Our Services — RCM

Billing Configurations

01 — Strategic Setup

Clean Claims Start Here

A System That Works for You

CIAxil’s Billing Configuration service ensures that your EHR’s billing engine is precisely tuned to reflect your payer contracts, fee schedules, and coding requirements — before a single claim goes out the door.

Properly configured billing is the foundation of a clean claim — and a healthy bottom line. We bridge the gap between clinical documentation and financial reimbursement.

Precision in Setup, Perfection in Billing.

Don't leave revenue on the table due to configuration errors.

Key Features

Configuration Includes

  • Payer Fee Schedules: Payer-specific fee schedule setup and contract rate loading.
  • Insurance Plan Rules: Configuration of copays, deductibles, and coverage tiers.
  • Coding Libraries: ICD-10, CPT, and HCPCS code library setup and specialty mapping.
  • Modifier Logic: Modifier rules, bundling logic, and claim edit configuration.
  • Charge Master Review: Alignment with current reimbursement standards and reviews.
  • Claim Edit Rules: Advanced scrubbing rules to catch errors before submission.
02 — Ongoing Optimization

Continuous Refinement

The healthcare landscape is constantly changing. New regulations, updated fee schedules, and evolving payer rules mean your billing configuration can never be "set and forget."

CIAxil provides ongoing maintenance and optimization to ensure your system stays current with the latest industry standards, minimizing denials and accelerating your cash flow.

Why it matters

Revenue Integrity

  • Quarterly fee schedule audits and updates
  • Payer contract renegotiation support
  • New service line configuration
  • Continuous rule scrubbing optimization