Medical billing that closes the gap between work done and money collected
We handle eligibility, coding, claims, and AR follow-up so payment comes faster, denials drop, and your front desk spends less time on hold with payers.
Practice snapshot
Benchmark targetsThese are the benchmarks we manage every account against.
What practices lose money on
Most revenue loss is not one big mistake. It is the same four gaps, repeated quietly across hundreds of claims.
Eligibility not verified before the visit
A denied claim from a lapsed policy takes the same staff time to fix as a paid one, and it usually gets written off instead of collected.
Authorization missed on high-dollar procedures
One missed authorization on a single high-dollar procedure can outweigh a month of collected copays, with no appeal path once the service is delivered.
Denials written off instead of appealed
Appealable denials recover at a meaningful rate when they are actually pursued. Writing them off by default forfeits that recovery entirely.
AR over 90 days left to age out
Recovery odds drop sharply once a claim passes 90 days, and drop again once a timely filing limit closes the door for good.
What we handle
Most practices only need part of the cycle. These are grouped the way the work actually flows, from before the visit through to the claim being fully resolved.
Before the visit
5 services
At the point of service and claim
4 services
From first call to fully managed, in about 30 days
A condensed view of the engagement. The full breakdown, with timelines in days and exactly what your staff has to do, is on the process page.
See the full processDiscovery call and free audit
We review a sample of your claims and current process, and hand back a written findings report at no cost.
Agreement, BAA, and system access
We sign the engagement agreement and BAA, then set up secure access to your billing system and payer portals.
Parallel run and data migration
We work alongside your current process to validate accuracy before taking anything over completely.
Go-live
We take over full billing operation for the scope you engaged us for.
Weekly optimization, then monthly review
Weekly tuning for the first 90 days, then an ongoing monthly close package and review call.
Specialty knowledge changes what you collect
The same claim, coded by someone unfamiliar with a specialty's specific rules, collects less than it should. A generalist coder working outside their depth is one of the most common sources of preventable denials we find in an audit.
We work in your existing software
You keep the practice management and EHR system you already use. We work inside it.
What you get that you probably do not have now
Certified coders
ICD-10-CM, CPT, and HCPCS coding handled by certified coders with specialty-specific experience.
Dedicated account manager
One point of contact per practice who knows the account, not a rotating support queue.
Reporting you actually read
A weekly pulse and a monthly close package built for a practice manager, not for a biller.
Percentage-of-collections pricing
You pay based on what gets collected. No flat fee for claims that never pay.
No long-term lock-in
The engagement continues because it is working, not because a contract term requires it.
HIPAA-compliant by default
A signed BAA, access controls, secure transmission, and recurring staff training as standard practice.
You pay a percentage of what actually gets collected
There is no setup fee, and the percentage is not a flat industry number. It depends on your specialty, claim volume, and current payer mix.
That includes eligibility verification, coding, charge entry, claim submission, denial management, and AR follow-up for whatever scope you engage us for. Reporting and a dedicated account manager are included, not billed separately.
We will not quote a number without seeing your claims first. The free audit is where that number comes from.
What is included
- Eligibility, coding, claim submission, and AR follow-up for the scope you engage
- A dedicated account manager who knows your account
- Weekly reporting and a monthly close package
- No setup fee, and no long-term lock-in contract
Frequently asked questions
How long does onboarding take?
Most practices are fully live within 30 to 45 days of signing, including a parallel run period where we validate accuracy before taking over completely. See the full process breakdown for the day-by-day timeline.
Does our practice have to switch practice management or EHR software?
No. We work inside the system you already use. If your team wants to keep entering charges directly, we work alongside that. If you want us handling it end to end, we work inside your system rather than asking you to move to ours.
Who talks to our patients about their bills?
Our patient support team, in your practice’s name. Patients get a consistent point of contact, not a visibly outsourced collections line.
How is our data protected?
We operate under a signed Business Associate Agreement, with access controls limiting PHI visibility by role, secure transmission on all claims and reporting data, and recurring staff training. See our HIPAA compliance page for the full posture.
What happens to AR we already have sitting unpaid?
We triage it separately as old AR recovery, assessed claim by claim against timely filing limits, and worked on a contingency basis so you are not paying fixed fees to chase balances of unknown value.
Is there a contract term we are locked into?
No long-term lock-in. The relationship continues on a rolling basis because the numbers hold up, not because a term requires it.
How does reporting actually work?
A KPI dashboard tracked on an ongoing basis, a monthly close package covering collections, denials, and AR aging, and a monthly review call to walk through it together.
How do we know the work is actually being done?
Weekly and monthly reporting tied to specific claim activity, a dedicated account manager who can answer questions directly, and an AR worklist you can review at any time, not just at month end.
Send us a claims sample and we will tell you exactly where the revenue is going.
The first billing audit is free, and comes back as a written findings report with a quantified recovery figure, not a sales deck.