Services
Full-service billing, or a stronger version of what you already run.
Every engagement is tailored to your practice, priced in plain language, and reported transparently. You always stay in control of your own revenue.
Service 01 · Ongoing
Revenue Cycle Management
End-to-end billing with your claim inventory actively managed — not parked in a queue. From charge capture to patient balances, we handle the full cycle while you watch it happen through clear, customized reporting.
Our claims experience spans Medicaid and commercial payers in 34 states across 20 specialties and care settings: family medicine, internal medicine, pediatrics, OB/GYN, Maternal-Fetal Medicine, surgery, cardiology, gastroenterology, pulmonology, allergy & immunology, dermatology, ophthalmology, ENT, audiology, neurology, nephrology, urgent care, rural health clinics, hospital-based physician (CMS-1500) claims, and Durable Medical Equipment.
- Eligibility & benefits verification workflows
- Claim scrubbing and submission (within 2 business days of receiving complete information)
- Denial management: root-cause analysis, corrections & appeals — not just resubmission
- Payment posting and underpayment identification
- A/R recovery, including aged and previously written-off claims
- Patient statement & balance management, handled respectfully
- Monthly plain-language performance reports (see a sample on our home page)
Who this fits
Practices that want billing fully off their plate — or whose current billing (in-house or outsourced) is producing denials, slow payments, or reports nobody can explain.
How it's priced
A percentage of monthly collections, quoted in writing after your free review. No setup fees. No long-term contract — we earn your business every month.
Payer fluency, here and beyond
Medicare is federal and most commercial payers are national — and with hands-on Medicaid and commercial claims experience across 34 states, chances are we've already worked yours. In Arizona, we add deep day-to-day AHCCCS fluency; anywhere else, onboarding starts from experience, not from scratch.
Where we draw the line
Patient statements always go out in your practice's name, and seriously delinquent accounts are returned to you or referred to a licensed collection agency of your choosing. We do billing, not debt collection — a boundary that protects your patients and your compliance.
Service 02 · Project or ongoing
Provider Enrollment & Credentialing
Enrollment is the fastest way to lose revenue you haven't even earned yet: every week a provider isn't credentialed is a week of unbillable visits. We manage the entire process so your providers can see patients — and get paid for it — as soon as possible.
- New-provider enrollment: Medicare, Medicaid (including AHCCCS in Arizona) & commercial networks
- NPPES (NPI) registration and CAQH profile setup & attestation upkeep
- Group enrollment and adding providers to existing groups
- Revalidations, renewals & expirables tracking so nothing lapses
- New-practice payer setup packages
- Status tracking with regular updates — you'll never wonder where an application stands
Who this fits
New providers, growing groups onboarding clinicians, practices opening their doors, and established offices tired of tracking renewals on sticky notes.
How it's priced
Flat per-provider, per-payer packages quoted up front, so there are no surprises.
A note on timelines
Payer processing times vary and are outside anyone's control — typical enrollments run 60–120 days depending on the payer. What we control is submitting complete, clean applications the first time and following up relentlessly. We'll always give you honest timeline expectations, never promises we can't keep.
Service 03 · Consulting
Practice Management Support
A medical office is a living system — every role and workflow has a part to play. Built from 14+ years working at every level of practice operations, this service helps solo and small-group practices run smoothly without hiring a full-time administrator.
- Standard operating procedures your team will actually follow
- Front-desk and check-in workflow tune-ups (where most denials are born)
- Billing-process reviews for practices that keep billing in-house
- Staff role design, cross-training plans & accountability structures
- New-practice setup: everything needed to open the doors
Who this fits
Solo and small-group practices that don't need (or can't justify) a full-time practice administrator, but feel the friction of running without one.
How it's priced
Scoped project pricing or a monthly advisory arrangement — quoted in writing after an initial conversation about what you need.
Partnership, not takeover
We build systems your team owns and runs. The goal is a practice that's easier to operate — not one that's dependent on us.
Service 04 · Specialty billing
Durable Medical Equipment (DME) Billing
DME billing is its own discipline — HCPCS coding, modifiers, documentation of medical necessity, rentals versus purchases, and payer rules that trip up general billers. We have hands-on experience submitting DME claims and carrying them through to processing and payment for both equipment vendors and insurance payors. Working both workflows means we know what it takes to move a DME claim from submission to paid without stalls.
- Claims for DME vendors and suppliers
- Medical-necessity documentation & CMN workflows
- Rental vs. purchase billing, modifiers & HCPCS accuracy
- Denial management tuned to DME-specific payer rules
- Medicaid & commercial DME experience across 34 states
Who this fits
DME vendors and suppliers, and practices that dispense equipment alongside patient care — ENT and audiology, pulmonology, and other dispensing specialties.
Why working both workflows matters
We've submitted DME claims and seen them through to payment on behalf of vendors and insurance payors alike. Experience with both processes means we know where claims stall, what documentation actually gets them paid, and how to build each claim to clear review the first time.
Not sure which service you need?
Start with the free billing review — it usually makes the answer obvious. If we're not the right fit, we'll tell you that too.
Get a Free Billing Review