The full cycle, handled
- Front end: insurance eligibility and benefits verification before every new episode of care
- Authorization tracking with alerts before visit caps or expiry dates are reached
- Mid-cycle: coding and documentation review against payer rules (time-based codes, add-ons, modifiers)
- Back end: claims, posting, denial management, appeals and A/R follow-up
- Patient financial experience: clear statements, text-to-pay and payment plans
- Reporting: net collection rate, denial rate by payer, days in A/R, clean-claim rate
Built on technology, run by specialists
Automation does the repetitive checking: eligibility flags, authorization counters, claim edits and follow-up queues. Certified billers handle the judgment calls: appeals, payer escalations and coding questions. You get both, without having to buy or manage either.
Metrics we manage to
We agree on baseline metrics during onboarding and report against them monthly. Typical targets for a healthy practice are a denial rate under 10%, a net collection rate above 95% and most A/R under 60 days. Your starting point determines how quickly we get there.