Revenue cycle management
Denied claims are eating your margin. Let's fix that.
We take eligibility, coding, submission, denial work, payment posting, patient statements, and AR follow-up off your desk — and show you the numbers every month so you can see exactly where the money moves.
Most practices run their billing the way they run their scheduling — reactively. Claims go out. Denials come back. Someone works them when they have time. By the time anyone looks at the trend line, AR has crept to 45 days and a quarter of this month's revenue is sitting in appeals.
What that costs is not abstract. For a mid-size practice, a denial rate creeping from 6% to 14% over two years is typically six figures in uncollected revenue — plus the staff time burning in rework, plus the patient frustration when statements are wrong, plus the slow erosion of morale when the people who wanted to work in healthcare are now fighting Aetna instead.
The fix is not a smarter dashboard. It's a team that closes the loop every week — and a CPA-led finance discipline that treats the revenue cycle as a P&L input, not a back-office queue.
Concretely, this is the work.
Eligibility verification before every visit, not after a denial.
Coding review before submission — CPT, ICD-10, HCPCS, modifier logic.
Clean-claim scrubbing and first-pass submission to 97%+ clean-claim rate.
Real-time denial tracking with root-cause coding so the same denial doesn't happen twice.
Payment posting and reconciliation inside 48 hours of payer response.
AR >90 days worked weekly — not quarterly, not "when we get to it."
Patient statements that are correct, legible, and followed through — with empathy.
Monthly performance review with your leadership: what moved, what didn't, what we're changing.
CPA-led reporting
Your monthly packet reads like a GAAP P&L, not a billing report. Every denial trend ties back to a revenue line.
Specialty-fluent coders
Whoever touches your podiatry DME claim has worked podiatry DME. Same for Mohs. Same for cath-lab.
Partner-owned, not offshored
When something breaks, you reach a human who knows your practice — not a ticket queue.
No cliff. No rip-and-replace.
Days 1–30 · Diagnose
Free audit of the last 12 months. We map your denial patterns, AR aging, payer mix, and coding gaps against the baseline for your specialty. You get a written punch list on day 10 — before any contract.
Days 31–60 · Stabilize
We take over submission, posting, and denial work in parallel with your current flow. No cliff. We hit clean-claim rate benchmarks, start working aged AR, and post the first monthly packet.
Days 61–90 · Lift
Denial trends reversed. AR days down. Clean-claim rate at or above 97%. We're working the root causes, not the symptoms — and you can see it in the P&L.
Real numbers, measured against your own baseline.
- Lift on baseline net collections
- 8–12%
- Clean-claim rate inside 90 days
- 97%+
- Denial rate inside 90 days
- <4%
- Typical AR days after stabilization
- 24 days
For independent private practices (2–20 providers) across our six specialties — and for hospital-based departments and provider groups inside skilled nursing facilities that want practice-like financial discipline applied to a larger operation. If your practice has a P&L you care about, this is for you.
Free audit
Get a free 30-day audit.
No contract. You keep whatever we find — a full written report of denial patterns, AR aging, coding gaps, and recoverable revenue.