Services
Medical billing and revenue cycle services, end to end
Eight revenue-cycle stages, plus the setup, support and credentialing work that decides whether billing can succeed at all. Revenue leaks at the handoffs between stages — so we take the whole loop.
Every service, one page each
- Stages 01–08 · the whole cycle
Medical billing services
We run every step between the appointment and the deposit — in your own practice management system, with a named account lead, month to month.
Read more - Stage 01 · before the visit
Eligibility & verification
Coverage, co-pay, deductible and referral rules checked before the patient arrives — the cheapest point in the revenue cycle to catch a problem.
Read more - Stage 02 · before the visit
Prior authorization
Filed with the documentation the payer asks for, then chased to a decision. An authorization that lapses mid-course is a denial waiting to happen.
Read more - Stage 03 · before the visit
Registration & intake QA
Demographics and insurance checked at entry, where a typo takes seconds to correct — instead of a denial, a resubmission and a month of waiting.
Read more - Stage 04 · the claim
Medical coding
CPT, ICD-10 and modifiers reviewed against documentation, with bundling checks — so the claim says exactly what the note supports.
Read more - Stage 05 · the claim
Claims & scrubbing
Charges reconciled to the day's schedule, then run through payer edits. A claim that goes out clean gets paid first time.
Read more - Stage 06 · getting paid
Payment posting
Posted line by line against your fee schedule. Underpayments flagged, not written off.
Read more - Stage 07 · getting paid
Denials & appeals
Tied to a root cause, appealed inside the deadline, fed back upstream. Denials worked daily; root causes reviewed monthly.
Read more - Stage 08 · getting paid
AR follow-up
Worked daily by recovery odds and filing deadline, including legacy AR your last billing company left behind.
Read more - Practice services · setup
Clearinghouse & EDI setup
Unglamorous and frequently skipped. Without it, claims go out on paper, remittances arrive by post and payments are slower than they need to be.
Read more - Practice services · support
Patient billing support
A patient who doesn't understand a statement doesn't pay it. Clear statements and a person to call close that gap.
Read more - Practice services · coverage
Front office & scheduling
A named person on your phone and calendar. Not a shared queue.
Read more - Practice services · monthly
Reporting
Monthly, by provider, location and payer — the measures that predict cash, with the reasons behind them.
Read more
The revenue cycle, end to end
Eight stages.Revenue leaks at the handoffs between them.
Every denial gets blamed on the stage before it. We take the whole loop.
A denial in stage 07 is usually a mistake made in stage 01.
Services
The work that decides whether billing can succeed at all.
Claims fail for reasons outside the claim. We cover those too.
Credentialing
Through to a countersigned contract and a confirmed effective date.
What's included
- CAQH build and re-attestation
- PECOS / Medicare enrollment
- State Medicaid and managed care
- BCBS, Aetna, Cigna, UHC panels
- Group linkage, Tax ID, locations
- Licence, DEA, malpractice tracking
Clearinghouse & EDI setup
The plumbing a claim travels through. Unglamorous and frequently skipped.
What's included
- EDI enrollment for electronic claims
- ERA enrollment for remittance
- EFT setup for direct deposit
- Payer portal access
- Clearinghouse configuration and testing
Patient billing support
A patient who doesn't understand a statement doesn't pay it.
What's included
- Statement cycles and balance notices
- Inbound patient billing calls
- Payment plan setup and monitoring
- Cost and coverage questions
- Follow-up before a write-off
Front office & scheduling
A named person on your phone and calendar. Not a shared queue.
What's included
- Scheduling and confirmations
- Inbound calls, triaged to clinical staff
- Referral intake and coordination
- Waitlist and no-show recovery
- Records requests and patient forms
Reporting you can act on
Monthly, by provider, location and payer — the measures that predict cash.
What's included
- Clean claim rate, first-pass resolution
- Days in AR and aging past 90
- Denial rate and top reasons by payer
- Net collection against contracted rates
- Charge lag and unbilled encounters
Account management
Commitments most vendors still won't make in writing.
What's included
- A named account lead, not a pool
- Scheduled fortnightly status call
- Written status on every open application
- Direct line to the person on your claims
- Hours overlapping your business day