Your billing is probably fine. Your denials are where the money is.

Most practices we take over are not failing to submit claims. They are failing to work the 12% that come back, chase the AR past 90 days, or notice that one payer has been underpaying a code for two years. That is the money. We go get it.

Request a free high-level AR analysis — we review your aging and tell you what is recoverable. No obligation, and the findings are yours either way.

The whole cycle, not the easy half.

Insurance benefits verification: Coverage, deductibles and copays confirmed before the visit, so the patient is not surprised and the claim is not set up to fail.
Authorization management: Prior authorizations requested, tracked and renewed, so approved care is not denied after the fact.
Charge capture and coding oversight: We review what is being coded against what was documented, and flag the gaps before they become denials or audits.
Claim submission and scrubbing: Clean claim rate is a number we report on, because it is the cheapest problem to fix.
Payment posting: Insurance payments and adjustments posted accurately and promptly, so underpayments and short pays show up instead of disappearing into the balance.
Denial management: Every denial is worked, categorized, and reported. Denials cluster, and the pattern is usually operational rather than clerical.
AR recovery: Including the aged AR most billing companies quietly write off because it is slow work.
Payer follow-up and underpayment review: Contracted rates checked against what was actually paid.
Patient balances: Statements, payment plans, and the collections process, handled in a way that does not cost you the patient.

What happens when we start.

Weeks 1–2 We audit your aging, your denial history, and your payer contracts. You get a written finding: what is recoverable, what is lost, and what is structurally causing the losses.
Weeks 3–6 We work the recoverable AR while taking over live claim submission. This is usually where a practice sees the first cash it had written off.
Weeks 7–8 The monthly report goes live. From here you can see collections against expected, denial rate by reason, and days in AR — the same way, every month.

The report is the product.

Most billing companies send a statement. You learn what came in. You do not learn why it was lower than last month.

Every month you get: collections against expected, days in AR, denial rate with the top five reasons, clean claim rate, payer mix, and any contract performing below its terms.

It also includes two or three metrics outside billing — no-show rate, schedule utilization, front office conversion — because when collections drop, the cause is frequently not in billing at all. We would rather show you that than let you assume the problem is us.

Percentage of collections.

We get paid when you do. Rate depends on specialty, claim volume, and complexity.

Ask us for a rate for your practice →

What is not in the contract: no long lock-in, no charge for the high-level AR analysis, no separate fee for reporting.

Notice period and the rest of the terms are in the agreement; we go through them before you sign.

Proof

Green Valley Family Clinic: A large balance was sitting in accounts receivable across several payers, and the billing process kept rebuilding the backlog faster than anyone could work it.
What we did: Audited the aging, worked the claims in order of what was actually collectable, and invoiced patient responsibility in parallel rather than leaving it to the end. Then rebuilt the billing workflow so A/R stayed low instead of climbing back.
Result: A/R has stayed low on an ongoing basis, and the practice moved from barely breaking even to consistent profit.

Read the full case study → · More results →

Revenue is where most practices start.

Most practices come to us for revenue and stay for the rest, because the monthly report starts showing problems that billing cannot fix. Scheduling gaps. Front office losing calls. Credentialing lapses nobody was tracking.

Remote front desk: Added when the report shows calls and registration errors costing money.
Marketing: Added when the schedule has room to fill.
Financials: Added when you want the full P&L by provider, not only collections.

Each is its own service, priced on its own, so you add one only when the numbers make the case. See pricing →

Start with the AR analysis.

We take a high-level look at your aging and tell you what is recoverable. It takes us about a week, it costs nothing, and you keep the findings whether or not you work with us. If you want the full picture, a detailed revenue audit is available as a paid service.