Revenue cycle management for US practices
Revenue rarely vanishes all at once. It stops at a verification nobody ran, an authorization nobody followed up, a denial nobody appealed. Then it quietly stops being revenue. We run that work end to end, inside your systems, and show you exactly where every dollar is sitting.
of the work done inside your own systems
days' notice to leave. No long lock-in.
business day to answer any question about a claim
balances written off without your sign-off
These are the situations practices are in when they call us. Each one is a problem on your side of the desk. Underneath it is what we do about it.
Someone at the front desk absorbed it years ago, alongside scheduling and patient calls. It holds together until she takes a week off.
More than one specialist knows your account and your payers, so the work never stops when someone is away.
The patient was seen, the claim went out, and it came back: plan terminated, wrong payer, or the service carved out to another administrator.
Eligibility and benefits verified before every visit, with anything unusual flagged before the patient arrives.
An authorization was submitted and never chased. Nobody knew it was still pending until the patient was already in the building.
Every authorization tracked to a decision, with peer-to-peer and appeals handled when it comes back denied.
Same payer, same reason, month after month, because each denial is treated as a one-off instead of traced to what caused it.
Denials worked daily and coded to a root cause, then fixed at the front end so they stop repeating.
You ask where a claim stands and wait days for a vague answer about your own money. Reports summarize instead of showing.
A weekly report on what's pending and stuck, and a named person who answers within one business day.
The 90-plus bucket keeps growing, because working it is slow and always less urgent than today's claims.
Balances worked by age and value, collectible separated from uncollectible, and nothing written off without your approval.
Select any stage to see where it usually goes wrong, and what we do at that point instead.
The full revenue cycle, in the order the work actually happens, or just the parts you want to hand over. Many practices start with one service and add the rest once they've seen the work.
Coverage checked before the visit, not after it. Active dates, deductibles, copays, visit limits, carve-outs and the plan rules that decide whether a claim is payable at all.
Submission, clinical documentation, payer-specific criteria, status follow-up, peer-to-peer coordination and appeals, including the procedures carriers push back on hardest.
CPT, ICD-10 and modifiers reviewed against the documentation before the claim goes out, checked against what the payer's own policy requires.
Charge entry, claim scrubbing, submission through your clearinghouse, same-day rejection fixes, payment posting and reconciliation against the remittance.
Denials worked daily rather than batched at month end, each traced to a root cause. Aged balances separated into collectible and not, then worked by value.
Payer applications, CAQH maintenance, revalidations and re-credentialing tracked to their deadlines, so a lapsed enrollment never stops your claims.
Move the sliders to match your practice. It's simple arithmetic on your own numbers. The point is to see the size of the problem, not to promise a result.
An illustration based entirely on the figures you enter. It is not a benchmark, and not a guarantee of what can be recovered.
Get a real number from your aging reportWe're a new company, so we'll be plain about it: you can't judge us on a decade of case studies yet. You can judge us on how we agree to work, in writing.
Every claim, note and payment stays in the EHR, clearinghouse and practice management system you already own. Your history never depends on us handing it back.
You know who works your account and can reach them directly. Your front desk talks to a person, not a ticket queue.
No balance is written off without your sign-off. Every adjustment carries a name and a reason.
Thirty days' notice, and your data never leaves your systems. Leaving should never cost you your records.
There is always someone willing to do this work for less. Usually it means a junior biller submitting claims and calling that the whole job, leaving the denials, the appeals and the aged balances for your staff to absorb.
A claim that is never followed up costs more than the fee you saved on it. We price for the work actually being done, by people who have done it before, and it still costs meaningfully less than building the same team in-house.
We use automation for the repetitive parts of this work: eligibility checks, claim status, sorting the denials that need attention first. It's faster, and it doesn't get tired.
What we don't do is let it decide anything. A payer's medical policy, a peer-to-peer call, an appeal that needs the right documentation in the right order: that's judgement, and judgement stays with a specialist. Every automated output is reviewed by a person before it reaches a payer.
Eligibility and claim status checked in bulk, every day
Denials sorted by value, deadline and likely cause
Every appeal, authorization and write-off decided by a person
Your existing claims keep moving throughout. There is no cutover day where billing stops.
Send us a recent aging report and your payer mix. We come back with what we see (pending authorizations, denial patterns, collectible balances) and what we'd do first. No charge, no obligation.
A signed BAA before anything else, then role-based access to your systems under named individual logins. You meet the people who will do the work, by name and direct line.
New work moves to us while existing claims finish cleanly. Nothing hinges on a single date, and nothing gets dropped in the handover.
What we found, what we fixed, what's still open, including anything we got wrong. If it isn't working, you'll hear it from us before you have to ask.
We work across specialties. Our deepest experience is in procedure-based care, where authorization and documentation decide whether the work gets paid for at all.
Highlighted: where our team's experience runs deepest.
Answered plainly. If yours isn't here, call and ask.
Send us a recent aging report and we'll tell you what we see: what's still collectible, what's pending, and where the pattern is. A working conversation about your numbers, not a pitch.
