Medical Billing
Eligibility verification, charge capture, claim scrubbing against NCCI edits and payer-specific rules, electronic EDI 837 submission, payment posting, and AR follow-up within timely-filing windows.
medical billing services →Specialty-certified · AAPC & AHIMA · All 50 states
About RevalonMD — Specialty-Certified Medical Billing, Coding & Credentialing Partner
RevalonMD LLC is a specialty-certified medical billing, coding, and credentialing company serving U.S. healthcare providers across 50+ medical specialties in all 50 states. Staff hold AAPC and AHIMA certifications. The company achieves a 99% first-pass claim rate and signs a Business Associate Agreement with every client.
Before a practice recovers what it has earned, every submitted claim must clear eligibility checks, payer-specific edits, and compliance requirements that change with each contract cycle. RevalonMD was founded to own that complexity on the practice's behalf — with specialty-certified staff, a Business Associate Agreement signed before the first claim is reviewed, and published performance benchmarks instead of marketing language.
Free audit
Get a free revenue-leakage audit
RevalonMD reviews your denials, AR aging, credentialing gaps, and coding accuracy — then delivers a written findings summary with an estimated monthly recovery range. No PHI required to book.
Book my free revenue-leakage auditContact and practice profile only. No PHI — protected health information is exchanged only after a signed BAA (45 CFR Parts 160 and 164).
Services
What we do — eight revenue cycle services
RevalonMD provides end-to-end revenue cycle management through eight service pillars. Each is staffed by specialists with AAPC or AHIMA credentials in that discipline. Select a service below for full scope, workflow, and pricing detail.
Medical Coding
Translation of clinical encounters into CPT 2026, ICD-10-CM FY2026, and HCPCS Level II codes. AAPC-certified coders are assigned by specialty for accuracy in high-complexity environments. [CPT/ICD-10: Coding-Director verification required before publish.]
medical coding →Medical Credentialing
Provider enrollment with Medicare, Medicaid, and commercial payers — including CAQH ProView maintenance, PECOS enrollment, and payer-specific applications — with a turnaround target of 45–90 days.
medical credentialing services →Revenue Cycle Management
End-to-end oversight of billing, coding, and payment workflows, with monthly reporting on net collection rate, days in AR, and clean claim rate benchmarked against MGMA and HFMA standards.
revenue cycle management →Denial Management
Root-cause analysis by Claim Adjustment Reason Code (CARC), corrected resubmissions, and coded appeals filed inside each payer's appeal window — with front-end edits added to prevent recurrence.
denial management →Prior Authorization
Authorization tracking by payer and CPT code, request submission, and decision-window monitoring under the CMS Prior Authorization Final Rule (CMS-0057-F, effective January 1, 2026).
prior authorization services →Accounts Receivable Recovery
Targeted follow-up and appeal on aged AR buckets — 60–90, 90–120, and 120-plus days — to recover collectable revenue before timely-filing windows close.
accounts receivable recovery →Practice Management Consulting
Operational analysis, billing workflow redesign, and revenue cycle benchmarking against MGMA and HFMA standards for independent practices and multi-provider groups.
practice management consulting →One accountable partner, every step.
Most revenue-cycle failures trace to fragmentation: eligibility at one vendor, coding at another, denials left to whoever has time. RevalonMD owns every step from the clinical encounter to the posted payment — so accountability never changes hands and no transition loses information.
Credentials
Our credentials — AAPC- and AHIMA-certified staff
Every biller and coder at RevalonMD holds AAPC or AHIMA certification relevant to their assigned specialty. This is not a general “certified staff” claim — it is a discipline-specific requirement enforced at hire and maintained through annual continuing education.
AAPC (American Association of Professional Coders) credentials relevant to revenue cycle work include the Certified Professional Biller (CPB), Certified Professional Coder (CPC), and Revenue Cycle Management Specialist (RCMS). AHIMA (American Health Information Management Association) credentials include the Certified Coding Specialist (CCS) and Registered Health Information Administrator (RHIA). Each requires a passing examination and annual continuing education hours; neither is self-awarded.
Specialty-specific certification matters because billing patterns vary by discipline. A behavioral health group billing 90837 and 90791 codes under CMS time-based rules has different compliance exposure than a cardiology group managing cath-lab bundling and modifier requirements. RevalonMD assigns coders whose credentials and case experience match the specialty, rather than rotating generalists across accounts.
The operational impact shows in claim accuracy. The Healthcare Financial Management Association (HFMA) sets 98% as the standard for high-performing billing operations (HFMA, 2025). RevalonMD’s first-pass claim rate target of 99% exceeds that benchmark — and sits nine percentage points above the MGMA’s general-industry target of 90% (MGMA 2024 Benchmarking Report on Denials). At a volume of 2,000 claims per month, the difference between 90% and 99% first-pass is 180 fewer denied claims to research, recode, and resubmit each billing cycle.
AAPC
& AHIMA certifications held by all billers and coders
Credential required at hire; maintained through annual CE hours
99%
First-pass claim rate target
vs. 98% HFMA benchmark (HFMA, 2025) —
50+
Specialty-specific coding disciplines covered
Certified-coder assignment by specialty, not generalist rotation
Performance figures are RevalonMD operating targets. Benchmarks from HFMA (2025) and MGMA (2024).
Compliance
Our compliance commitment — five-layer framework
RevalonMD’s compliance framework runs across five layers. Each addresses a distinct category of risk: clinical, financial, security, operational, and payment. The most important layer for a prospective client is the first — a signed BAA before any data is reviewed.
Business Associate Agreement (BAA)
Signed by the Founder personally before any protected health information is exchanged, as required under 45 CFR Parts 160 and 164. No client data, billing records, or PHI is shared before this agreement is executed.
HIPAA Privacy & Security Rules
Governed by 45 CFR Parts 160 and 164 (current 2026). PHI access is role-based, audit-logged, and limited to the minimum necessary standard. PHI is encrypted in transit (TLS 1.3) and at rest. No PHI is collected through this website or unsecured email.
SOC 2 Type II
Attestation covering security, availability, and confidentiality controls in the data processing environment.
HITRUST CSF
Healthcare-specific risk management and regulatory compliance framework, extending HIPAA safeguards to a broader control set.
PCI DSS
Payment Card Industry Data Security Standard governs cardholder data security in billing payment environments.
RevalonMD signs a Business Associate Agreement with every client before reviewing a single claim, ensuring HIPAA-compliant handling of all protected health information. The company also maintains SOC 2, HITRUST, and PCI DSS compliance across its revenue cycle operations.
Full security documentation — encryption standards, audit-log policy, breach response, and SOC 2 / HITRUST / PCI attestation details — is published on the HIPAA compliance and BAA security practices page.
Coverage
Who we serve — 50+ specialties, all 50 states
RevalonMD works with independent physician practices, multi-provider groups, and health systems across all 50 U.S. states. Specialty coverage spans more than 50 medical disciplines, with specialty-certified coders assigned by field rather than rotated across accounts.
State-specific Medicaid rules, fee schedules, timely-filing windows, and commercial payer requirements vary significantly across the country. RevalonMD assigns billing and credentialing staff whose experience includes the practice’s specific state and payer mix, not a generic national template.
Representative specialties include internal medicine, cardiology, behavioral health and psychiatry, orthopedics, oncology, dermatology, gastroenterology, OB/GYN, and pediatrics. More than 40 additional specialty disciplines are covered — full detail on the 50+ medical specialties we serve page.
Practice sizes served range from solo practitioners to mid-size health systems. The starting billing rate applies regardless of specialty, and pricing scales with claim volume.
Representative specialties
- Internal Medicine
- Cardiology
- Behavioral Health
- Orthopedics
- Oncology
- Dermatology
- Gastroenterology
- OB/GYN
- Pediatrics
- + 41 more specialties
Practice types
- Independent physician practices
- Multi-provider specialty groups
- Health systems and hospital-employed practices
- Solo practitioners
Performance
Our performance promise — three published benchmarks
RevalonMD publishes three performance benchmarks, each stated as an operating target and each measured against a named third-party standard. Published rates without source citations are marketing language; these are comparisons.
99%
First-pass claim rate target
vs. 98% HFMA high-performer benchmark (HFMA, 2025)
2.99%
Starting billing rate
vs. 5.5–7.2% industry avg (DrCatalyst, 2026; Neolytix, 2026); no hidden fees
45–90
Days to full payer enrollment
vs. 90–150 day industry standard (Relias, 2024; MedWave, Oct 2024)
First-pass claim rate: 99%. The HFMA sets 98% as the high-performer benchmark (HFMA, 2025); the MGMA’s general-industry target is 90% or higher (MGMA 2024 Benchmarking Report on Denials). A practice running at the industry target reworks one claim in ten. At 99%, it reworks one in a hundred — a difference that compounds into net collection rate and staff time saved.
Starting billing rate: 2.99% of collections. Outsourced billing runs 5.5–7.2% of collections on average in 2025 (DrCatalyst, 2026; Neolytix, 2026). RevalonMD’s 2.99% starting rate includes billing, certified coding, claim scrubbing, denial management, payment posting, and dedicated account management — no setup fees, per-claim fees, or termination fees.
Credentialing turnaround: 45–90 days. The industry standard for full payer enrollment is 90–150 days (Relias, 2024; MedWave, October 2024). Medicare PECOS enrollment runs 60–90 days; CAQH ProView approval runs 30–45 days. RevalonMD’s 45–90 day target applies to the complete enrollment cycle. Variance within that range depends on payer workload, application completeness, and specialty type.
Get started
Start with a free revenue-leakage audit
A free revenue-leakage audit is the first step in every RevalonMD engagement. It requires no protected health information — contact and practice profile only — and delivers a written findings summary with an estimated monthly recovery range.
The three steps below are the path from first contact to findings report. No PHI is requested or collected at any stage before the BAA is signed.
- Book a free intakeProvide name, specialty, and approximate monthly claim volume. No protected health information required at this stage — contact and practice profile only.
- Qualified intake callA RevalonMD billing specialist reviews the practice profile, identifies denial patterns, credentialing gaps, and AR aging exposure, and prepares a findings outline.
- Findings report and savings estimateRevalonMD delivers a written summary of identified revenue gaps and an estimated monthly recovery range. A proposal follows for any services the practice chooses to proceed with.
Book the intake call below. A RevalonMD billing specialist will reach out within one business day. Not ready to book? Speak with a credentialing specialist directly.
FAQ
Frequently asked questions about RevalonMD
Answers to the questions most commonly asked by physicians and practice managers evaluating RevalonMD — certifications, compliance, pricing, credentialing timelines, and how to get started.
Every biller and coder at RevalonMD holds AAPC or AHIMA certification in their assigned specialty discipline. AAPC credentials include the Certified Professional Biller (CPB) and Certified Professional Coder (CPC); AHIMA credentials include the Certified Coding Specialist (CCS) and Registered Health Information Administrator (RHIA). All certifications require a passing examination and annual continuing education hours.
RevalonMD's first-pass claim rate target is 99%. The Healthcare Financial Management Association (HFMA) sets 98% as the benchmark for high-performing billing operations (HFMA, 2025); the MGMA's general-industry target is 90% or higher (MGMA, 2024). The 99% target requires founder verification before publication and represents claims accepted by payers on first submission, without correction or resubmission.
RevalonMD operates as a HIPAA business associate under 45 CFR Parts 160 and 164 and signs a Business Associate Agreement (BAA) with every client before any protected health information is exchanged. PHI is encrypted in transit (TLS 1.3) and at rest. Access is role-based and audit-logged. No PHI is collected through this website or unsecured email.
RevalonMD supports 50+ medical specialties, including internal medicine, cardiology, behavioral health, orthopedics, oncology, dermatology, gastroenterology, OB/GYN, and pediatrics, among others. Specialty-certified coders with AAPC or AHIMA credentials are assigned by discipline to ensure accuracy in specialty-specific billing environments. A full specialty list is available on the specialties page.
RevalonMD's billing rate starts at 2.99% of monthly collections. This rate includes billing, certified coding, claim scrubbing, denial management, payment posting, and dedicated account management. There are no setup fees, per-claim fees, or termination fees. The 2025 industry average for outsourced billing ranges from 5.5% to 7.2% of collections (DrCatalyst, 2026; Neolytix, 2026).
RevalonMD's credentialing turnaround target is 45 to 90 days for full payer enrollment — faster than the industry standard of 90 to 150 days (Relias, 2024; MedWave, October 2024). Medicare PECOS enrollment typically runs 60 to 90 days; CAQH ProView approval runs 30 to 45 days. Actual timeline depends on payer workloads, application completeness, and specialty type.
RevalonMD provides medical billing, coding, and credentialing services across all 50 U.S. states. State-specific Medicaid rules, fee schedules, timely-filing windows, and commercial payer requirements are managed by the assigned billing team. There is no geographic restriction — practices in any state are eligible to work with RevalonMD.
The first step is a free revenue-leakage audit. Book an intake call using the form on this page — no protected health information is required, only contact and practice profile details. A billing specialist will reach out within one business day. RevalonMD delivers a written findings report and estimated savings range before any engagement begins.
Explore
Explore RevalonMD’s services and resources
Each pillar below goes deeper than this page: scope, process, pricing, and specialty detail — reviewed by the credentialed owner of that service area.
Who stands behind this page
Methodology: all performance figures on this page are RevalonMD operating targets reviewed and signed off by the Founder before publication. Industry benchmarks and regulatory timelines are cited inline from primary sources — HFMA (2025), MGMA (2024), CMS PECOS (2026), and published pricing surveys (DrCatalyst 2026; Neolytix 2026). Medical code references are flagged for Coding-Director verification before publish.
HFMA benchmark, 2025MGMA Benchmarking Report on Denials, 2024CMS PECOS enrollment, 202645 CFR Parts 160 & 164 (HIPAA)DrCatalyst billing cost survey, 2026Neolytix billing rate analysis, 2026Relias credentialing timeline, 2024MedWave credentialing survey, Oct 2024CMS-0057-F (PA Final Rule), eff. 2026CAQH ProView, 2026
Find out what your practice is leaving on the table.
Free revenue-leakage audit · written findings summary · estimated monthly recovery range. No PHI required to book.