Revenue Cycle & Billing | Healthcare IT

Revenue integrated into care delivery
// Revenue cycle as part of care delivery

Financial workflows begin at the point of care

In healthcare, revenue integrity depends on clinical accuracy. When billing systems operate separately from care delivery, organisations face revenue leakage, claim denials, delayed payments and compliance risk.

XeHealth embeds revenue cycle and billing workflows directly into care delivery - ensuring clinical activity, diagnostics and services are captured accurately, coded correctly and reconciled transparently.

Capture as care occurs reduce manual rework and missed charges.
Transparency for patients and payers across the lifecycle.
Traceability from activity to invoice/claim to payment.
Compliance-ready financial workflows under governance.
// Cash & self-pay management

Transparent and patient-friendly billing

XeHealth supports transparent cash and self-pay workflows alongside insurance billing - including pricing rules, discounts, packages, receipts and patient-visible statements.

Cash billing receipts and payment tracking.
Discounts & packages pricing rules that remain auditable.
Invoices & statements clear patient communication.
Reconciliation payments and adjustments tracked.
Cash and self-pay workflows
// Core revenue capabilities

Billing, coding and payer workflows aligned to care

Charge capture & service catalogue

Accurate charge capture without adding clinician burden.

Structured service and procedure catalogues.
Automatic linkage to encounters and care activity.
Real-time visibility of billable services.
Coding & classification

Coding aligned to clinical documentation to reduce disputes and denials.

Coding workflows tied to structured clinical data.
Validation against recorded services and rules.
Detection of omissions and inconsistencies.
Insurance & payer workflows

Traceable end-to-end payer interaction from eligibility to payment.

Eligibility and coverage verification.
Pre-authorisation tracking and rule handling.
Claim preparation, submission and remittance reconciliation.
Claims and denial management
// Claims, denials & reconciliation

Proactive management of revenue risk

XeHealth provides visibility into the full claim lifecycle - enabling proactive denial management, root-cause analysis and controlled resubmission workflows. This helps address revenue risk before it escalates.

Claim status tracking ageing and pipeline visibility.
Denial categorisation and root-cause analysis.
Resubmission workflows follow-up and reconciliation.
Financial reporting KPIs, payer behaviour and trends.
// Financial governance & compliance

Revenue workflows under governance control

Revenue and billing workflows operate under strict governance. XeHealth supports segregation of duties, role-based access, approval workflows for adjustments and full audit trails for financial actions.

Segregation of duties controls who can do what.
Approval workflows for adjustments and exceptions.
Role-based access aligned to finance responsibilities.
Audit trails complete traceability for review and compliance.
Financial governance and compliance
// Related healthcare sections

Explore the wider healthcare ecosystem

XeHealth Platform

Core platform overview, modules and architecture.

Clinical Systems

Clinical workflows across outpatient, inpatient and emergency.

Diagnostics

Lab and radiology workflows, results visibility and quality.

Patient Engagement

Apps, portals, communications and experience.

Interoperability

Integration across systems, devices and partners.

Compliance

Governance, privacy and standards alignment.

Improve revenue integrity

Review governed charge capture, coding and payer workflows aligned to clinical activity - built to be audit-ready.

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