Services
Revenue cycle management, start to finish.
From scheduling and eligibility checks before the visit to payment posting and AR follow-up after it, with credentialing included when you need it.
The revenue cycle
The full revenue cycle, covered.
Revenue cycle management isn't one thing. It's a series of steps that have to work together. Miss one, and claims pile up unpaid. We manage every part of the cycle so the whole thing keeps moving.
Appointment Scheduling
Think of scheduling as the first step in the revenue cycle, not a separate administrative task. When it's handled right, every step that follows is smoother.
What’s included
- Patient appointment booking and coordination
- Insurance and provider matching at the point of scheduling
- Demographic and insurance data capture
Insurance Verification
We verify every patient's insurance details ahead of their appointment, so when the claim is submitted, it's built on accurate, confirmed information.
What’s included
- Primary and secondary insurance confirmation before each visit
- Benefits verification and coverage limits review
- Co-pay, co-insurance, and deductible check
Eligibility Checking
Checking eligibility once at scheduling isn't enough. We run verification close to the date of service, so you're billing against coverage that's actually active when the patient walks in.
What’s included
- Real-time eligibility verification per scheduled visit
- Plan status and effective date confirmation
- Multiple payer checks for patients with dual coverage
Medical Billing
We prepare and submit clean claims on your behalf, and we track every one from the moment it leaves to the moment it's paid.
What’s included
- ICD-10 and CPT coding review and accuracy check
- Clean claim preparation and scrubbing before submission
- Medicare, Medicaid, and commercial payer billing
Claim Rejections
We review every rejection, find the root cause, correct it, and resubmit before it turns into a delay that affects your cash flow.
What’s included
- Rejection identification and root-cause review
- Claim correction and same-day or next-day resubmission
- Rejection trend reporting to identify and prevent repeat issues
Denial Management
We review every denial, categorize it by reason, and build the right appeal. Then we follow up with payers until the claim is resolved.
What’s included
- Full denial review and categorization by payer and reason code
- Appeal letter preparation and timely submission
- Payer follow-up through each stage of the appeals process
Payment Posting
We post all payments promptly and accurately, and we flag anything that doesn't match what the payer should have paid.
What’s included
- ERA (Electronic Remittance Advice) processing and auto-posting
- Patient payment posting and reconciliation
- Underpayment identification and payer follow-up
Accounts Receivable & Aging
We work your accounts receivable actively, prioritizing by age and value, and following up with payers and patients before balances fall into the danger zone.
What’s included
- AR aging report review and balance prioritization
- Payer follow-up on outstanding claims by age bucket
- Patient balance follow-up and statement management
Provider Credentialing
We manage credentialing and enrollment from start to finish, chasing payers when applications stall and keeping you updated at every stage.
What’s included
- NPI registration (Type 1 & Type 2) and CAQH profile setup
- Medicare, Medicaid and commercial payer enrollment
- Re-credentialing tracking and compliance management
Our process
From onboarding to ongoing revenue, step by step.
We start by understanding where your revenue cycle is today. From there, we take over the day-to-day and keep improving as we go.
- 01
We review your current setup
We look at how your billing is running today: where claims are getting stuck, what's sitting in aging, and where money is going uncollected. We identify the biggest issues and agree on what to tackle first.
- 02
We get your systems in order
If credentialing or payer enrollment is needed, we start there. We also take over or set up your billing systems so everything flows through one consistent, tracked process.
- 03
We take over the day-to-day
From scheduling and verification through to billing, posting, and collections, we run the full cycle. You focus on patients; we focus on making sure you get paid for seeing them.
- 04
We track, report, and keep improving
We send regular performance reports and keep refining the process. If a payer is causing more denials than usual, we address it. If AR days are creeping up, we act on it before it becomes a bigger problem.
Tools & systems we work with
Working inside the systems you already use.
We work in the same portals and software you already use for billing, credentialing and reporting.
Athena, Kareo & AdvancedMD
EHR and practice management
Availity
Eligibility, claims and payer portals
Office Ally
Claims and clearinghouse
Payer portals
BCBS, Aetna, UHC, Cigna and more
CAQH ProView
Provider profiles and attestation
Medicare PECOS
Medicare enrollment
KPI dashboards
Excel and performance tracking
Engagement models
Flexible ways to work together.
Choose the engagement that fits your practice today and change it as you grow.
Per-provider credentialing packages
Monthly RCM management retainers
Full-cycle outsourced credentialing support
Free consultation
Ready to stop leaving money on the table?
Talk to us about your practice. We'll look at where your revenue cycle stands today and give you an honest picture of what we can improve.
- Pick a date and time that suits you
- Confirmation and calendar invite by email
- Talk through your billing, denials and collections
Book a call