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We manage your entire back-office revenue cycle, closing the gaps that cost practices thousands every month and turning your billing operation from a cost center into a revenue driver. Here’s how we can help:
We handle complete medical billing and claims submission, ensuring every service you provide gets billed correctly and submitted on time. Certified coders assign accurate CPT, CTD, ICD-10, and HCPCS codes to every encounter. Pre-submission audits catch errors before claims go out. Electronic claims get submitted to all payers within 24-48 hours of service.
We post all payments, insurance, patient, credit card, with built-in quality control that detects underpayments and posting errors. Every payment gets compared to your contracted fee schedules before posting. Underpayments get flagged and appealed immediately.
We work your accounts receivable systematically until every balance is collected or confirmed uncollectible. Outstanding claims get followed up on a fixed schedule: first contact at 30 days, escalation at 45 days, aggressive action at 60+ days. We call payers weekly demanding status updates and resolution timelines. Lost claims get caught and resubmitted within filing limits.
We monitor clearinghouse rejections in real time and resolve them within 24-48 hours. Rejected claims get identified within hours of occurrence. Rejection codes get analyzed instantly, we know what every error means and how to fix it. Missing information gets retrieved immediately.
We don’t accept denials as final, we fight them and win 95% of the time. Denied claims get worked within 48 hours of receipt. Detailed appeals with complete clinical documentation get filed within 5-7 days, never missing appeal deadlines. We escalate through all appeal levels until we recover your money or exhaust all options. Payer processing timelines get enforced using contract language.
Fill out the form to learn how our front office management services can streamline your practice operations and improve patient experience.
We submit claims within 24-48 hours of receiving encounter documentation from your providers. For practices using EHR systems with real-time integration, claims often go out the same day as the appointment. Fast submission means faster payment, every day of delay adds to your days in AR. Unlike in-house staff who might batch claims weekly or submit when they have time, we maintain consistent daily submission schedules that keep your revenue cycle moving and your cash flow predictable.
We catch them, that's the difference between quick posting and quality posting. Every payment gets compared to your contracted fee schedules before we post it. If a payer sends $350 when they should have sent $425 per your contract, we flag it immediately and our denial team appeals the underpayment. Most practices recover 2-5% additional revenue monthly from these corrections because they're posting payments without verifying amounts are correct.
We work it aggressively even though older AR is harder to collect. For balances over 120 days, we start with intensive payer contact, calling multiple times weekly, escalating to supervisors, referencing contract timelines, threatening state insurance commissioner complaints when appropriate. We've recovered claims that were 200+ days old because nobody had ever actually pushed the payer for resolution.
95% on claims we determine are appealable and worth pursuing. Not every denial should be appealed, some are legitimately denied for valid reasons. But for denials that are incorrect (wrong medical necessity determination, coding errors by the payer, missing information we can provide, processing mistakes), we win 95% through detailed appeals with complete clinical documentation and payer policy references.