Stop revenue leakage before claims leave your door. We provide rigorous charge capture, NCCI edit scrubbing, payer-specific denial management, and daily follow-up on aged AR (30/60/90/120+ days). 800+ healthcare providers already trust us to protect their bottom line.
From pre-registration insurance verification to aged AR appeals, our dedicated specialists protect every dollar your clinical providers earn.
Every claim runs through rigorous NCCI, LCD/NCD edits and payer-specific rule engines before transmission, eliminating common demographic and coding rejections.
Certified medical coders review clinical charts to assign exact ICD-10-CM, CPT, and HCPCS Level II codes with required modifiers (-25, -59) to maximize ethical reimbursement.
Dedicated desks segmented by payer (Medicare, Medicaid, BCBS, UnitedHealthcare, Aetna) ensure specialists understand specific portal rules and timely filing limits.
We do not just rebill. We diagnose root causes across Claim Adjustment Reason Codes, build comprehensive clinical documentation packets, and overturn denials.
Special project sprints aggressively target stranded revenue in aging buckets over 60, 90, and 120 days, recovering funds before payers apply timely filing deadlines.
Automated digital statements, SMS payment links, and compassionate patient support resolve co-pays and deductibles smoothly without clinical staff involvement.
No new software to learn. Our HIPAA-certified billing specialists log into your practice management system via secure VPN.
We execute standard HIPAA Business Associate Agreements and establish encrypted VPN or SSO accounts in your EMR.
Our lead billing auditor reviews your historical denial trends, payer fee schedules, and current clearinghouse rejections.
Your dedicated RCM pod takes over daily charge entry, claim scrubbing, ERA posting, and first-pass submissions.
Bi-weekly denial reduction reviews and Day 5 monthly performance packages with real-time analytics.
Speak with a senior RCM advisor to analyze your current denial rates and aging claims.