Every step between the appointment and the payment
We handle the full revenue cycle, from provider credentialing through final AR resolution. Most practices only need part of it, and every service below can be engaged on its own.
Before the visit
Stage 01 · 5 servicesProvider credentialing
CAQH maintenance and payer enrollment, tracked against every revalidation deadline.
Read morePatient scheduling
Slot management and reminder cadence that reduces no-shows before they cost the visit.
Read morePatient registration
Demographic and insurance accuracy at intake, checked before it becomes a denial.
Read moreEligibility and benefits verification
Coverage, deductible, and copay confirmed 48 to 72 hours before every visit.
Read morePrior authorization
Authorization requests tracked from submission to expiry, matched against units delivered.
Read moreAt the point of service and claim
Stage 02 · 4 servicesMedical coding
ICD-10-CM, CPT, and HCPCS coding by certified coders, checked against documentation.
Read moreCharge entry
Charges entered within 24 hours, reconciled against the superbill so nothing goes unbilled.
Read moreClaim submission and scrubbing
Rules-based scrubbing before every claim leaves the building, submitted within 48 hours.
Read moreRejection management
Same-day correction of claims that never reached the payer for adjudication.
Read moreAfter the claim goes out
Stage 03 · 9 servicesPayment posting
ERA and EOB posting reconciled against bank deposits, with underpayments flagged.
Read moreDenial management and appeals
CARC and RARC analysis, categorized and appealed within payer deadlines.
Read moreAR follow-up
Aging worklists prioritized by dollar value and payer deadline, not just age.
Read moreOld AR recovery
Contingency-based recovery of legacy AR left behind by a prior biller or in-house team.
Read morePatient statements and patient support
Clear statement cycles and phone support in the practice’s name, not a call center script.
Read moreCredit balances and refunds
Overpayment identification and refunds handled before they become a compliance issue.
Read moreMedical billing audit
A retrospective review of coding, denials, and underpayments, with a quantified recovery opportunity. First audit is free.
Read moreReporting and analytics
A monthly close package and KPI dashboard built to be read, not filed away.
Read moreHIPAA compliance and internal audit
BAA coverage, access controls, and staff training, with internal audits before an external one finds a gap.
Read moreYou do not have to hand over everything
Practices commonly engage us for just AR recovery, just credentialing, or just coding, and expand from there once the results are visible in the reporting.
Common starting points
- Old AR recovery on a contingency basis, with no change to your current billing
- Credentialing and revalidation only, for practices adding providers
- Coding only, with your team keeping charge entry and submission
- Full revenue cycle, end to end