About Us

Why We Started This Company

Revenue cycle management is a $20 billion industry that runs on unverifiable trust. A vendor reports a 96% clean-claim rate, 92% first-pass resolution, 34-day average AR — and the practice can't audit a single number. They arrive in a summary the vendor writes about its own performance, with no independent source of truth and no consequence if the numbers run generous. That gap between what's reported and what's real is exactly where lost revenue hides: denials never reworked, underpayments never caught, coding quietly downgraded. It's rarely dramatic — a percentage point here, a missed appeal there, aging AR that slips past a filing deadline. Across a year, it's the difference between a healthy practice and a struggling one.

We saw this from two sides. As technologists, we recognized that RCM data infrastructure is built to produce reports, not accountability — designed to summarize, not to prove. And in talking to independent practices, we saw the cost up close: owners and billing managers who suspected they were leaving money on the table but had no way to know for sure. We started NuGenera Health to close that gap — to replace unverifiable trust with numbers a practice can actually check.

NuGenera Health exists because "trust us" is not a performance metric. We put every number on the table, invite you to check it, and stake our fee on results you can verify — not reports you have to accept.

Our Approach

What's different about how we work

Contractual performance standards, not sales-deck benchmarks

We put our KPIs in writing and report against them monthly. If we miss for 90 days, you can exit with 30 days' notice.

Radical transparency into your revenue cycle

Your data belongs to you. Every metric on your scorecard is drawn from your own claims and open to audit — no black box.

Technology-first, built by technologists

Our founder brings 25+ years in tech and software. We automate eligibility, scrubbing, and denial-pattern detection so people focus on appeals, underpayment recovery, and payer negotiation.

Right-sized for the practices that get overlooked

Independent practices, small groups, and specialty clinics get enterprise-grade rigor without enterprise pricing — or enterprise neglect.

Team

Founding team

The leadership team building NuGenera Health from the ground up.

Rohit Agarwal, Co-Founder and Chief Executive Officer of NuGenera Health

Rohit Agarwal

Co-Founder & Chief Executive Officer

Rohit brings more than 25 years of technology and software development expertise to his role at NuGenera Health. Across his career he has built products and led engineering teams, developing the data-driven, systems-level thinking that lets him see the revenue cycle not as a billing function but as a process to be measured, optimized, and continuously improved — a structural inefficiency hiding in plain sight, quietly draining providers' time and revenue.

As Co-Founder and CEO, Rohit sets the vision and holds accountability for the company — an enabler and problem solver who leads by serving, with a bias for action and extreme ownership. He built NuGenera Health on a simple conviction: whatever is done can be done better, and technology is the lever. Where the RCM industry has long relied on scale claims and sales-deck promises, he is betting the next generation of leadership will be defined by transparency, auditable metrics, and contractual accountability — using AI and automation to cut cost and friction from healthcare administration.

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Mani Kumar Singh, Co-Founder and Chief Operations Officer at NuGenera Health

Mani Kumar Singh

Co-Founder & Chief Operations Officer

Mani is a proven leader who brings 20 years of deep revenue cycle management and technology expertise to his role at NuGenera Health. Across his career he has driven operational excellence and delivery leadership across eligibility verification, medical coding, claims submission, denial management, and AR recovery — building the disciplined, repeatable operating model that healthcare providers can actually rely on, and the metrics discipline that keeps it honest.

As Co-Founder, Mani owns both global delivery and growth at NuGenera Health — leading the teams that manage the revenue cycle for provider partners, while driving the partnerships and market expansion that bring new practices into the fold. A hands-on operator who measures what matters, he has built his career on a simple conviction: the revenue cycle industry runs on opacity, and the next generation of RCM leadership will be defined by transparency, accountability, and measurable performance — not sales-deck promises.

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Advisory board: coming soon.

Company

Company details

Founded
2025
Headquarters
Sacramento, California
Focus
RCM for independent practices, small physician groups, and specialty clinics

Our Mission

To give independent practices the same revenue cycle rigor and transparency the largest health systems command — and to guarantee it with performance standards we're willing to sign our name to.

Founding Client Program

A straight value exchange

As a new company, we're offering preferred pricing to a small group of early partners in exchange for something valuable to us: permission to publish their 90-day performance baselines. You get better economics and a partner deeply invested in your results; we get real, measurable before-and-after data we can stand behind.

There's no fabricated proof in this arrangement — just measurable improvement within 90 days, documented and, with your consent, shared. It's an honest trade, and it's how we'd rather earn credibility than by borrowing logos we have no right to.

Book a Free Revenue Audit

Tell us about your practice and we'll show you where revenue is leaking — and the targets we'd commit to in writing.

(855) 455-2873

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