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Revenue Cycle & Billing

Built for revenue cycle & billing leaders

When documentation, authorizations, and facility billing stay in sync, month-end stops being a fire drill. Phoenix connects clinical work to claims, AR, and reporting in one platform.

  • ·Close-out checklists for unsigned docs, CPT, minutes, auths, LCD, and discharge — including batch close-outs across facilities.
  • ·Claims & remits: UB-04, CMS-1500, 837, ERA/payment import, AR aging, denials, and statements.
  • ·RCM front door: referrals, verification, prior auth, onboarding, plus a patient portal for intake and consents.
  • ·Authorizations enforced in scheduling and billing, with a managed care hub for caps and utilization.
  • ·50+ reports, custom builder, AI dashboards, and exports to Excel or PDF — plus PDF packets for audits.
Phoenix Therapy invoices dashboard showing invoice list with status filters, payment amounts, facility breakdown, and date ranges for therapy billing management.
50+
Built-in billing reports
3
Claim formats (UB-04, CMS-1500, 837)
Auto
ERA posting & reconciliation
1-click
Multi-facility close-out
Phoenix Therapy billing close-out view — checklist for unsigned documents, CPT validation, minutes reconciliation, and batch processing.
Revenue Cycle Management

Capture every referral, close every loop

From the moment a referral hits your desk to the patient's first appointment, Phoenix Therapy tracks the entire revenue cycle pipeline — so nothing gets lost and no revenue slips through the cracks.

Referral intake & tracking

Capture referrals from any source with structured intake forms. Track status, assigned therapist, and facility across every referral in your pipeline.

Insurance verification

Verify patient coverage and benefits before the first visit. Flag payor-specific requirements, copays, and deductibles up front.

Prior authorization management

Submit and track prior auth requests with approved CPT codes, visit limits, and expiration dates. Alerts fire before auths run out.

Patient onboarding & portal

Send patients a digital intake link to complete forms, consent documents, and demographic information before their first visit — reducing front-desk bottlenecks.

Managed care hub

Track managed care contracts, authorization utilization, visit caps, and minute limits — with alerts when patients approach or exceed authorized levels.

Phoenix Therapy Invoices — monthly billing and accounts receivable with summary cards, status filters, and invoice list.
Billing & Close-outs

Close the month with confidence

No more scrambling at month-end. Phoenix Therapy's billing engine handles everything from close-out checklists and claims generation through payment posting and AR management — across every payor and contract model.

Batch close-outs & billing packets

Run batch close-outs across multiple facilities at once. Assemble billing packets with invoices, service logs, UB-04s, and biller CSVs — ready for payor submission.

Claims generation

Generate UB-04, CMS-1500, and X12 837I/P electronic claims directly from validated invoices. Export EMR data, biller CSVs, and custom file formats for any clearinghouse.

Billing edits & scrubbing

Configurable billing edit rules catch errors before export — CPT validation, LCD compliance, minutes reconciliation, expired authorizations, and unsigned documents in a single pre-billing check.

Payment import & ERA posting

Import payment files and ERA remittances, match to invoices, and track payment status. Statement generation (monthly, past-due, final) and denial tracking are built in.

AR aging & collections

Full AR aging with 0–30, 31–60, 61–90, 91–120, and 120+ day buckets. Top payors by outstanding balance, collection rate tracking, days-in-AR trends, and denial analysis in one dashboard.

Contracts & multi-model billing

Manage therapy contracts with flexible billing models — CMG/HIPPS, CPT-based, per-minute, per-visit, per-unit, and Medicare fee schedule — with caps, special rates, and excluded codes.

Invoicing & accounts receivable

Generate invoices, track payments, manage voids, and monitor outstanding AR — all inside the platform with full audit history.

Integrations · Sunrise Care Center
Integration Status All systems connected
PointClickCare
Last sync 2 min ago
Connected
Therapy tab (module)
ADT / census (admit, discharge, transfer)
MDS sync (assessment)
Sec. GG (PDPM)
Billing & charges
Clinical documents
MatrixCare
Last sync 5 min ago
Connected
ADT / census (admit, discharge, transfer)
Occurrence codes (billing)
ICD-10 diagnoses
Section O (MDS therapy)
Billing & charges
Clinical documents
Today's Sync Activity
47 patients synced · 12 admit/discharge/transfer events · 3 billing exports
EHR Integrations

Billing data flows to and from the facility EHR

Native PointClickCare and MatrixCare integrations keep the right clinical and billing context in sync — PCC: therapy tab, patient ADT/census (admit, discharge, transfer), MDS (Minimum Data Set) sync, Section GG (functional status for PDPM), billing and charges, and clinical documents; MatrixCare: patient ADT/census (admit, discharge, transfer), occurrence codes (billing context), diagnosis codes (ICD-10), Section O (MDS therapy items), billing and charges, and clinical documents — so your billing team spends less time reconciling across systems.

PointClickCare & MatrixCare

PCC: therapy tab, patient ADT/census (admit, discharge, transfer), MDS (Minimum Data Set) sync, Section GG (functional status for PDPM), billing and charges, clinical documents. MatrixCare: patient ADT/census (admit, discharge, transfer), occurrence codes (billing context), diagnosis codes (ICD-10), Section O (MDS therapy items), billing and charges, clinical documents.

Automatic census sync

New admissions, discharges, and room transfers flow from the facility EHR into Phoenix in real time — no manual census updates needed.

Payor & plan mapping

Map facility-level payor plans to your billing configurations. Insurance data, plan codes, and billing identifiers stay consistent between systems.

API & FHIR support

Customer-facing REST API and FHIR R4 endpoints for custom integrations with clearinghouses, practice management systems, and other third-party platforms.

Walk through close-out with your metrics

We’ll connect documentation, auths, and billing workflows to how your team actually finishes the month.

Request a demo