Revenue cycle services that hand off to each other, not to you
Choose full-cycle billing or the specific functions you need. Each service has a defined scope, a documented workflow and reporting you can check — and because one team runs them, problems found in one stage are fixed at their source.
Before the visit
- Credentialing, payer enrollment and contractingCAQH, NPPES, PECOS, Medicaid and commercial payer enrollment, revalidation and roster updates.Includes: CAQH ProView profile setup, maintenance and re-attestation reminders; NPI (Type 1 and Type 2) applications and NPPES updates; Medicare enrollment and revalidation through PECOS.
- EDI, EFT and ERA setupClearinghouse connections and 270/271, 837, 999/277CA, 276/277 and 835 transaction setup.Includes: Clearinghouse enrollment and payer connection setup; Eligibility inquiry and response (270/271) configuration where supported; Professional and institutional claim (837P/837I) routing.
- Eligibility, benefits and prior authorizationCoverage checks, benefit summaries and authorization tracking before the visit.Includes: Eligibility and benefits verification ahead of scheduled visits; Benefit summaries for your front desk: copay, deductible, coinsurance, visit limits; Identification of services that require prior authorization by payer.
- Practice launch and onboardingRevenue-cycle readiness, payer strategy, enrollment and go-live support for new practices.Includes: Revenue cycle readiness assessment; Payer strategy for your location and patient population; NPI, CAQH, Medicare, Medicaid and commercial enrollment.
From visit to claim
- End-to-end medical billingCharge entry through payment — claims built, scrubbed, submitted and followed until resolved.Includes: Charge capture coordination and missing-charge reconciliation against your schedule; Claim creation and pre-submission scrubbing for demographic, eligibility and coding edits; Electronic claim submission (837P/837I) through your clearinghouse.
- Medical coding and coding qualitySpecialty-appropriate ICD-10-CM, CPT and HCPCS coding with reviews and documentation queries.Includes: Professional (outpatient) coding from provider documentation; ICD-10-CM, CPT and HCPCS Level II code assignment and modifier review; Code-edit resolution, including National Correct Coding Initiative (NCCI) edits.
After the claim
- Accounts receivable managementAging analysis, claim follow-up, timely filing protection, underpayments and appeals.Includes: AR aging analysis by payer, provider and reason; Prioritized work queues based on age, value and filing deadlines; Claim status checks through payer portals, 276/277 or phone.
- Denial prevention and appealsFront-end checks, denial categorization, appeals and trend reporting to stop repeat denials.Includes: Denial categorization by reason code (CARC/RARC), payer and provider; Corrected claims and reconsiderations for correctable denials; Appeal letters with supporting documentation, reviewed by a person before sending.
- Payment posting and reconciliationERA and EOB posting, adjustments, refunds and deposit reconciliation.Includes: ERA (835) auto-post review and exception handling; Manual posting of paper EOBs and patient payments received by your office; Contractual adjustment review.
- Patient billing helpdeskPatients get clear answers about statements and balances — no clinical advice, ever.Includes: Statement and balance questions from patients; Explanation of insurance payments, adjustments and patient responsibility; Routing of payment plan requests under your policy.
Pricing, explained plainly
Percentage of collections
A share of what is collected on claims we work. Common for full-cycle billing; aligns effort with collections.
Per-claim or per-transaction
A fixed fee for each claim or task. Predictable for high-volume, lower-dollar specialties.
Flat monthly or project fee
For defined projects such as credentialing, an AR clean-up or a practice launch.
We don't publish universal rates because the right model depends on specialty, volume, payer mix and scope. Your proposal states the model, what it covers and what it doesn't.
Talk through your revenue cycle with a specialist
Tell us where payments are getting stuck. In 20 to 30 minutes we'll show you what we'd check first, and tell you plainly if we can help.
Prefer to message? WhatsApp us. Please do not send patient information.