Now Accepting New Clients · Nsight & Nsure Customers Get Priority Onboarding

The RCM Team Behind 2,000+ Providers — Now Available for Your Practice

Nvera is the revenue cycle arm of Ciullo Inc, the same healthcare network that powers Nsight and Nsure. We pair certified coders and billing specialists with AI tools to catch more, code better, and recover faster. Your rep was right — let us show you exactly what you're leaving on the table.

Your team of RCM experts, backed by intelligent technology. No obligation to start.

97.2%
Clean Claim Rate Target
14–28
Days in A/R, by Specialty
2,000+
Providers in Our Network
Revenue Intelligence DashboardSample View
Collections MTD
$2.84M
+23% vs prior
Denial Rate
3.1%
Down from 18.4%
Clean Claims
97.2%
Industry: 82%
Recovered
$347K
This month
+$127,400 Recovered
Denied claims this week

"Denial rate from 22% to under 4% in 90 days."

Jennifer Kim, MBA
HIPAA Compliant
SOC 2 Type II
2,000+ Providers in Network
Backed by Ciullo Inc
Part of Nsight Health Network
The Revenue Problem

Most Practices Don't Know How Much Revenue They're Losing

The average practice loses 15-30% of potential revenue to coding errors, missed charges, preventable denials, and stale payer contracts. That's not a billing problem. It's a growth problem hiding in plain sight.

Your front desk is overwhelmed. Your coders are undertrained. Your denials pile up. Your payer contracts haven't been renegotiated in years. And every day, revenue that belongs to your practice disappears.

Denial Rates at 15-25%
Every denied claim costs $25-118 to rework. At 18% denial rate on 10,000 annual claims, that's $250K+ in rework costs alone.
45+ Days in A/R
Industry average is 49 days. Every day over 14 costs your practice $800-$2,400 in trapped working capital.
Undercoding by 20-40%
That's $200-$500 per physician per day in earned revenue that never gets billed. For a 5-provider practice: $300K+/year.
Value-Based Contract Gaps
Unreported quality metrics cost $50K-$200K per practice annually in missed MIPS/APM incentives.
Average Annual Revenue Lost Per Practice
$1.2M — $4.7M
Based on practice size and specialty mix
★★★★★"Nvera showed us $1.8M in missed revenue we didn't know existed. Within 6 months, we'd recovered every dollar."— Dr. Rachel Morrison, Cardiology Associates of Tampa
The Nvera Difference
You don't need more technology. You need a better RCM team that uses technology the right way. Certified coders who review every chart. Billing specialists who chase every dollar. A/R experts who never let a claim die. And intelligent tools that make all of them faster and more accurate.

We built Nvera because too many RCM companies either throw bodies at the problem without technology, or throw technology at the problem without experienced people. You need both.

1

Your Dedicated Team

Certified coders, billing specialists, and A/R managers assigned to your account. They know your practice, your payers, and your workflows. They're not a call center.

2

AI-Enhanced Accuracy

Our AI reviews every chart for coding optimization, flags potential denials before submission, and surfaces revenue opportunities your team might miss. Your people make the final call.

3

Provider Feedback Loop

We don't just code and bill. We provide ongoing consulting back to your providers with specific, actionable feedback on documentation, coding patterns, and revenue optimization.

Full-Service RCM

Everything Your Revenue Cycle Needs. One Team.

From patient access to final payment, our team manages every step of your revenue cycle. Real people doing real work, enhanced by intelligent technology.

Medical Coding & Chart Review

CPC-certified coders review every chart. Our AI analyzes documentation for coding accuracy and flags billable encounters that never made it to a claim. Your coders get the final review.

  • Certified coders on every chart
  • Missing charge detection
  • Specialty-specific coding expertise
  • Charge capture & CDM management

Denial Prevention

Predictive AI flags denials before submission, and payer policy monitoring warns us before a rule change causes one. Our team appeals the rest.

  • Predictive denial engine
  • Payer policy change monitoring
  • 24-hour appeal turnaround
  • 70% appeal overturn target

Payer Contract Optimization

Identify underpayments and renegotiate terms, backed by payer performance scorecards that show exactly how each payer treats your claims. Most practices have six figures in underpayments they don't know about.

  • Payer performance scorecards
  • Fee schedule & underpayment analysis
  • Recoupment & take-back alerts
  • Renegotiation support

Real-Time Eligibility & Prior Auth

Real-time eligibility verification on every patient, plus prior-auth tracking and prediction, eliminates the #1 cause of claim delays before the visit happens.

  • Real-time eligibility verification
  • Prior auth tracking & prediction
  • Automated prior authorization
  • Coverage discovery & cost estimates

Patient Billing

Text-to-pay, autopay, and AI outreach tuned to each patient's likelihood to pay. More collected, fewer awkward calls, better relationships.

  • Text-to-pay & autopay
  • AI outreach by likelihood-to-pay
  • Online portal & payment plans
  • Transparent statements

Quality & Value-Based Care

HEDIS, MIPS, ASCQR, APMs. Most practices don't know what they're leaving on the table here. We track every measure and maximize every incentive dollar.

  • HEDIS, MIPS & ASCQR tracking
  • Quality measure capture & reporting
  • HCC risk adjustment
  • VBC contract strategy

Credentialing & Enrollment

Full-service provider credentialing and payer enrollment management — often overlooked, and a real bottleneck for growing practices. Start billing from day one.

  • New & re-credentialing
  • Payer enrollment management
  • Multi-state enrollment
  • CAQH & NPI mgmt

Analytics & Intelligence

Real-time dashboards. Predictive modeling. Executive reporting that drives action.

  • Live dashboards
  • Cash flow forecasting
  • Peer benchmarking
  • Custom reports

Ancillary Revenue

RPM, CCM, TCM, AWV. Unlock revenue streams most practices leave untouched.

  • Remote Patient Monitoring
  • Chronic Care Mgmt
  • Annual Wellness Visits
  • Transitional Care

Patient Access & Registration

Front-end accuracy prevents back-end problems. We verify demographics, insurance, and benefits before the patient is seen.

  • Demographic verification
  • Insurance eligibility & benefits
  • Pre-service financial clearance
  • Co-pay & deductible collection

Provider Consulting & Feedback

We close the loop with your providers. Ongoing documentation coaching, coding pattern analysis, and revenue optimization feedback delivered directly to your clinical team.

  • Documentation improvement coaching
  • Coding pattern analysis reports
  • Provider-specific revenue insights
  • Quarterly performance reviews

Accounts Receivable Management

Dedicated A/R specialists work your aging buckets every day. We pursue every dollar from 0-30 through 120+ days, including aged claim recovery.

  • Daily A/R follow-up & collections
  • Aged claim recovery (up to 12 mo)
  • Payment posting & reconciliation
  • Credit balance resolution
Why Switch

Your Current RCM vs. Nvera

See exactly where the gap is. Industry benchmarks vs. what our team and technology are built to deliver.

MetricIndustry AverageYour Current RCMNvera Target
First-Pass Clean Claim Rate82%78-85%97.2%
Days in A/R49 days40-55 days14–28 days
Denial Rate18%15-25%3.1%
Appeal Success Rate45-55%40-60%70%
Revenue Recovery Year 1MinimalUnknownCustom Analysis
Cost (% of Collections)7-10%6-12%Lower
Payer Contract ReviewsNoneRareContinuous
Value-Based Care SupportBasicLimitedFull Consulting
How It Works

From Analysis to Revenue Growth in 4 Steps

No disruption. No lengthy implementation. No risk.

1

Free Revenue Analysis

We audit your revenue cycle and show you the exact dollar amount you're missing.

Week 1 · Free
2

Custom Recovery Plan

Prioritized plan: which leaks to fix first for maximum immediate recovery.

Week 2 · Free
3

Parallel Go-Live

We integrate with your EHR/PM in parallel. Your billing never stops. Zero disruption.

Weeks 3-6
4

Revenue Growth

Watch revenue climb in real time. Monthly strategy calls. Continuous optimization.

Ongoing
Our Technology Edge

Expert Team. Intelligent Tools. Better Outcomes.

Our coders, billers, and A/R specialists use proprietary AI tools that make them faster and more accurate than any team working without technology. Every chart reviewed. Every claim optimized. Every dollar pursued.

AI Chart Analysis

Every chart is reviewed by AI before our coders touch it, flagging missed charges, undercoding, and documentation gaps. Our coders make the final coding decisions with better data.

Denial Prevention

Our system analyzes 200+ data points per claim to predict denials before submission. Our billers fix flagged issues before the claim ever goes out the door.

Payer Contract Monitoring

Automatically compares every payment against contracted rates. When underpayments are found, our team follows up with the payer immediately.

Revenue Intelligence Dashboard

Real-time visibility into your entire revenue cycle. Your team and ours see the same data. 90-day cash flow forecasting at 94% accuracy.

Missing Charge Detection

Cross-checks every encounter against what was actually billed and surfaces billable visits that never made it onto a claim — revenue most practices simply lose.

Recoupment & Take-Back Alerts

Monitors already-paid claims for silent payer take-backs and recoupments, so money quietly clawed back doesn't slip by unnoticed.

Payer Policy Monitoring

Tracks payer policy and rule changes across your contracts and alerts the team before a new rule turns into a wave of denials.

Team + AI Performance Targets
Denial Prevention85%+
Appeal Overturn Target70%
Coding Accuracy99%+
Underpayment DetectionContinuous
Network Scale2,000+ Providers
Days in A/R Target14–28 days
Cash Flow Forecasting90-day window
Performance Standards

The Benchmarks We Hold Ourselves To

Built on industry-leading processes, AI-enhanced accuracy, and a team that doesn't stop until every dollar is recovered.

97.2%
Clean Claim Rate Target
14–28
Days in A/R, by Specialty
70%
Appeal Overturn Target
400+
Clinics in Our Ecosystem
★★★★★
"We were skeptical anyone could beat our in-house team. Nvera's analysis showed $1.8M in missed revenue. Within 6 months, every dollar recovered."
DR
Dr. Rachel Morrison
Cardiology Associates of Tampa
★★★★★
"Denial rate from 22% to under 4% in 90 days. The AI catches what our billers never could. Best decision we've made."
JK
Jennifer Kim, MBA
Pulmonary Specialists Group
★★★★★
"Renegotiated three payer contracts and found $420K in underpayments we didn't know existed. Their technology is a cut above."
MT
Michael Torres
Southwest Nephrology Network
The Ciullo Network Advantage

Backed by the Network Behind 2,000+ Providers — So You Don't Start From Zero

Nvera is the revenue cycle arm of Ciullo Inc — the same healthcare network that powers Nsight and Nsure. If you're already in it, we know your payer mix, denial patterns, and billing gaps before our first conversation. A third-party RCM company would spend weeks just collecting that.

2,000+
Providers in Network
400+
Clinics Served
70K+
Active Patients
100%
Founder-Owned

We Already Know Your Payer Mix

Network data shows us exactly who you bill and how each payer behaves with your specialty — no months-long discovery period.

We've Seen Your Denial Patterns

We already know which denials hit practices like yours and which payer rules cause them — so prevention starts on day one, not month three.

We Know Where the Gaps Are

Missed charges, undercoding, untapped ancillary revenue — we see the leaks before we ever log into your system.

Get Your Head-Start AnalysisAlready an Nsight or Nsure customer? Ask about bundled pricing
Who We Serve

Every Specialty. Every Setting. Tailored RCM.

Click any specialty to see its specific revenue challenges — and how Nvera solves them.

EMS & Emergency Medicine
Hospitals & Health Systems
Primary Care & Medical Specialties
Surgical & Facility-Based
Behavioral Health & Post-Acute
Calculate Your Opportunity

How Much Revenue Are You Leaving Behind?

Input your current metrics. See what Nvera could recover for your practice.

Your Free Revenue Analysis

See Exactly What You're Missing

Most RCM companies want you to sign before telling you what's wrong. We flip that. Free analysis, exact dollar amounts, no obligation.

Every month without a proper RCM partner, your practice loses $100K–$400K in revenue that should be yours. The analysis is free. The cost of not knowing isn't.

Already an Nsight or Nsure practice? Your analysis comes back faster and sharper. We start from what the Ciullo network already knows about your payers and denials — not from scratch.

What's Included — Free
Complete Revenue Cycle Audit$3,500
Denial Root Cause Analysis$1,200
Payer Contract Review$1,500
Coding Assessment$800
Ancillary Revenue Report$500
Total ValueFREE

Request Your Free Analysis

Takes 2 minutes. Results in 5-7 business days.
100% confidential. HIPAA compliant. No spam.
What Happens Next
1.We confirm receipt within 1 business day 2.Our team reviews your practice data 3.You receive a detailed revenue analysis in 5–7 days 4.We walk through findings on a 30-min call — no obligation

90-Day Revenue Improvement Guarantee

If Nvera doesn't improve your clean claim rate by at least 15% and reduce your days in A/R by at least 20% within 90 days, we refund every penny of your implementation fees. No questions. No hoops.

FAQ

Common Questions

How is Nvera different from our current billing company?

Most billing companies are reactive: process claims, chase denials. Nvera is proactive. Our AI predicts denials before submission, optimizes coding in real-time, and continuously monitors payer contracts for underpayments. We also consult on value-based care and introduce ancillary revenue programs.

Will switching disrupt our operations?

No. We run a parallel implementation. Your current billing continues uninterrupted while we integrate with your EHR/PM system, train on your workflows, and go live only when everything is tested.

What does Nvera charge?

Competitive pricing below the 7-10% industry standard. Our AI handles what used to require large billing teams, so we pass the savings to you. We provide exact pricing during your free revenue analysis.

How quickly will we see results?

Most practices see measurable improvement within 30 days. Full revenue impact within 60-90 days, backed by our 90-day guarantee with specific metric commitments.

Do you work with our EHR system?

Yes. We integrate with Epic, Cerner, athenahealth, eClinicalWorks, Allscripts, NextGen, Greenway, DrChrono, and 40+ other platforms. New integrations built at no cost.

Is our data safe?

Fully HIPAA compliant, SOC 2 Type II certified, HITRUST validated. All data encrypted at rest and in transit. Role-based access. Annual third-party security assessments.

Where is your team located?

Our RCM operation combines US-based certified coders and billing specialists with a global support team and AI-enhanced workflows. Senior coding review, client strategy, and compliance oversight are always handled onshore. This hybrid model lets us deliver faster turnaround, 24-hour coverage, and competitive pricing while maintaining the quality and accountability of a domestic team. All operations are HIPAA compliant with SOC 2 and HITRUST-validated security controls.

Can you recover old denied claims?

Yes. Our aged A/R recovery program reviews claims up to 12 months old. We frequently recover $100K-$500K in claims that previous billing companies gave up on.

What about compliance and audit risk?

Our coding team follows CMS guidelines with full documentation trails. Every code is auditable. We maintain compliance libraries updated in real-time and include audit defense support.

What if we have unique billing needs?

Every practice does. Our AI models are specialty-trained and our team customizes workflows for each client. During onboarding, we map your specific payer mix, procedures, and workflow requirements.

Still have questions? Talk to an RCM specialist

The Transformation

Your Practice in 90 Days with Nvera

Before Nvera
  • 18%+ denial rate eating your revenue
  • 45+ days waiting on payments
  • Undercoding costing $200K+/year
  • No visibility into what you're missing
  • Payer contracts bleeding money
After Nvera (90 Days)
  • Clean claim rates pushing toward 97%
  • A/R days dropping fast toward the 14–28 day target
  • Every chart reviewed and optimized by AI + coders
  • Real-time dashboard showing every dollar
  • Payer contracts audited and renegotiated

Your Revenue Cycle Deserves a Better Team.

Get a dedicated team of RCM experts backed by intelligent technology. Start with a free revenue analysis that shows you exactly what you're missing.

HIPAA
SOC 2
90-Day Guarantee
No Upfront Cost