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Medical Billing · Coding · Credentialing

Get paid faster.
Keep more of every dollar you earn.

End-to-end revenue cycle management powered by the Helix RCM Engine — a 9-stage system that drives a 98%+ clean-claim rate and 30% faster reimbursements, backed by our written Clean-Claim Guarantee.

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No setup fees HIPAA compliant & SOC 2 30–45 day onboarding
$182,400 recovered
Denials overturned 71%
HIPAA Compliant SOC 2 Type II 40+ Specialties Billed 98%+ Clean-Claim Target <48-hr Claim Turnaround
Our results in numbers

Measurable revenue, not vague promises

Helix averages across active practices. Figures are Helix targets and historical averages — not third-party guarantees.

0%
Average revenue increase
0d
Average days in A/R
0%
Faster reimbursements
0%
Denials overturned

Inside the Helix RCM Engine

The life of a clean claim

Chapter 01 — Capture & Code

It starts the moment the visit ends.

Charges are captured and coded by certified specialists — accurate CPT and ICD-10 from day one, because every downstream denial starts as an upstream error.

Chapter 02 — The Scrub

Every claim runs the gauntlet.

A multi-rule scrubbing engine checks payer edits, modifiers, and eligibility before submission — so errors are caught in seconds, not discovered in 30-day denial letters.

Chapter 03 — The Intercept

Problem claims never reach the payer.

Flagged claims are pulled out of the stream, corrected by your account pod, and re-queued the same day. That's how the clean-claim rate stays above 98%.

Chapter 04 — Paid

Submitted in 48 hours. Paid in ~21 days.

Clean claims sail through first-pass adjudication. Payments post, A/R stays young, and your dashboard shows every dollar in flight — in real time.

What we do

One partner for the entire revenue cycle

From eligibility to the final dollar collected, Helix runs the back office so your team can focus on patients — not paperwork and payers.

Medical Billing

Charge capture, claim creation, AI-assisted scrubbing, submission, and payment posting — full-cycle and fully transparent.

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Medical Coding

AAPC/AHIMA-certified coders for CPT, ICD-10 and HCPCS — accurate, audit-ready, and tuned to each specialty's nuances.

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Revenue Cycle Management

The complete cycle managed end-to-end on the Helix RCM Engine, with real-time dashboards and a dedicated account pod.

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Provider Credentialing

Payer enrollment, CAQH, re-credentialing and ongoing maintenance — so you never miss a billable day waiting on a panel.

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Denial Management & A/R

Root-cause denial analytics, fast appeals, and aggressive A/R recovery that turns aging buckets back into cash.

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Eligibility & Prior Auth

Real-time benefit verification and prior-authorization management that stop denials before a claim is ever sent.

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The Helix RCM Engine™

Nine stages. One unbroken cycle.

Every dollar passes through the same disciplined, instrumented workflow — so nothing slips, nothing ages, and you can see exactly where each claim stands.

01

Insurance Verification

Real-time eligibility & benefits checked before the visit.

Prevent denials
02

Prior Authorization

Auth requests tracked to approval so services are covered.

Protect revenue
03

Charge Capture & Coding

Certified coders assign accurate, compliant CPT / ICD-10.

Accuracy
04

Claim Scrubbing

Multi-rule engine catches errors pre-submission for 98%+ clean claims.

Clean-claim engine
05

Claim Submission

Electronic submission within 48 hours of charge entry.

Speed
06

Payment Posting

ERA/EOB posted and reconciled with line-level accuracy.

Reconciliation
07

Denial Management

Root-cause analysis and rapid, evidence-backed appeals.

Recover cash
08

A/R Follow-Up

Proactive aging-bucket work to keep days in A/R low.

Cash flow
09

Reporting & Analytics

Live dashboards and monthly reviews with your account pod.

Transparency
Why Helix

A billing partner that puts its fee on the line

Most billing companies hide their pricing and their performance. We do the opposite — transparent rates, live dashboards, and a guarantee in writing.

The Clean-Claim Guarantee

We put our 98%+ first-pass clean-claim target in writing. Miss it on your account in a given month, and that month's fee is reduced. Our performance is tied to yours.

A dedicated account pod

A named team that knows your practice, payers, and patients — not a rotating call center.

Transparent, all-inclusive pricing

A clear percentage of net collections — no setup fees, no statement fees, no surprise minimums.

Works inside your EHR

We bill directly in your existing system — Athena, Epic, eClinicalWorks, Kareo, AdvancedMD and more.

State-specific payer knowledge

Rules and fee schedules tracked by state so claims match each payer's requirements.

No long-term lock-in

We earn the relationship every month. Month-to-month terms after the initial period.

The math of outsourcing

In-house billing quietly costs more than you think

Industry studies (MGMA) show in-house billing runs about 13.7% of collections once you count salaries, software, denials and turnover — versus roughly 5.4% when outsourced to a focused partner.

Helix turns that cost gap into recovered revenue: fewer denials, faster reimbursement, and a team whose only job is getting you paid.

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0%

In-house
cost of collections

0%

Outsourced
cost of collections

0–30%

Collections lift
typical RCM partner

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Denial rate
vs. 11.8% industry avg

Specialty expertise

Billing tuned to your specialty

Coding rules, payer quirks, and modifiers differ by specialty. Helix assigns coders and account pods that live in yours.

CardiologyComplex procedures & modifiers OrthopedicsGlobal periods & surgery NeurologyEMG/NCS & testing OB/GYNGlobal maternity care PsychiatryTime-based & telehealth Pain ManagementInjections & procedures Primary CareE/M & preventive visits 40+ specialtiesSee the full list →

We bill inside the systems you already use

athenahealthEpiceClinicalWorksAdvancedMDKareoNextGenCernerCareCloudPractice Fusion
Proof, not promises

What changes when Helix runs the cycle

Lakeside Cardiology Associates
9-provider group · Texas
+27%
net collections in 6 months
21
days in A/R (from 52)
98.6%
clean-claim rate
$410K
aged A/R recovered

"We were leaving money on the table with every denied cath-lab claim. Helix rebuilt our scrubbing rules, worked our aged A/R, and our collections jumped within two quarters."

Challenge

A growing cardiology group with a 11% denial rate, A/R aging past 50 days, and a billing team buried in rework after a rapid expansion.

Solution

Helix migrated billing onto the RCM Engine, deployed specialty-specific scrubbing, assigned a dedicated cardiology pod, and ran a focused 90-day A/R recovery project.

Outcome

Clean-claim rate climbed to 98.6%, A/R days dropped to 21, and the practice recovered $410K in previously aged claims — while collections rose 27%.

Representative composite based on Helix engagement outcomes. Individual results vary.

Trusted by practices nationwide

What providers say

★★★★★

"The transparency is the difference. I open one dashboard and know exactly where every claim stands. I've never had that with a billing company."

RMDr. Rachel MonroeInternal Medicine · Ohio
★★★★★

"Our denial rate was killing cash flow. Helix's pod reworked our front-end process and overturned a backlog of denials we'd written off."

JPJames Patel, COOMulti-site Orthopedics · Florida
★★★★★

"Onboarding was genuinely painless — parallel run meant zero revenue gap. Within 45 days we were fully live and collections were already up."

SCDr. Sofia CruzOB/GYN · Arizona
Questions

Frequently asked

How much does Helix Billing cost?
A transparent percentage of net collections — typically 4–8% depending on specialty and claim volume — all-inclusive, with no setup fees, statement fees, or minimums. Use our pricing calculator for an estimate.
How long does it take to switch?
Most practices are fully live within 30–45 days. We run in parallel with your current process during transition so there's no gap in revenue.
Do I have to change my EHR?
No. We work directly inside your existing system — Athena, Epic, eClinicalWorks, Kareo, AdvancedMD, NextGen and more.
What is the Clean-Claim Guarantee?
We put our 98%+ first-pass clean-claim target in writing. If we miss it on your account in a given month, that month's billing fee is reduced — aligning our incentives with your revenue.
Is my patient data secure?
Yes. Helix is HIPAA compliant and SOC 2 Type II, with encryption in transit and at rest, role-based access, and signed BAAs with every client.
Start with a free audit

See exactly how much revenue you're leaving behind

Get a free, no-obligation billing audit. We'll review your denials, A/R aging, and clean-claim rate — and show you what Helix would do differently.

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