ExactRx Billing Services

ExactRx is a Nashville-based revenue cycle management company built specifically for outpatient facilities and surgical practices that are tired of leaving money on the table. The focus is straightforward: clean claims go out the first time, payments come in faster, and the operational burden on clinical staff stays low. For practices looking to outsource their medical billing without adding complexity, ExactRx offers a disciplined, AI-powered alternative to managing RCM in-house. The company covers the full revenue cycle. That means charge capture, clinical coding, documentation review, claims submission, denial management, and reporting, handled as a single integrated workflow rather than a patchwork of disconnected tools. ExactRx offers two engagement models depending on how much control a practice wants to retain. The Autonomous model hands the entire process to ExactRx, with the client's billing team picking up only after submission. The Automated Claims Preparation model keeps the client's team in the review and submission loop, using ExactRx's engine as the backbone. Either way, the priority is the same: prevent denials before they happen rather than chase them after the fact. ExactRx is purpose-built for outpatient environments, particularly ambulatory surgery centers, multi-provider groups, and specialty outpatient clinics. The company is well-regarded in the ASC space. Janet L. Carlson, Founder and CEO of Vertex Surgical Solutions, describes ExactRx as "operationally disciplined, clinically aligned, and built to support growth," an endorsement that reflects how the service performs in high-volume surgical settings. Practices adding providers or opening new locations find the model especially useful because it scales without requiring additional billing headcount. One practical advantage that practices consistently note is the implementation timeline. Most facilities are operational within ten days of onboarding. ExactRx works inside the EMR systems practices already use, including Epic, HST, SIS, and AthenaHealth, so there are no new platforms to learn or integration projects to manage. The company maintains strict HIPAA compliance, with controls around data access, auditability, and the principle that the client's EMR remains the authoritative source of truth. For healthcare back-office outsourcing in the United States, ExactRx occupies a specific and well-defined niche. This is not a general BPO company offering a broad menu of services; it is a specialized RCM provider with the tooling and methodology to handle surgical and outpatient billing at scale. Practices that want a cleaner, more predictable revenue cycle without building out an internal billing department are the right fit. A 15-minute demo is available to see how ExactRx integrates into an existing workflow.