounts Receivable Follow-Up — Systematic AR aging management to recover outstanding balances.
- Patient Statements & Collections Support — Compliant patient billing communication and collections assistance.
Specialties Supported:
Primary Care
Cardiology
Orthopedic Surgery
Oncology
DME/HME
Urgent Care
Behavioral
Health
Gastroenterology
Radiology
Neurology
Podiatry
Dermatology
Physical Therapy
Laboratory
and more
02
SERVICE 02
Medical Coding & Audit Services
Inaccurate coding costs providers thousands in denied claims and compliance penalties. Our certified coders deliver specialty-specific coding that maximizes reimbursement while maintaining full regulatory compliance.
What's Included:
- ICD-10-CM, CPT, and HCPCS Level II coding
- Prospective and retrospective coding audits
- Evaluation & Management (E/M) coding review
- Surgical and procedural coding for multi-specialty practices
- Compliance-focused coding education for clinical staff
03
SERVICE 03
Eligibility Verification & Prior Authorization
One of the leading causes of claim denials starts before treatment begins. TxHyd’s verification team confirms coverage, obtains authorizations, and clears every patient encounter before a single claim is submitted.
What's Included:
- Real-time eligibility checks across 900+ payers
- Benefits breakdown and co-pay/deductible summaries
- Prior authorization submission and tracking
- Expedited auth processing for urgent cases
- Authorization status monitoring and renewal alerts
04
SERVICE 04
Denial Management & Appeals
Denied claims don’t have to mean lost revenue. TxHyd’s denial management team investigates every rejection, identifies root causes, and executes compliant appeals with the documentation needed to reverse decisions.
What's Included:
- Claim denial categorization and trend analysis
- Payer-specific appeal strategy development
- Timely filing appeals and medical necessity arguments
- Peer-to-peer review coordination for clinical denials
- Preventive denial reduction through upstream workflow improvements
05
SERVICE 05
Accounts Receivable (AR) Management
Aging AR is one of the most common revenue challenges for healthcare practices. TxHyd’s AR specialists systematically pursue every outstanding balance — from commercial payers to self-pay patients with persistence and professionalism.
What's Included:
- AR aging analysis and prioritized follow-up
- Payer contract compliance and underpayment recovery
- Secondary and tertiary payer billing
- Self-pay balance collection and payment plan facilitation
- Monthly AR performance reporting and benchmarking
06
SERVICE 06
Patient Billing & Statement Services
Clear, compliant patient communication builds trust and accelerates self-pay collection. TxHyd provides professionally designed patient statements, digital billing options, and courteous follow-up processes.
What's Included:
- Patient-friendly statement design and delivery
- Online payment portal facilitation
- Balance billing and EOB explanation support
- Payment plan setup and management
- Patient financial counseling coordination