Method
The cycle, in the order money actually moves.
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.
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Patient & coverage
Demographics, insurance, and eligibility before the visit. Benefits and auth flags go back to the front desk the same day.
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Charge capture
Charges tied to the signed note. Missing documentation is a query, not a guess.
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Coding
Certified coding against current CPT, HCPCS, ICD-10, and NCCI. Specialty assignment, not a general bucket.
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Claim scrubbing
Payer edits, medical necessity, and enrollment checks before the claim leaves. The goal is first-pass, not first-submit.
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Electronic submission
Same-day filing once the claim is clean. Rejections are worked as production, not as a weekly batch.
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Payment posting
ERA and EOB posting with allowed, contractual, and patient-responsible split correctly. Underpayments are exceptions, not noise.
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Denial & appeal
Root-cause categories, records, and timely appeals. Recurring edits go back into eligibility, coding, or credentialing.
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A/R follow-up
Insurance follow-up by age and dollar. Secondary billing after primary posts, including failed crossovers.
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Patient billing
Statements that a person can read. A helpdesk for balances so your nurses are not collecting at checkout.
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Reporting
Daily production, weekly denials, monthly financials. You see charges, payments, adjustments, and A/R aging — not a vanity dashboard.