End-to-end revenue cycle management solutions tailored specifically to your clinical specialty and practice scale
Our certified medical coders ensure every medical encounter is accurately translated into standardized ICD-10-CM, CPT, and HCPCS Level II codes. We eliminate under-coding and reduce audit risk while maximizing rightful reimbursement.
A holistic, closed-loop financial solution for modern practices. We manage every touchpoint from demographic intake and pre-authorization to electronic submission, denial appeals, and secondary insurance coordination.
Accelerate cash flow with 99.5% first-pass clean claim rates. We partner with premier healthcare clearinghouses to submit electronic claims rapidly while conducting automated edits for NCD/LCD coverage policies.
Turn denied claims into cash. Our denial specialists conduct root-cause analysis on every rejection (CO, PR, OA codes), compile comprehensive clinical appeal packets, and aggressively pursue overturning wrongful payer decisions.
Avoid revenue interruptions and patient out-of-network complaints. We manage your primary source verifications, CAQH updates, state licensing renewals, and payer contract negotiations from start to finish.
Eliminate front-desk surprises and eligibility-related denials. We verify coverage, copays, deductibles, coinsurance, and pre-authorization requirements 48 to 72 hours before every scheduled appointment.
We don’t let your hard-earned money sit in 90+ day aging buckets. Our dedicated AR recovery team systematically audits unpaid balances, contacts payer reps, and ensures every eligible dollar is collected.
Maintain crystal-clear financial books. We post electronic remittance advices (ERA/835), manual EOBs, patient credit cards, and copays within 24 hours of deposit, ensuring zero unallocated cash.
Transform your medical practice into a high-performing enterprise. Our senior healthcare consultants audit your workflows, benchmark your fee schedules against regional medians, and implement KPI scorecards.
Choose the level of revenue cycle support that aligns with your practice goals and internal staffing.
| Feature / Service | Basic Billing | Complete RCM (Recommended) | Enterprise Care |
|---|---|---|---|
| Target Practice Type | Solo practitioners | Independent practices (1-5 providers) | Multi-specialty clinics & groups |
| Fee Structure | 4.5% of net collections | 5.5% of net collections | Custom tiered percentage |
| ICD-10 & CPT Medical Coding | Certified CPCs | Dual-tier audits | |
| Electronic Claims Submission (EDI) | |||
| Payment Posting & Reconciliation | 24h turnaround | Real-time ledger sync | |
| Proactive Denial Appeals Management | Basic re-submissions only | Full clinical appeals | Full clinical appeals + peer review |
| Insurance Eligibility Verification | 48h pre-visit check | Real-time API verification | |
| Provider Credentialing & CAQH | Add-on fee | Add-on fee | Included turnkey |
| Dedicated Account Manager | Shared team | Dedicated specialist | Dedicated team squad |
Every clinical discipline has unique documentation nuances, modifier requirements, and payer carve-outs. We tailor our workflows to your field.
Preventive care, annual wellness, chronic care management (CCM).
Complex multi-condition diagnostics and medication reconciliation.
Vaccine coding, developmental screenings, and EPSDT billing.
EKG, echo, nuclear stress tests, and catheterization coding.
Surgical bundles, fracture care, and DME billing.
Psychotherapy, psychiatric evaluations, and telehealth billing.
Timed modality CPT codes and functional limitation reporting.
High-volume point-of-care encounters and rapid insurer turnaround.
Consolidated reporting across departments and varied fee schedules.