Who We Serve
Independent practices, multi-site groups and billing companies that need capacity. The work changes with the shape of the practice, and so does where it makes sense to start.
What Changes by Practice Type
The work is the same for every client. What changes is which part of it matters most.
In a practice of one to five providers there is usually one person doing the administrative work, and often that person is also the front desk. Billing happens in the gaps between patients, follow-up happens when there is time, and there is rarely time. The consequence is not a dramatic failure but a slow one: claims that go out late, denials that are not worked, an aging report that grows quietly.
At this size, one payer paying slowly or one unworked AR bucket is material against the whole practice's income, so the arithmetic of outsourcing is usually straightforward. What changes is scope. A small practice rarely needs the full cycle from the first day. More often it needs one thing done properly, denials worked or AR recovered or a new provider enrolled, and the rest follows once that is stable.
Reporting is short and direct: what was billed, what was collected, what is outstanding and why, and what the practice needs to decide. The person reading it is the owner, and the report is written for them.
In a practice of one to five providers there is usually one person doing the administrative work, and often that person is also the front desk. Billing happens in the gaps between patients, follow-up happens when there is time, and there is rarely time. The consequence is not a dramatic failure but a slow one: claims that go out late, denials that are not worked, an aging report that grows quietly.
At this size, one payer paying slowly or one unworked AR bucket is material against the whole practice's income, so the arithmetic of outsourcing is usually straightforward. What changes is scope. A small practice rarely needs the full cycle from the first day. More often it needs one thing done properly, denials worked or AR recovered or a new provider enrolled, and the rest follows once that is stable.
Reporting is short and direct: what was billed, what was collected, what is outstanding and why, and what the practice needs to decide. The person reading it is the owner, and the report is written for them.
A group running several locations, several providers and several payer contracts has a different problem. The work is already being done, often by a billing team, and the question is whether it is being done consistently across every site and every provider. One location that registers patients differently, one provider whose documentation runs behind, one payer contract that was never loaded into the fee schedule, and the group's numbers are carrying an error nobody can see from the total.
Scope at this size names the locations and the providers covered, because a claim queried six months later has to be traceable to a place and a person. Group and facility enrollment matters as much as individual enrollment, since a provider correctly credentialed under the wrong group produces denials just as surely as one who is not credentialed at all.
Reporting is consolidated and then broken down: one view of the group, then the same view by site, by provider and by payer, so a manager can see where the group's result is coming from and where it is being lost. Reconciliation across sites, the same process producing the same numbers everywhere, is often the most useful outcome of the first months.
A billing company is not a practice. It is a firm that already does this work for its own clients and needs more capacity, a specialty it does not carry in-house, or coverage for a period. The relationship is a subcontract: we work as a named subcontractor to the firm, on the clients and the services the scope names, and the firm's clients remain the firm's.
Scope is drawn around the firm's arrangements rather than ours. Which clients are covered, which services for each, whose systems and whose logins, whose reporting templates and whose cadence. Credentialing is the most common request, because it is specialized, episodic and hard to staff for inside a billing team, followed by overflow on AR and denials when a firm takes on a new client with a backlog.
Reporting goes to the firm, in the firm's format where it has one, and the firm reports to its client. We do not contact the firm's clients except where the firm asks us to and is present.
What Stays the Same
A Named Lead
One person accountable for your account, whatever its size.Access You Control
Provisioned by you, scoped to the work, revoked at the end of the engagement.A Written Scope
Every service has a written scope agreed before it starts.Agreed Reporting
You set the cadence and what it contains.
Where to Start
If Cash Flow Has Slowed
Start with AR Follow-Up and Recovery, then Denial Management once the ledger is triaged.Learn MoreIf Denials Are Rising
Start with Eligibility and Benefits Verification and Medical Coding; most denials are produced before the claim is built.Learn MoreIf You Are Adding a Provider
Start with Credentialing and Provider Enrollment, before the provider's start date.Learn More
Frequently Asked Questions
What practices and billing firms ask before they start.
Find Your Starting Point
Tell us how your practice or firm is set up. We will come back with a written scope.