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Every step of the revenue cycle, handled by specialists

Use us for the whole revenue cycle, or for the specific steps that are costing you money. Every engagement comes with a named account manager, stated turnaround times, and monthly reporting.

Book my free billing auditSee the full revenue cycle
Account managers meeting around a conference table

The revenue cycle

Four stages, one accountable team

Most lost revenue starts long before a claim is denied. That's why we organize our work around the whole cycle, from the first eligibility check to the monthly report.

Stage 1

Front end

Before the visit: coverage, authorizations, and enrollment that stop denials before they start.

Stage 2

Mid-cycle

From visit to claim: accurate codes and charges, scrubbed and submitted fast.

Stage 3

Back end

After submission: payments posted, denials appealed, A/R worked, and patients billed clearly.

Stage 4

Oversight and growth

Reporting, audits, and strategy that keep revenue improving year after year.

Stage 1

Front end

Before the visit: coverage, authorizations, and enrollment that stop denials before they start.

Front desk staff reviewing a patient's insurance paperwork

Eligibility Verification

Know coverage before the patient walks in.

Real-time verification, Benefits checking, Coverage analysis

How it works
Clinician on the phone with a payer while reviewing a request

Prior Authorization

Approvals secured on time so care isn't delayed.

Authorization submission, Follow-up, Approval tracking

How it works
Provider at her desk completing enrollment paperwork

Credentialing

Get enrolled with payers and start billing sooner.

Provider enrollment, CAQH management, Insurance contracting

How it works

Stage 2

Mid-cycle

From visit to claim: accurate codes and charges, scrubbed and submitted fast.

Billing specialist entering charges at a keyboard

Medical Billing

Clean claims, submitted fast, followed to payment.

Charge entry, Claim submission, Payment posting, Insurance follow-up, Patient billing

How it works
Coder typing at a laptop with a stethoscope on the desk

Medical Coding

Certified coders, compliant codes, accurate reimbursement.

ICD-10 / CPT / HCPCS, Coding audits, Documentation feedback

How it works
Billing specialist working through charge documents with a calculator

Charge Entry

Every encounter turned into a complete, accurate charge, fast.

Daily charge entry, Charge reconciliation, Missing-charge reports, Fee schedule checks

How it works
Insurance paperwork under review with a magnifying glass

Claims Submission and Scrubbing

Claims checked against payer rules, then sent the same day.

Claim scrubbing, Electronic submission, Rejection management, Secondary and tertiary claims

How it works

Stage 3

Back end

After submission: payments posted, denials appealed, A/R worked, and patients billed clearly.

Denial trends reviewed on a tablet

Denial Management

Recover what you've earned and stop denials at the source.

Denial analysis, AI-Assisted appeals, Recovery strategies

How it works
Specialist working claims at a computer workstation

AR Management

Turn aging receivables into collected revenue.

Aging analysis, Insurance follow-up, Collections

How it works
Negotiation meeting around a conference table

Out-of-Network Negotiation

Fair reimbursement on out-of-network claims, negotiated by experts.

OON claim negotiation, Single-Case agreements, IDR / No Surprises Act support, Underpayment appeals

How it works
Specialist reconciling payments at a computer workstation

Payment Posting

Every payment posted, reconciled, and checked for underpayment.

ERA and EOB posting, Deposit reconciliation, Underpayment flags, Patient payment posting

How it works
Patient paying a balance at a clinic front desk

Patient Billing and Statements

Clear statements and friendly support that get balances paid.

Patient statements, Billing support line, Payment plans, Online payment options

How it works

Stage 4

Oversight and growth

Reporting, audits, and strategy that keep revenue improving year after year.

Revenue cycle KPI charts on a monitor

Revenue Cycle Management

End-to-end ownership of your revenue, from front desk to final payment.

Full RCM management, Workflow optimization, Reporting, Virtual back-office support

How it works
Auditor reviewing records at her desk

Medical Billing Audit

An independent review that finds lost revenue and compliance risk.

Coding & documentation audit, Denial & AR review, Underpayment analysis, Compliance risk report

How it works
Account manager reviewing performance charts with a client team

Reporting and Analytics

Live dashboards and a monthly review of the numbers that matter.

Live KPI dashboard, Monthly review meeting, Denial trend reports, Payer and provider breakdowns

How it works

Getting started

How we take over your billing without interrupting cash flow

Most practices are fully live within four weeks. We keep working your existing AR the whole time.

  1. 1

    Free revenue audit

    We review 90 days of claims, denials, and A/R and show you where revenue is slipping.

  2. 2

    Practice analysis

    We map your workflows, payer mix, and systems, and agree on KPI targets with you.

  3. 3

    Onboarding

    System access, workflow setup, and team introductions, typically in 2 to 4 weeks.

  4. 4

    Claim clean-up

    Clean-claim rules, denial prevention, and work on your existing A/R start right away.

  5. 5

    Ongoing improvement

    Monthly KPI reviews and quarterly strategy sessions keep results moving.

Find out what your billing is really costing you

Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.

Book my free billing audit Or call (800) 555-0199

We sign a BAA before any patient data changes hands.