Independent Practices
One to five providers, where a single stalled payer or one aged AR bucket is material to the month. We run the revenue cycle and credentialing so the practice does not have to staff for it.
Where Small Practices Lose Revenue
Enrollment Gaps
Seeing patients before the effective date, then writing the claims off.Denials Left Unworked
No one owns the reason code, so the timely filing window closes.Aged AR
The oldest buckets get worked last because the newest are loudest.Eligibility Not Checked
Coverage lapses found after the visit instead of before.Under-Coding
Documentation supports more than was billed, and nobody queries it.Missing Authorizations
A service done without the authorization the payer required, then denied.
What We Run for You
Medical Billing
Charge entry, scrubbing, submission, payment posting and patient statements.Learn MoreMedical Coding
Coding from your documentation, with queries back to you when the note does not support the code.Learn MoreEligibility and Benefits Verification
Coverage, benefits and patient responsibility checked before the visit.Learn MoreDenial Management
Denials worked by reason code, corrected, appealed and tracked.Learn MoreAR Follow-Up and Recovery
Aged AR worked by bucket and payer, with recovery reported back to you.Learn MoreCredentialing and Provider Enrollment
Payer enrollment, CAQH, Medicare revalidations and re‑credentialing.Learn More
How This Works for a Practice Your Size
In a practice of one to five providers, billing gets the time that is left. The work is built around that.
Your practice management and EHR system. We work inside it, with logins you create and can switch off. There is no migration, no second system to reconcile against, and the data stays where it is.
Your patients. We bill payers and produce patient statements, but we do not call patients about balances or run collections. What a patient owes and how it is pursued remains a decision the practice makes.
Every write-off. Balances we believe cannot be recovered are proposed with the reason stated. Nothing is adjusted off without your approval.
Your practice management and EHR system. We work inside it, with logins you create and can switch off. There is no migration, no second system to reconcile against, and the data stays where it is.
Your patients. We bill payers and produce patient statements, but we do not call patients about balances or run collections. What a patient owes and how it is pursued remains a decision the practice makes.
Every write-off. Balances we believe cannot be recovered are proposed with the reason stated. Nothing is adjusted off without your approval.
The daily work of the cycle: eligibility checks before the visit, coding from the signed note, charge entry, scrubbing, submission, rejection handling, remit posting and the patient statement run. Denials worked by reason code against the payer's appeal deadline, and aged AR worked from the oldest bucket and the nearest deadline rather than the newest claim.
Credentialing and enrollment: new provider enrollment, CAQH maintenance, Medicare revalidations and re-credentialing, filed and followed to the effective date. In a small practice, a provider seeing patients before the effective date is a stack of claims that cannot be billed, so this is tracked as closely as the claims themselves.
The reporting you agree to. One named lead is accountable for your account and sends the reporting package you specified, on the cadence you set: charges, collections, AR by bucket and payer, denial reasons and proposed write-offs. If a payer starts behaving differently, you hear about it in that package, not a quarter later.
A discovery call covering your specialty, payer mix, claim volume and systems. From that we write a scope per service, stating what we do, what we need from you, and how it is reported.
Onboarding then means system access provisioned by you, signed agreements including a business associate agreement, current fee schedules for your contracted payers where you have them, and a named person on your side who can answer documentation and missing-charge queries.
Work begins on the agreed date. Scope changes are made in writing so both sides know what is being run.
Opening a New Practice?
Start enrollment before your first patient. Payer timelines vary by payer and state, and a provider who sees patients before the effective date creates claims that may never be paid. Billing starts as each payer goes live.
Billing Without Hiring for It
Tell us your specialty, payer mix and where revenue is stalling. We will come back with a written scope.