The Revenue Cycle Is Under More Pressure Than Ever
Denials
- 11.8% initial claim denial rate in 2024, up from 10.2%
- 41% of providers report denial rates above 10%
Prior Authorization
- 13 hrs/week lost to prior auth per physician
- 94% of physicians say prior auth drives burnout
- 82% of physicians say prior auth can lead patients to abandon treatment
Margin Pressure
- $43B spent in 2025 collecting on care already delivered
- 7.5% hospital expense growth in 2025, 2x the rate of price growth
Meet LexiCode's AI-Enabled Revenue Cycle Management Solutions
LexiCode, an XBP Global brand, orchestrates AI across the front, mid, and back office of the revenue cycle instead of automating one step at a time. Where point tools patch a single bottleneck, our revenue cycle management solutions embed agentic AI into every workflow — eligibility, coding, claims, denials, and AR — with human-in-the-loop oversight built into each step.
The result is healthcare revenue cycle management that behaves like one connected system: cleaner claims out the door, fewer denials coming back, and cash arriving weeks sooner.
Results That Speak for Themselves
48 → 29
AR Days
>95%
First-Pass Claim Rate
40–60%
Denial Reduction
90%
Coding Precision/Recall
70–85%
Prior Auth Auto-Processed
80%
Call Deflection (AI Voice Support)
$4B+
Underpayments Identified & Recovered
60-Day
Credit Balance/Refund Compliance Turnaround
How Our RCM Services Work
Every engagement follows the same proven path — whether you strengthen a single function or outsource revenue cycle management services end to end.
Step
1
Assess & Map:
Review current workflows across front, mid, and back office
Step
2
Integrate & Configure:
Connect to EHR, PM system, clearinghouse, and payer platforms (FHIR, HL7, REST API, SFTP)
Step
3
Deploy with Human Oversight:
Roll out AI-assisted workflows with credentialed RCM staff review
Step
4
Monitor & Scale:
Track performance, refine as denial patterns and payer rules shift
End-to-End Revenue Cycle Management Services
Front Office: Frictionless Patient Access
- Automated scheduling & registration
- Real-time eligibility & benefits verification
- Prior authorization management
- Patient cost estimation
- Digital payment collection
- AI voice support
- Intelligent exception routing
Mid-Cycle: Coding & Documentation Integrity
- AI-assisted ICD-10/CPT/HCPCS coding
- Clinical documentation analysis
- Charge capture validation
- HCC/RAF support
- Human-in-the-loop governance
- AHIMA/AAPC credentialed coders
Back Office: Denials, AR & Revenue Integrity
- Denial prediction & prioritization
- Automated underpayment detection
- AI-guided appeals
- Predictive AR prioritization
- Payment posting & reconciliation
- Payer contract compliance
- Credit balance & refund management
- Root-cause analytics
Specialized Medical Coding Solutions for Every Care Setting
Every care setting brings its own set of coding complexities, and LexiCode meets them all with unmatched accuracy.
Hospital Inpatient & Outpatient
We deliver accurate coding for all types of inpatient admissions and outpatient procedures, helping hospitals maximize reimbursement while minimizing the risk of denials.
Physician Offices & Clinics
From routine checkups to specialty visits, our coders apply the latest guidelines across all CPT and ICD-10-CM codes to support timely billing.
Emergency Departments
High volume doesn’t have to mean high error rates. LexiCode coders thrive in high-pressure ED settings with fast, accurate code assignment and real-time edit resolution.
Ambulatory Surgery Centers (ASC)
Surgical coding accuracy is critical. Our team is trained in ASC-specific APC groupings and modifier use to ensure proper payment every time.
Home Health & Skilled Nursing Facilities
We stay up-to-date on PDPM, RUG-IV, and evolving SNF regulations to ensure compliance and clarity in long-term care environments.
Behavioral & Mental Health
LexiCode’s medical coding solutions support coding for psychotherapy, counseling, and psychiatric services, including complex documentation and telehealth nuances.
Pathology, Labs & Anesthesia
From lab panels to time-based anesthesia coding, our experts know how to code accurately across these high-complexity services.
Urgent Care & Outpatient Clinics
For fast-moving clinics, we deliver high-efficiency coding with a focus on clean claims and reduced rework, all while maintaining strict compliance.
Telehealth & Virtual Visits
We ensure proper use of place-of-service codes, modifiers, and payer-specific telehealth rules so you’re covered across every virtual encounter.
Ambulance & Transport Services
LexiCode supports accurate coding for emergency and non-emergency ground and air transport services.
FAQS
Frequently Asked Questions
How is this different from traditional RCM outsourcing?
Traditional outsourcing relies on headcount to work through claims and AR. LexiCode combines certified RCM expertise with agentic AI across the front, mid, and back office, so routine work is automated and human review is reserved for exceptions, appeals, and complex claims.
Does AI replace our revenue cycle staff?
No. Every AI-assisted workflow runs with human-in-the-loop governance. AI handles high-volume, repetitive tasks like eligibility checks, code assignment, and claim scrubbing, while credentialed coders and RCM staff review exceptions and make the final call.
What systems does this integrate with?
LexiCode’s platform integrates with EHRs, practice management systems, clearinghouses, and payer platforms using FHIR, HL7, REST API, and SFTP, so existing systems do not need to be replaced.
How is patient data protected?
Operations run within HIPAA-compliant, HITRUST-certified environments, staffed by AHIMA and AAPC credentialed coders.
When should we outsource revenue cycle management services?
Organizations typically engage LexiCode when rising denials, extended AR cycles, or operational complexity begin impacting cash flow, liquidity, or compliance risk. Outsourcing all or part of the revenue cycle brings specialized expertise and AI-driven scale without adding internal headcount.
How do we get started?
Request a custom plan and the team will assess current revenue cycle workflows and recommend where AI-enabled orchestration will have the fastest impact.
How LexiCode Differentiates
vs. Point Solutions:
One system across the whole cycle, not one fix per step
vs. Traditional Outsourcing:
AI plus certified RCM expertise, not headcount alone
vs. In-House Build:
Integration and orchestration already built, backed by 30+ years of healthcare operations experience
Why LexiCode as Your Revenue Cycle Management Company
vs. Point Solutions:
One system across the whole cycle, not one fix per step
vs. Traditional Outsourcing:
AI plus certified RCM expertise, not headcount alone
vs. In-House Build:
Integration and orchestration already built, backed by 30+ years of healthcare operations experience
Get In Touch
Schedule an AI Revenue Cycle Assessment
Discover how LexiCode’s revenue cycle management services can prevent revenue leakage and build a more resilient revenue cycle across patient access, coding, and AR.