Revenue Cycle Management
We own the full lifecycle — from scheduling and eligibility through coding, submission, payment posting, and follow-up. One accountable partner for every stage, working as an extension of your front desk and back office.
- End-to-end ownership of every claim
- Fewer handoffs, fewer leaks
- One dashboard for the whole cycle
Medical Billing
Whether you run a clinic or a specialty practice, we bill it accurately and on time. Our team knows the CMS-1500 claim workflow inside and out and bills each on its own rules.
- Medical claim expertise
- Daily, on-time submissions
- Accurate charge entry every visit
Claims Submission & Scrubbing
Every claim is scrubbed against payer-specific edits before it ever leaves our system. We catch the coding, modifier, and field errors that trigger rejections, so your clean-claim rate stays high.
- Pre-submission scrubbing on 100% of claims
- Higher first-pass acceptance
- Electronic submission to all major payers
Medical Coding & Audits
Certified coders assign accurate CPT, ICD-10, and HCPCS codes backed by your documentation — no upcoding, no leaving money behind. Regular audits keep you compliant and protect against costly clawbacks.
- Certified, specialty-aware coders
- Documentation-supported code selection
- Routine compliance audits
Accounts Receivable (A/R) Management
Aging claims don't sit on a shelf. We work your A/R systematically — oldest and highest-value first — chasing unpaid and underpaid claims until they resolve, so cash flow stays steady.
- Proactive aging-bucket workouts
- Recovery of underpaid claims
- Shorter days in A/R
Denial Management & Appeals
We don't just rework denials — we root-cause them so they stop recurring. Each denial is tracked, categorized, and appealed with the documentation payers need to overturn it.
- Root-cause analysis on every denial
- Timely, evidence-backed appeals
- Fewer repeat denials over time
Credentialing & Provider Enrollment
Getting providers in-network is tedious and slow — so we handle it. From CAQH maintenance to payer enrollment and revalidations, we keep your providers credentialed and billable.
- New-provider enrollment, start to finish
- CAQH and revalidation upkeep
- Faster time to first reimbursement
Eligibility & Benefits Verification
We confirm active coverage, deductibles, copays, and patient responsibility before the visit — not after a denial. Your front desk knows exactly what to collect and the claim goes out clean.
- Real-time checks ahead of appointments
- Accurate patient-responsibility estimates
- Fewer coverage-related denials
Prior Authorizations
We secure the approvals payers require before services are rendered, then make sure the auth number follows the claim through. No missed authorizations, no avoidable write-offs.
- Auth tracking by payer and service
- Early starts to beat slow turnarounds
- Auth numbers carried to the claim
Out-of-Network Revenue Maximization
Out-of-network claims leave the most money on the table when handled carelessly. We negotiate, document, and appeal to recover the maximum allowable on every OON encounter.
- Strategic OON claim handling
- Payer negotiations and appeals
- Higher recovery per encounter
Patient Billing & Support
Clear statements, friendly support, and easy ways to pay keep patients happy and collections high. We field billing questions so your staff doesn't have to, with the same warmth you'd give yourself.
- Plain-language patient statements
- Courteous, branded patient support
- Flexible, easy payment options
Reporting & Analytics
You can't fix what you can't see. We deliver clear, regular reporting on collections, denials, A/R, and payer performance — in plain language, so you always know exactly how your revenue is moving.
- Transparent monthly performance reports
- Denial and payer-trend insights
- KPIs that drive real decisions