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.

The revenue cycle as a loop18 services arranged as a continuous cycle: Before the visit, 5 services; At the point of service and claim, 4 services; After the claim goes out, 9 services.18steps, one cycle
Before the visit5
At the point of service and claim4
After the claim goes out9
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Before the visit

Stage 01 · 5 services

Provider credentialing

CAQH maintenance and payer enrollment, tracked against every revalidation deadline.

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Patient scheduling

Slot management and reminder cadence that reduces no-shows before they cost the visit.

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Patient registration

Demographic and insurance accuracy at intake, checked before it becomes a denial.

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Eligibility and benefits verification

Coverage, deductible, and copay confirmed 48 to 72 hours before every visit.

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Prior authorization

Authorization requests tracked from submission to expiry, matched against units delivered.

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At the point of service and claim

Stage 02 · 4 services

Medical coding

ICD-10-CM, CPT, and HCPCS coding by certified coders, checked against documentation.

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Charge entry

Charges entered within 24 hours, reconciled against the superbill so nothing goes unbilled.

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Claim submission and scrubbing

Rules-based scrubbing before every claim leaves the building, submitted within 48 hours.

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Rejection management

Same-day correction of claims that never reached the payer for adjudication.

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After the claim goes out

Stage 03 · 9 services

Payment posting

ERA and EOB posting reconciled against bank deposits, with underpayments flagged.

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Denial management and appeals

CARC and RARC analysis, categorized and appealed within payer deadlines.

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AR follow-up

Aging worklists prioritized by dollar value and payer deadline, not just age.

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Old AR recovery

Contingency-based recovery of legacy AR left behind by a prior biller or in-house team.

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Patient statements and patient support

Clear statement cycles and phone support in the practice’s name, not a call center script.

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Credit balances and refunds

Overpayment identification and refunds handled before they become a compliance issue.

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Medical billing audit

A retrospective review of coding, denials, and underpayments, with a quantified recovery opportunity. First audit is free.

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Reporting and analytics

A monthly close package and KPI dashboard built to be read, not filed away.

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HIPAA compliance and internal audit

BAA coverage, access controls, and staff training, with internal audits before an external one finds a gap.

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You 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