Get Paid Faster, With Fewer Denials
We run the full revenue cycle for practices, clinics, and labs, from eligibility verification to denial management. Our HIPAA-compliant billers and certified coders raise clean-claim rates and accelerate reimbursements so you can focus on patient care.
Everything Your Revenue Cycle Needs
From the front desk to final payment, we cover every step of medical billing with accuracy and compliance.
Eligibility & Benefits Verification
We verify patient coverage, copays, deductibles, and prior authorizations before the visit, eliminating the leading cause of claim denials and surprise balances.
Medical Coding (ICD-10, CPT & HCPCS)
Certified coders translate every encounter into accurate ICD-10, CPT, and HCPCS codes with the correct modifiers, keeping claims clean and compliant with payer rules.
Claims Submission & Scrubbing
Charges are scrubbed for errors and submitted electronically as ANSI 837 files through our clearinghouse, so clean claims reach payers fast and rejections drop.
Payment Posting & Reconciliation
We post ERA/EOB payments line by line, reconcile against contracted rates, and flag underpayments so every dollar of allowed reimbursement is captured.
Denial Management & Appeals
Denied and rejected claims are researched, corrected, and appealed with supporting documentation, turning lost revenue into collected payments.
HIPAA-Compliant Workflows
Protected Health Information is handled under strict HIPAA safeguards across every step, with audit trails, secure access controls, and signed BAAs.
Platforms & Standards
We work inside the EHR, practice management, and clearinghouse tools your team already uses, following industry code sets and EDI standards.
How We Manage Your Billing in 7 Steps
A structured, transparent process that keeps claims clean, denials low, and reimbursements on time.
Patient Pre-Authorization
We confirm that planned services require authorization and secure prior approval from the payer, preventing avoidable denials before care is delivered.
Eligibility & Benefits Verification
Insurance coverage, plan limits, copays, and deductibles are validated at the time of service so the patient and provider know their financial responsibility upfront.
Medical Coding
Encounters are coded with accurate ICD-10 diagnosis and CPT/HCPCS procedure codes, applying the correct modifiers for full, compliant reimbursement.
Charge Entry & Claims Submission
Charges, modifiers, and dates of service are entered, scrubbed for errors, and submitted electronically to payers through our integrated clearinghouse.
Payment Posting
Insurance and patient payments are posted from ERAs and EOBs, balances are reconciled, and any contractual adjustments are recorded accurately.
Denial Management
We reconcile denials and rejections, correct root causes, and submit timely appeals so revenue that would otherwise be written off is recovered.
AR Follow-Up & Reporting
Aging accounts are worked at 30, 60, and 90 days, with transparent reporting on collections, denial trends, and KPIs that keep your revenue cycle healthy.
Simple, Performance-Aligned Pricing
We win when you collect more. Choose the model that fits your practice.
Percentage of Collections
4% - 7%
Full-service billing, billed only on what you collect
Per-Claim
$3 - $6 / claim
Coding & submission for higher-volume practices
Dedicated Team
Custom
End-to-end RCM with a dedicated account manager
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