What we run
Most practices lose money in the gaps between front desk, clinical, and billing. We close those gaps with one team and one playbook - not three vendors emailing each other.
01 · Practice ops
Credentialing, payer enrollment, coding audits, and the KPI dashboards that tell you whether any of it is working.
See practice ops →02 · Front office
Carter, J. · 9:40 AM
EligibleBCBS PPO
$35
$820 / $1,500
No (CPT 99213)
Verified 0.8s ago · 270/271 real-time
Real-time eligibility, prior auth submission and tracking, and patient billing that doesn't sound like a collections letter.
See front office →03 · Core RCM
AR aging
$298,402 outstandingEnd-to-end billing - clean submission, follow-up, denial overturns, aged AR work, and same-day ERA/EOB posting.
See core RCM →01 · Practice ops
Get enrolled with payers without losing six months, code defensibly, and watch the dashboards that actually predict your collections.
CAQH attestations, payer enrollment, recredentialing, and group/location adds tracked in one place - with revalidation alerts before they bite.
Certified coders review encounters daily - adding modifiers, catching down-coded levels, and flagging anything the payer will use to deny you.
Audit · last 30 days
n = 1,284Established visit · Level 3
12 down-codedEstablished visit · Level 4
DocumentedTherapeutic exercise
Modifier 59 addedAWV — Medicare
Frequency cleanA single weekly view of clean claim rate, days in AR, denial rate by reason code, and payer-mix economics - built for the practice owner, not the consultant.
Clean claim rate
↑ 4.8% vs Q198.6%
02 · Front office
Patients walk in already verified, prior auths are submitted before the appointment, and statements feel like a customer experience - not a debt collection notice.
270/271 checks run automatically the day before, the day of, and at check-in. Plan, deductible, copay, and prior-auth flags surface in your PM before the patient sits down.
Today · 14 visits
9:00 · Ramirez, A.
Eligible9:20 · Park, S.
Eligible9:40 · Carter, J.
Auth req10:00 · Singh, R.
Eligible10:20 · Bell, O.
Term10:40 · Wu, K.
EligibleWe submit the auth, chase the payer, escalate clinical reviews, and keep the order status live in your PM - so schedulers don't have to guess whether to book the visit.
PA #PA-48211 · MRI L-spine
Submitted
Mon 8:42 AMPayer received
Mon 8:44 AMClinical review
In progressDecision
PendingText-first statements, transparent payment plans, and a US-based support line that patients actually call - so your front desk doesn't catch every billing question.
Statement · Apr
#STM-9831$184.20
Your balance after insurance
Questions? Text 555-PHORZEN · M–F 8a–7p CT
03 · Core RCM
End-to-end revenue cycle - clean submission, payer follow-up, denial overturns, aged AR work, and same-day ERA/EOB reconciliation. We don't hand work back to your team.
Charges enter your PM and we take it from there: scrub, submit, watch every state change, and reconcile the dollar back to the encounter.
Every claim has an owner and an SLA. If a payer goes quiet for 14 days, it surfaces. If it's denied wrong, we appeal - including peer-to-peer when warranted.
Top denial reasons · 30d
Missing info
No auth
Timely filing
Not medically necessary
Above allowed
A dedicated denials team works your 60+, 90+, and 120+ AR - root-causing denials by payer and writing them back into your front-office workflow so they stop recurring.
Top denial reasons · 30d
Missing info
No auth
Timely filing
Not medically necessary
Above allowed
835s post automatically, paper EOBs are keyed and reconciled, and contractual adjustments are validated against your fee schedule - not just trusted.
ERA 835 · Aetna · 5/14
Six short questions. We use them to route your request to the right specialist and return a focused recommendation summary.
We don't ask for PHI. Practice-level data only.
Press Enter to continue. No long intake form.
We route your request to the billing pod that can move fastest.
No. You can engage us for credentialing only, AR cleanup only, or full RCM. Most clients start with one and expand.
Solo providers up to multi-location groups of around 30 providers.
Discovery call within 48 hours of inquiry. Live billing within 21 days for full RCM. Faster for project work.
Yes. Our 21-day takeover playbook runs parallel processing so no claims fall through the cracks.
You keep all your data, payer logins, CAQH, and patient files. We hand off cleanly.