





Twenty years of working with physican practices has taught us what makes each one unique and the concerns they all share. We’ve built our service to address both.

At the start of every relationship we take the time to understand how you work. From there, we design a process tailored to you. – Technology: We use our propriety billing platform, but can sync with your EHR of Choice. – Work-Flow: We adjust your service package to meet your practice’s unique needs; deploying technology and manpower to the areas important to you. – Areas of Focus: Have a specific service line you’d like an increased focus on? We can adjust our follow-up and reporting accordingly. – Reporting: We know the data important to every practice but understand each practice has unique needs. We custom-build your reporting package to deliver actionable insights to keep your practice growing.
Sytematic, Intense Follow-Up. Claim Follow-Up is the heart of medical billing. Great Follow-Up ensures you maximize your revenue, shows you where your practice can improve, and helps you address problems quickly. Without it, you’re flying blind. We systematically folow-up on every claim on multiple levels: – Pre-Submission: Our customizable rules engine scrubs claims before they are submitted, flagging all claims that might cause a denial or a decreased payment. – Clearinghouse Services: Our clearingouse partner is fully integrated into our platform. Optum EDI’s payer-specific rules engine rejects claims before they get to the insurance. We work these claims daily to make sure every claim is submitted cleanly and paid as quickly as possible. – Follow-Up Algorithm: Your dedicated follow-up team receives an updated work qeue daily. Our algorithm prioritizes claim based on several key factors, such as the number of days since it was last worked and the payer’s filing limits, ensuring no claim is ever missed, and our follow-up is always on time. – Metrics and Benchmarking: We religiously track KPIs such as our collection rate, days in AR, and pay per claim to make sure we are performing our best.
Verify patient insurance coverage quickly to prevent claim denials, improve billing accuracy, and ensure smooth scheduling and reimbursements.
Manage insurance approvals efficiently to reduce treatment delays, avoid claim rejections, and ensure faster patient care and reimbursements.
Handle patient inquiries, appointment reminders, and billing updates promptly to improve satisfaction, reduce no-shows, and strengthen trust.
Organize and maintain electronic health records accurately to support compliance, streamline workflows, and ensure reliable clinical and billing operations.
Match incoming payments with patient accounts accurately to prevent discrepancies, improve cash flow visibility, and maintain financial integrity