Maximize Healthcare Collections
Minimize Days in A/R
MiraiCure assigns dedicated specialty professionals with intelligent claim scrubbing to eliminate billing leakage, drive days in A/R under 45 days, and protect clinical margins.
Complete Revenue Cycle Coverage
Targeted interventions at every phase of the claim lifecycle to ensure every service rendered is fully reimbursed.
Patient Access & Eligibility
Stop claim rejections before the encounter happens. We scrub patient demographics, run real-time EDI 270/271 insurance verification, resolve prior authorizations in under 24 hours, and deliver clear out-of-pocket estimates to eliminate front-desk bottlenecks.
- Real-Time Eligibility & Benefits Verification
- Rapid Prior Authorization
- Patient Intake & Demographic Scrubbing
Precision Coding, CDI & Claim Submission
Capture true clinical acuity without compliance risk. Our 150+ credentialed coders conduct clinical documentation reviews, apply correct CPT/HCPCS/ICD-10 codes, manage daily electronic clean claim submissions (EDI 837), and eliminate under-coding leakage across all inpatient and outpatient specialties.
- AAPC & AHIMA Certified Medical Coding
- Electronic Clean Claim Submission (EDI 837)
- Clinical Documentation Improvement (CDI)
- Modifier Compliance & Charge Capture Audits
Claims, A/R & Denial Rescue
Turn delayed submissions into realized cash. We apply 1,500+ automated clearinghouse claim edits, reconcile daily ERA 835 payments, and deploy dedicated recovery teams to appeal clinical denials and slash aging accounts receivable.
- Aggressive Denial Appeals (92.6% Audited Overturn Rate)
- Aged A/R Recovery & Liquidation
- Daily Payment Posting & Remittance Reconciliation
Virtual Staffing & Practice Ops
Scale your clinical operations without administrative overhead. From commercial and government payer credentialing to secure remote medical scribing and fee-schedule underpayment recovery, we handle the back-office complexity.
- Provider Credentialing & Payer Enrollment
- Dedicated Virtual Medical Assistants
- Underpayment & Contract Fee Schedule Audits
Built for Complex, High-Volume Clinical Environments
Generic billing models cause revenue leakage. Our specialized billing units master the distinct compliance nuances, payer rules, and fee schedules unique to your clinical setting.
Skilled Nursing (SNF) & LTC
Inpatient Hospital & Acute Care
Psychiatry & Mental Health
SUD & Addiction (IOP/PHP)
Surgical & ASC Centers
Ophthalmology, GI & Derm
Durable Medical Equipment (DMEPOS)
Physical Therapy & Urgent Care
Engineered for Revenue Velocity and Precision
MiraiCure combines dedicated clinical intelligence with aggressive recovery workflows to protect your operating margins.
Specialty-Aligned Expert Pods
We don’t use one-size-fits-all teams. Your revenue cycle is managed by dedicated specialty professionals who understand the clinical nuances of your practice, local payer rules, and customized fee schedules.
Audit-Proof Coding Rigor
Zero revenue leakage, zero compliance exposure. Our dual-layer scrubbing pairs 1,500+ automated clearinghouse rules with human CDI reviews to validate medical necessity and complex modifier usage before submission.
Aggressive Cash Recovery
Claims are never left behind. We treat aged A/R and denials with forensic urgency, systematically appealing low payments and non-clinical rejections to achieve our audited 92.6% overturn rate.
Executive-Level Transparency
Total visibility into your financial health. Access real-time aging trends, collection velocity, and denial analytics through weekly executive summaries and direct access to your dedicated account manager.
| Standard Billing Services | The MiraiCure Standard |
|---|---|
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Generalist data-entry clerks
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Dedicated, specialty-certified coding teams
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Passive write-offs on aged claims
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Relentless appeal workflows on 100% of salvageable A/R
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Opaque monthly invoices
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Real-time dashboards with weekly executive summaries
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Average 45–60 days in A/R
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Target 30–45 days in A/R
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Confidential Revenue Health Assessment
Identify claim leakage and benchmark your collections against industry top-quartile standards.
Denial Root-Cause Deep Dive
We isolate recurring CARC/RARC codes causing cash hold-ups across your top commercial and government payers.
AR Aging & Timely Filing Review
Quantify dollars trapped in the 60, 90, and 120+ day buckets and establish rescue recovery strategies.
Coding & Modifier Leakage Audit
Identify under-coded encounters, missed modifiers, and unbundled service opportunities.
Request Confidential Analysis
Complete the executive intake below to benchmark your practice against top-quartile metrics.
Clinical Revenue Cycle Case Studies
Real measurable financial transformations across independent physician groups, post-acute facilities, surgical centers, and urgent care networks powered by MiraiCure dedicated pods.
Multi-Provider Physician Groups
Eliminated 16.2% first-pass denial rate and slashed charge lag from 6.8 days to under 24 hours through automated 48-hour pre-service EDI sweeps and embedded AAPC coding audits.
Skilled Nursing Facilities (SNF) & Post-Acute
Overcame complex PDPM holds and consolidated billing pitfalls with a dedicated Triple Check Pod, reducing pre-billing turnaround from 9 days to 24 hours.
Orthopedic & Interventional Surgical Practices
Liquidated $1.2M dormant surgical backlog by enforcing a strict 72-hour payer pre-authorization protocol and deploying certified surgical coders for same-day op-note reviews.
Multi-Site Urgent Care Networks
Slashed Days in A/R from 48.6 to 26.2 days with dedicated Medical VAs conducting real-time intake audits and automated daily clearinghouse batch scrubbing.