Method
A claim is not a form. It is a sequence. We staff and measure each step, then feed failures backward so they do not repeat.
Onboarding is 30–45 days for a live practice: access, payer mix, a credentialing audit, charge rules, and a dual-read period. You keep your EHR. We do not sell you a new front office.
Demographics, insurance, and eligibility before the visit. Benefits and auth flags go back to the front desk the same day.
Charges tied to the signed note. Missing documentation is a query, not a guess.
Certified coding against current CPT, HCPCS, ICD-10, and NCCI. Specialty assignment, not a general bucket.
Payer edits, medical necessity, and enrollment checks before the claim leaves. The goal is first-pass, not first-submit.
Same-day filing once the claim is clean. Rejections are worked as production, not as a weekly batch.
ERA and EOB posting with allowed, contractual, and patient-responsible split correctly. Underpayments are exceptions, not noise.
Root-cause categories, records, and timely appeals. Recurring edits go back into eligibility, coding, or credentialing.
Insurance follow-up by age and dollar. Secondary billing after primary posts, including failed crossovers.
Statements that a person can read. A helpdesk for balances so your nurses are not collecting at checkout.
Daily production, weekly denials, monthly financials. You see charges, payments, adjustments, and A/R aging — not a vanity dashboard.
