Revenue cycle management that follows every claim until it is paid
A claim can go wrong at many points: missing authorization, an outdated insurance card, a coding mismatch or a payer that never responds. We work each stage and keep following up on unpaid balances.
What our billing team handles
You can hand us the full cycle or only the parts your staff doesn’t have time for.
- 01
Eligibility and authorizations
We verify coverage and benefits before visits and request prior authorizations, tracking the approved visits or units.
- 02
Charge entry and coding review
We enter charges from your documentation and check CPT, HCPCS, ICD-10 codes and modifiers for consistency before claims go out.
- 03
Clean claim submission
Claims are checked against payer rules, sent electronically and monitored until the payer accepts them.
- 04
Payment posting
We post insurance and patient payments from ERAs and EOBs, and flag any payment that doesn’t match your contracted rate.
- 05
Denials and appeals
Each denial is reviewed for its cause, corrected and resubmitted or appealed, and recurring causes are fixed at the source.
- 06
A/R follow-up and reporting
We work aging balances by payer and send a monthly report of collections, open A/R and denial trends.
How we take over your billing
- 1
Review your current setup
We look at your practice management system, payer mix, fee schedule and open A/R before changing anything.
- 2
Agree on a workflow
We set who sends documentation, when charges are entered and how questions reach your team.
- 3
Work new and old claims
New claims go out on the agreed schedule while we work through older unpaid balances.
- 4
Report every month
You get clear numbers on what was billed, collected, denied and still outstanding.
Find out what your billing is missing
Request a free audit of your claims, denials and unpaid balances. We will show you, in writing, where revenue is getting stuck and what it takes to fix it.
- No cost and no obligation
- Covered by a business associate agreement
- Written findings you keep