What We Do
Revenue Cycle, Compliance, and Enrollment for Providers and Labs
We run billing, credentialing, and compliance for physician practices, telehealth groups, and clinical laboratories. When an audit or overpayment demand arrives, we build the response and stand with you through the hearing.
CRCR | CPC | CPCO | RRT | 15+ Years in Revenue Cycle Management
Revenue Cycle Management
Full-cycle billing handled by our remote team, from charge capture to final payment posting.
Pricing
Percentage of collections. Monthly minimum applies.
Clean Claim Rate
98%+
Rigorous pre-submission scrubbing catches errors before they reach the payer.
First-Pass Resolution
Industry-leading
Most claims paid on first submission — fewer denials, faster cash flow.
A/R Follow-Up
30-day cycles
Systematic follow-up on every outstanding claim until resolved or appealed.
Specialties Served
Multi-specialty
Primary care, telehealth, behavioral health, and clinical labs.
What's Included
- Demographics, charge entry, and claim scrubbing
- Clearinghouse rejections and payer denials worked to resolution
- Payment posting, A/R follow-up, and patient statements
- Monthly collections reporting and month-end close
- CCM, RPM, BHI, and care-management billing
- Eligibility verification and prior authorization support
- Denial management with root-cause analysis and trending
- Payer contract review and fee schedule benchmarking
Credentialing & Provider Enrollment
New provider onboarding and ongoing maintenance across commercial and government payers, in any state.
Pricing
Starting at $400/month. Medicare or government enrollment starting at $750.
- Commercial payer credentialing and contracting
- Medicare and Medicaid enrollment, revalidation, and reassignment
- CAQH profile management and attestation
- Group and multi-state enrollment for telehealth practices
Compliance Program & Fractional Compliance Officer
A working compliance program built on OIG guidance, with a certified compliance officer on call.
Pricing
Monthly retainer scoped to your size and risk profile.
- Policies, procedures, and annual compliance work plan
- Coding and documentation audits with provider education
- Exclusion screening and HIPAA risk review
- Medicare billing rules, MUEs, and NCD/LCD alignment
Audit Response & Overpayment Defense
When a MAC, UPIC, RAC, or state Medicaid agency issues a demand, we review the sample, rebuild the record, and prepare your response.
Pricing
Tiered and quoted per case after we review the demand.
- Claim-by-claim review of the audited sample
- Statistical sampling and extrapolation rebuttals
- Redetermination and reconsideration packages
- Medicare enrollment revocation reconsiderations
Appeal Hearing Support
We prepare the evidence and work alongside any attorney or outside counsel you retain.
Pricing
Additional work billed at $225/hour.
Clinical Lab Billing & CLIA Support
Labs need billing and operations support that understands panels, medical necessity, and lab regulation. Our laboratory scientist partner covers the technical side while we handle billing and compliance.
Pricing
Contact us for a custom quote.
- Molecular and toxicology panel billing, MUE and MAI review
- CLIA certification, state lab licensure, and permit applications
- Proficiency testing and survey readiness
- LIS-to-billing integration for reference and physician office labs
- Lab enrollment with Medicare, Medicaid, and commercial payers
How It Works
Intro Call
We learn your specialty, payers, systems, and current pain points.
Assessment
We review your A/R, denials, enrollment status, or audit file.
Proposal
We scope the work and present a clear engagement agreement.
Onboarding
We integrate with your EHR or PM system and begin within days.
Ready to Improve Your Revenue Cycle?
Contact us to schedule a no-obligation consultation.
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