✦  REVENUE CYCLE MANAGEMENT

Every process. Every claim. Every dollar.

Complete revenue cycle management designed to maximize reimbursement, improve cash flow, and strengthen your practice.

Healthcare organizations face increasing pressure from declining reimbursements, changing payer requirements, staffing shortages, growing compliance obligations, and rising administrative costs. Every missed charge, delayed payment, denied claim, or billing error directly impacts your organization’s financial performance.

Pollux Systems delivers comprehensive Revenue Cycle Management solutions that optimize every stage of the revenue cycle — from charge capture and medical coding to claims management, patient billing, accounts receivable, compliance, and financial reporting. Rather than simply processing claims, we become an extension of your organization, so providers and staff stay focused on delivering exceptional patient care.

 

WHO WE SERVE

Physician practices · Specialty groups · Hospitals · Imaging centers · Pathology labs · Surgery centers — nationwide

THE POLLUX DIFFERENCE

The Performance Control System®

Built around more than 2,500 measurable Key Performance Factors, our proprietary system continuously monitors, measures, and improves every aspect of your revenue cycle. Every workflow is documented, analyzed, and refined around your specialty, payer mix, and financial goals — and as your practice evolves, the system evolves with it.

Every process matters. Every claim matters. Every dollar matters.

2,500+

measurable key performance factors

✦ WHAT’S INCLUDED

The full cycle, under one roof.

One Service. One accountable parter.

Dedicated Client Relationship Management

Every Pollux client is assigned a dedicated Client Relations Representative who serves as your primary point of contact.

Your representative develops a thorough understanding of your practice, coordinates ongoing communication, monitors performance, answers questions, and works alongside your team to continuously improve billing operations.


Customized Implementation & Onboarding

Changing revenue cycle partners can feel overwhelming — but it shouldn’t interrupt your cash flow.

Pollux develops a detailed implementation and startup plan specifically for your organization. Our experienced onboarding specialists coordinate every step of the transition, including data migration, interface development, workflow analysis, staff communication, testing, and go-live support.

Our objective is a seamless transition while maintaining revenue continuity throughout implementation.


Charge Capture & Log Reconciliation

Capturing every billable service is the foundation of an effective revenue cycle.

Pollux utilizes a proprietary Log Reconciliation System that compares patient encounter logs against charges entered into the billing system to identify discrepancies before revenue is lost.

Whether your practice utilizes electronic logs or manual workflows, our reconciliation process helps ensure every service performed is accurately captured, coded, and billed.

Our objective is a seamless transition while maintaining revenue continuity throughout implementation.


Certified Medical Coding

Coding accuracy directly affects reimbursement, compliance, and denial rates. Pollux employs experienced CPC-certified medical coders who specialize in accurate coding across multiple medical specialties. Our coding services include:
  CPC-certified coding professionals
  Automated coding edits
  Internal quality assurance reviews
  Annual third-party coding audits
  MIPS and MACRA reporting assistance
  Ongoing coding education and compliance monitoring
This layered approach improves coding accuracy while reducing preventable denials and audit risk.

Electronic Claims Processing

Pollux electronically submits claims through direct EDI connections with virtually all major commercial and government insurance payers.

Our enterprise billing platform automatically validates claims prior to submission to improve first-pass acceptance rates while reducing manual processing. For practices requiring paper submissions, Pollux also processes hard-copy claims.


Insurance Follow-Up & Denial Management

Denied claims represent delayed revenue — not lost revenue.

Every denial and non-response claim is automatically routed into structured electronic work queues where our specialists aggressively pursue resolution according to defined throughput standards. Our denial management process includes:
  Daily payer follow-up
  Appeals management
  Denial trend analysis
  Root cause identification
  Process improvement recommendations
  Underpayment recovery
This proactive approach improves reimbursement speed while reducing Days in Accounts Receivable.

Accounts Receivable Management

Accounts Receivable management is one of Pollux’s greatest strengths.

Our specialists actively monitor aging balances, resolve payer issues, recover underpayments, and manage complex reimbursement challenges before they negatively impact cash flow. Combined with our denial management processes, our A/R strategy helps organizations improve collections while maintaining healthy financial performance.


Secondary & Tertiary Insurance Billing

Pollux automatically files all secondary and tertiary insurance claims once primary claims have been adjudicated. Each claim is tracked through final payment to ensure timely reimbursement while minimizing manual intervention.


Payment Posting & Banking Services

Payments are posted and reconciled daily to provide accurate financial reporting and timely account updates.

Pollux also manages daily deposit processing and securely transfers collected funds directly to your organization’s designated bank account through ACH.


Patient Billing & Payment Solutions

Patient financial responsibility continues to grow, making an exceptional patient billing experience more important than ever. Pollux delivers customizable patient statements within hours of patient responsibility being established. Patients have multiple convenient payment options including:
  Online payment portal
  Credit card payments
  ACH bank transfers
  QR code mobile payments
  Payment plans
  Traditional mailed payments
  24/7 Interactive Voice Response (IVR) payments
Statements can also be delivered electronically through email and text messaging, providing patients with greater flexibility and improving collection rates.

Patient Call Center

Our U.S.-based Patient Call Center, located in Evansville, Indiana, serves as a seamless extension of your practice.

Our experienced representatives assist patients with billing questions, payment arrangements, insurance inquiries, and account support across multiple specialties and payer types. To better serve diverse patient populations, language translation services are also available.


Credentialing

Proper credentialing ensures providers remain eligible for reimbursement without unnecessary delays. Pollux provides comprehensive credentialing support including:
  Network enrollment
  Renewal applications
  New payer participation
  CAQH maintenance
  NPI database management
  Credential expiration monitoring
  Ongoing provider enrollment support
Our credentialing specialists help minimize interruptions in reimbursement while reducing administrative workload.

Refund Processing & Unclaimed Property

Pollux manages all credit balance and refund processing on behalf of your organization.

Our team also administers unclaimed property (escheatment) submissions in accordance with all 50 state requirements, helping organizations maintain compliance while reducing administrative burden.


Contract Variance Analysis

Simply receiving payment isn’t enough — you need confidence you’re being paid correctly.

Pollux compares actual reimbursements against contracted payer fee schedules to identify underpayments, reimbursement discrepancies, and contract variances.

Detailed reporting allows organizations to recover missed revenue while proactively identifying payer issues before they become significant financial liabilities.


Compliance & Regulatory Support

Healthcare compliance is woven into every aspect of our operations. Pollux maintains an in-house Compliance Officer responsible for ensuring adherence to HIPAA, OIG, billing regulations, and industry best practices. Our compliance services include:
  HIPAA compliance oversight
  OIG compliance guidance
  Staff education and training
  Third-party HIPAA and security audits
  Coding compliance
  Workflow documentation
  Internal quality assurance
These safeguards help protect your organization while reducing regulatory risk.

Workflow Analysis & Consulting

Strong financial performance begins with efficient internal processes. Pollux consultants evaluate your current workflows to identify bottlenecks, inefficiencies, compliance concerns, and revenue opportunities. Using the same operational standards that drive our own success, we help organizations implement stronger controls throughout their billing operations.

Revenue Cycle Audits

Our consulting team performs comprehensive audits including:
  Coding Audits
  HIPAA Audits
  OIG Reviews
  CERT Audits
  RAC Audits
  MIPS
  Revenue Cycle Performance Reviews
  Compliance Assessments
These evaluations provide actionable recommendations that strengthen compliance while improving financial performance.

Custom Reporting & Business Intelligence

Every healthcare organization measures success differently. Our in-house programming team develops customized dashboards and reports tailored specifically to your organization’s key performance indicators.

Whether you need provider productivity reports, payer analysis, denial trends, collections dashboards, financial summaries, or executive reporting, Pollux delivers the business intelligence needed to make informed decisions. We also build custom interfaces that securely transfer billing information from your practice management software directly into our enterprise billing platform.


✦   WHY ORGANIZATIONS CHOOSE POLLUX

Far more than billing services.

Our clients gain a long-term partner focused on maximizing revenue, improving efficiency, maintaining compliance, and supporting growth.

✦  Dedicated Client Relations Representative
✦  Comprehensive Revenue Cycle Management
✦  Proprietary Performance Control System®
✦  More than 2,500 measurable performance indicators
✦  CPC-certified medical coders
✦  Aggressive Accounts Receivable and denial management
✦  Enterprise-level technology with custom integrations
✦  Customized reporting and analytics
✦  Patient-friendly billing and payment solutions
✦  U.S.-based Patient Call Center
✦  Credentialing and provider enrollment support
✦  Compliance expertise with dedicated oversight
✦  Experienced implementation and onboarding specialists
✦  Personalized service backed by 35+ years of RCM expertise

✦   WHAT OUR PARTNERS EXPERIENCE

Increased reimbursement and collections
Reduced claim denials
Faster payment cycles
Improved cash flow
Lower Days in Accounts Receivable
Better patient payment collections
Increased coding accuracy
Reduced compliance risk
Greater financial visibility
Reduced administrative burden
Scalable operations that grow with your organization

✦    FAQs

Frequently asked questions

What healthcare organizations does Pollux serve?

We partner with physician practices, specialty groups, imaging centers, pathology laboratories, hospitals, ambulatory surgery centers, and other healthcare organizations across numerous specialties throughout the United States.

Yes. Our in-house development team builds custom interfaces with many Practice Management and Electronic Health Record systems to ensure seamless integration with your existing workflows.

Pollux combines experienced healthcare professionals, CPC-certified coders, dedicated client support, proprietary technology, customized reporting, and our Performance Control System® with more than 2,500 measurable performance indicators to continuously improve every aspect of your revenue cycle.

We focus on preventing denials through coding accuracy, quality assurance, workflow controls, and clean claim submission while aggressively managing payer follow-up, appeals, and denial recovery.

Yes. We provide comprehensive patient billing, online payment solutions, IVR payment options, electronic statements, payment plans, and a U.S.-based Patient Call Center with language translation services.

Absolutely. We manage provider credentialing, CAQH maintenance, NPI management, network enrollment, renewals, and payer participation to help ensure providers remain credentialed and reimbursable.

Every implementation is customized based on the size and complexity of your organization. Our structured onboarding process is designed to ensure a smooth transition while protecting your cash flow and minimizing operational disruption.

✦ START THE CONVERSATION

Let’s talk about your practice

Tell us where your revenue cycle hurts — we’ll tell you exactly what we’d do about it. No pitch deck, no pressure.

✦    START THE CONVERSATION

Let’s talk about your practice.

Tell us where your revenue cycle hurts — we’ll tell you exactly what we’d do about it. No pitch deck, no pressure.