Your revenue cycle, orchestrated
to outperform

Top results depend on every part pulling together. Nova Arc merges deep experience, independent artificial intelligence, and rigorous operational habits, all customized for you. United as one crew, we bring in more income, widen your profit margins, and steadily get better.

99.4 %
First-Pass Clean Claim Rate
Industry benchmark: 75% - 80%
32 %
Reduction in Days in A/R
Faster cash turnaround times
$ 1.8 B+
Annual Revenue Handled
Processed across 48 US states
< 1.8 %
Average Net Denial Rate
Vs. 11.2% healthcare average

End-to-End Revenue Cycle Optimization

From front-desk patient intake to final claim resolution, Nova Arc transforms administrative overhead into an autonomous, high-velocity cash flow engine.

Autonomous Pre-Bill Scrubbing in healthcare revenue cycle
PILLAR 01

Autonomous Pre-Bill Scrubbing

Instantly validate patient eligibility, ICD-10/CPT coding precision, and medical necessity against over 1,200 commercial and government payer rules before EDI transmission.

  • Instant EDI 270/271 real-time eligibility checks
  • Automated cross-check for modifier discrepancies
  • Seamless EHR integration (Epic, Cerner, Athena)
Zero-Touch Denial Mitigation and claim recovery analytics
PILLAR 02

Zero-Touch Denial Mitigation

Machine learning models continuously detect root causes for potential denials, auto-generating compliant clinical appeal packets and prioritizing high-dollar recoverable claims.

  • Predictive denial probability scoring on entry
  • Automated appeal generation with clinical citations
  • Root-cause analytics by payer, clinic, and provider
Patient Financial Experience and pre-service estimates
PILLAR 03

Patient Financial Experience

Provide patients with clear upfront estimates, friendly SMS/email digital statements, and flexible automated payment plans that boost self-pay collection rates by over 45%.

  • Accurate Good Faith Estimates (No Surprises Act)
  • One-click mobile payments via Apple Pay & card
  • Automated personalized payment schedule workflows

Support at every stage of
your billing lifecycle

Nova Arc operates as a complete revenue cycle management provider, offering adaptable RCM solutions built by pairing specialized skills with the right technology to match what your organization needs.

Specialized Revenue Cycle Services

Pairing our proprietary AI technology with AAPC and AHIMA certified specialists to manage your most complex billing, coding, and recovery demands.

Full-Cycle Medical Billing & Coding

Expert certified medical coders and revenue specialists handling multi-specialty chart auditing, CPT/HCPCS modifiers, and rigorous compliance checks.

  • AAPC & AHIMA certified specialty coders (CPC, CCS)
  • Sub-24-hour chart turnaround time guarantee
  • Routine dual-layer compliance & quality audits
Inquire About Billing

Clinical Documentation Improvement (CDI)

Bridge the gap between physician clinical documentation and accurate reimbursement codes. Capture patient acuity accurately and elevate HCC risk adjustment scores.

  • Physician query automation and documentation coaching
  • Hierarchical Condition Category (HCC) capture optimization
  • Accurate Case Mix Index (CMI) reflection
Explore CDI Services

A/R Recovery & Aged Claims Resolution

Specialized claims liquidation teams working aggressively to audit, appeal, and recover aged accounts receivable over 60, 90, and 120+ days that other agencies abandon.

  • Zero upfront fee / contingency-based recovery options
  • Exhaustive forensic reviews for underpaid and lost claims
  • Direct payer liaison escalation for stubborn carrier disputes
Request A/R Audit

The Nova Arc AI Revenue Engine

Explore how our neural adjudication algorithms process millions of clinical data points in sub-seconds to ensure unyielding claim accuracy.

Continuous Pre-Bill Rule Synchronization

Payer guidelines change hundreds of times each quarter. Nova Arc's autonomous scrubber dynamically matches charges against local coverage determinations (LCDs) and national coverage determinations (NCDs) instantly.

  • Automated bundling/unbundling modifier detection (NCCI edits)
  • Dynamic medical necessity cross-checks against chart notes
  • Sub-0.4 second EDI 837 generation latency
AI Engine: Online [v4.8.2]
[Target Payer]: Aetna Commercial Group EDI 60054
[Procedure]: CPT 99214 + CPT 93000 (Electrocardiogram)
[Diagnosis Sync]: ICD-10-CM I10, R00.0 (Tachycardia)
[NCCI Scrubber]: Auto-Applied Modifier -25 to CPT 99214
[First-Pass Confidence]: 99.8% (Approved for Transmission)
Validation Pipeline 0.18s Elapsed

Proactive Pre-Submission Risk Scoring

Trained on over 45 million adjudicated medical claims, our predictive radar scores every claim's denial probability before it leaves your facility.

  • Automated risk triage: High, Medium, Low probability flags
  • Pinpoints missing chart documentation before rejection
  • Historical pattern analysis for regional commercial carriers
Denial Radar: Active Surveillance
[Inspected Claim]: CLM-440219 (Orthopedic Total Knee)
[Payer Profile]: UnitedHealthcare Choice Plus
[Risk Score]: High Risk (Score: 78/100)
[Radar Detection]: Prior conservative therapy notes missing
[Automated Action]: Retrieved PT charts from EHR & attached
Post-Remediation Risk Low Risk (4/100)

Autonomous Medical Necessity Appeals

When unjust payer denials occur, Nova Arc drafts complete, compliant appeal letters citing specific medical records, peer-reviewed clinical guidelines, and policy clauses.

  • Automatic extraction of CARC/RARC denial reason codes
  • Clinical literature and Milliman Care Guidelines citations
  • Over 84% overturn recovery rate on complex claims
Appeals Bot: Packet Generator
[Denial Code]: CO-50 (Non-Covered Medical Necessity)
[Appealed Amount]: $18,450.00 (Inpatient Surgical)
[Clinical Evidence]: MCG 27th Ed. Guideline Inpatient Criteria
[Packet Status]: Form 109-B Appeal Packet Generated
[Transmission]: E-Faxed directly to Medical Director Queue
Generation Speed 4.2 Seconds

Built for Modern Healthcare Organizations

Tailored revenue cycle solutions meeting the unique compliance, coding, and EHR interoperability requirements of diverse provider structures.

Health Systems & Hospitals

Enterprise-grade scalability managing high inpatient volumes, complex DRG billing, and multi-facility compliance.

Physician Groups

Independent and multi-specialty practices looking to eliminate administrative burnout and maximize provider RVUs.

Ambulatory Surgery Centers

Specialized surgical coding, implant invoice tracking, and precise facility fee reimbursement recovery.

Radiology & Labs

High-volume automated order ingestion, rapid clinical scrubbing, and zero-touch claim dispatch.

Accelerate Your Revenue Cycle with Nova Arc

Schedule a personalized 20-minute consultation and discover how much untapped revenue your organization can unlock with autonomous billing.

  • Complimentary A/R Audit: We analyze 90 days of claim history to uncover denial leakage.
  • Custom ROI Projection: See expected reduction in A/R days and staff overhead savings.
  • EHR Compatibility Review: Seamless connector plan for Epic, Cerner, or AthenaHealth.
100% Confidential & Protected
HIPAA, HITECH & SOC 2 Type II Certified Data Privacy

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