Nexus io

Nexus io is an outsourced medical billing and revenue cycle management (RCM) company serving healthcare providers across all 50 states. The company pairs AAPC-certified billing and coding specialists with AI-powered, real-time processing technology to help physician practices, hospitals, surgery centers, and behavioral health clinics collect more of what they earn. Its compensation model ties fees directly to increased collections rather than billable hours. The core offering is end-to-end RCM that spans patient registration through final reimbursement. Nexus io's certified coders work with ICD-10, ICD-11, CPT, and HCPCS systems and report a 99% coding accuracy rate. Clean claim submissions reach a 98% first-pass rate, and the team operates on a 7 to 14 day turnaround. Those figures translate to a 97% collection ratio for client practices. Denial management is a standalone service. Specialists identify root causes behind rejected claims, file strategic appeals, and put prevention workflows in place to reduce recurring denials. Clients have reported a 70% reduction in denials and a 30% drop in accounts receivable days. For practices carrying aged, unpaid, or underpaid claims, AR recovery services are also available. The team works directly with Medicare, Medicaid, and commercial payers to resolve outstanding balances without pulling staff away from patient care. Physician practices and hospitals each have dedicated billing tracks. The physician billing service is HIPAA-compliant and reduces administrative burden on in-house staff. The hospital billing service handles enterprise-level complexity through customized RCM workflows. Medical credentialing rounds out the portfolio, covering payer enrollment and contract execution for in-network participation with Medicare, Medicaid, and commercial insurers. Nexus io supports more than 50 specialties, including interventional pain management, where it handles specific CPT coding for procedures such as epidurals, nerve blocks, and spinal injections. As a BPO company USA-based healthcare practices turn to for full back office outsourcing, Nexus io reports aggregate client outcomes that include revenue growth in the 20 to 30 percent range. Healthcare providers can engage for the complete RCM cycle or bring in the company for a targeted service such as denial management or AR recovery.