EHR compatibility: we work inside your existing EHR/PM system
The problem
Where Revenue Slips
Revenue rarely disappears in one place. A missed eligibility check at the front desk, a modifier that doesn't match the payer's rules, a denial that sits unworked for weeks. Each one is small, but they add up. Our services cover each stage of the cycle, so problems get caught where they start.
Service architecture
Every Stage of Your Revenue Cycle
From charge capture through final collection, every module works together — sharing data, reviewing results and fixing problems as they come up.
Module 01 · Capture
Charge Capture
Charge review that looks for missing codes, checks modifier combinations, and confirms each billable encounter is documented before submission, so less revenue slips through.
CPT and ICD-10-CM checks against encounter documentation
Missing charge identification before claims go out
Modifier checks against payer-specific rules
Documentation gap alerts before claim generation
Module 02 · Process
Claim Processing
Claim scrubbing against payer-specific rules and eligibility checks before submission. We audit claims against current payer rules and scrub them for common errors before they go out.
Payer rules, modifier logic, and documentation requirements, kept current by our team so your claims follow the latest rules.
CMS and payer rule changes tracked by our team
CMS NCCI edit and bundling checks
Medical necessity checks against Medicare national and local coverage determinations (NCDs and LCDs)
Claim status followed from submission to payment
Module 04 · Recover
Denial Management
Systematic appeal workflows with root-cause analysis. We work denied claims and fix the cause upstream, so the same denial is less likely to come back.
Denial categorization and root-cause mapping
Payer-specific appeal letters
Escalation workflow with timeline tracking
Trend analysis to prevent future denials
Module 05 · Analyze
Revenue Reporting
Reporting by payer, provider, location and CPT, so your leadership team can see how revenue is performing and where it's slipping.
Reporting by payer
Reporting by provider
Reporting by location
Reporting by CPT
Module 06 · Human Expert
Expert Coder Oversight
AAPC/CPC Certified Coders and Billers review complex claims before they go out. Technology handles routine checks; people make the judgment calls.
Complex claim review by AAPC/CPC Certified Coders and Billers
Payer trend review by the same certified team
Billing team with specialty-specific experience
Continuous training on emerging regulations and payer updates
All services
Find the Service You Need
We don't stop at "claim submitted" or "claim paid." Hand us the whole cycle, or just the part that's hurting most right now.
Every engagement follows the same structured path, with a timeline we agree on with you up front and regular reports so you can see progress.
01
Revenue Cycle Review
We look at how your billing runs today, find where revenue is leaking and show you what fixing it could mean for your practice.
02
Setup
We set up in phases inside your existing EHR/PM system, using the access you grant. There's no new software for your staff, payer-specific rules are checked before submission and you keep ownership of your data.
03
Ongoing Review
We review performance with you regularly and adjust your workflows as payer rules and your practice change.
FAQ
Questions About Our Services
Yes. Pick any single service, or combine several.
Billing plans are a percentage of net collections, and your rate depends on specialty, payer mix and volume. Enterprise pricing for hospitals and health systems is custom. There's no setup fee and no monthly minimum. No long-term contract. You can end the service with 30 days' notice. See pricing.
AAPC/CPC Certified Coders and Billers.
No. Your team keeps its current EHR/PM system. Epic, athenahealth, eClinicalWorks, NextGen, Tebra and AdvancedMD are among the systems we work in.
See Where Your Revenue Is Slipping
Book a free consultation. Tell us where claims are getting stuck, and we'll give you a written rate.
Book a Free Consultation
