A fully outsourced revenue cycle — from charge capture through final payment. Coding, claims, denials, credentialing, payer negotiations, and AR recovery. All managed. All tracked.
We manage every step of the revenue cycle — no gaps, no handoff failures, full visibility at every stage.
Not a billing service. A complete revenue cycle infrastructure — every function that touches your collections, from eligibility verification to final payment.
Eligibility verified at scheduling. Benefits confirmed before the visit. Prior auths tracked. Coding validated against payer-specific rules before submission. Most denials are preventable — we prevent them. When they do happen, appeals go out within 48 hours with targeted documentation.
We analyze fee schedules against Medicare allowable and market benchmarks, flag underperforming contracts, and negotiate rate increases using aggregated volume data across the platform. Annual reviews ensure rates stay competitive as reimbursement trends shift.
Credentialing starts before a provider's first day. We manage the full lifecycle — initial applications, CAQH maintenance, Medicare and Medicaid enrollment, commercial carrier credentialing, and re-credentialing on schedule. No provider goes live without active credentials. No revenue lost to enrollment delays.
When a practice joins the platform, we audit every open balance — categorized by age, payer, denial status, and recovery probability. High-recovery claims get immediate rework. Patient balances get structured follow-up through multiple channels with payment plan options. The goal is a clean baseline and an AR that stays clean.
