Your front desk handles thirty phone calls a day. Your nurses document everything twice. You see patients back to back. The last thing you need is a billing department that leaves money sitting in aging reports.
Clean claim rate
Collected for Us physicians
Active practices nationwide
Avg. revenue increase
A cardiologist faces completely different CPT codes, payer rules, and prior authorization requirements than a chiropractor or mental health provider. Generic billers treat all practices the same. We do not.
Behavioral health carve-outs, telehealth parity billing, prior auth for outpatient therapy, CPT 90832 through 90853 expertise, and Medicaid managed care behavioral health network enrollment.
Routine versus systemic condition nail care, wound debridement, diabetic shoe billing under Medicare DMEPOS, and medical necessity documentation for high-risk foot conditions.
High-volume primary care billing, preventive care and immunization coding, FQHC billing rules, and value-based care quality measure reporting.
Medical versus routine vision claim separation, ophthalmology surgical billing, vision plan coordination of benefits, and contact lens fitting codes that payers frequently challenge.
E/M level selection under the 2021 AMA guidelines, chronic care management codes, annual wellness visits, transitional care management, and multi-payer contract administration.
Cardiac catheterization, stress testing, echocardiography, device management, global surgical packages, and high-denial payer management for complex cardiac procedures.
CMS competitive bidding compliance, Certificate of Medical Necessity documentation, HCPCS Level II coding, and Medicaid state plan DME coverage rules for all 50 states.
Incident-to billing rules, NP supervision documentation, collaborative practice agreement requirements, and state-by-state independent NP billing rules as scope of practice laws continue to expand.
Dialysis billing, ESRD monthly capitation payments, home dialysis training codes, CKD chronic care management, and Medicare ESRD coverage rules.
Diabetes management codes, continuous glucose monitor and insulin pump billing, thyroid procedure coding, and prior authorization management for specialty injectables and biosimilars.
Dialysis billing, ESRD monthly capitation payments, home dialysis training codes, CKD chronic care management, and Medicare ESRD coverage rules.
E/M level selection under the 2021 AMA guidelines, chronic care management codes, annual wellness visits, transitional care management, and multi-payer contract administration.
Diabetes management codes, continuous glucose monitor and insulin pump billing, thyroid procedure coding, and prior authorization management for specialty injectables and biosimilars.
Most practices do not know the answer with any precision. Here is what the data shows about the average healthcare provider practice in the US right now:
Denied claims never re-submitted
AMA 2023
Monthly revenue lost to credentialing delays
Average denial rate in cardiology
MGMA
Net collection rate lost to billing errors
MGMA
These are not edge cases. These are the billing problems we work through every day for practices that were handling them alone before they reached out to us.
Most billing companies handle claim submission and call it revenue cycle management. We handle the full picture, from the first eligibility check to the final follow-up on accounts sitting in collections for six months.
We verify every patient's coverage 24-48 hours before appointment, checking deductibles, copays, and in-network status.
Every denial worked within 72 hours. Our denial recovery rate is 94%.
Electronic and manual payments posted within 24 hours. We flag underpayments against your fee schedules.
Claims go out within 24 hours with scrubbing that catches coding errors. Our first-pass acceptance rate is 98.7%.
We work aging AR in 30-day buckets, prioritizing high-balance accounts. No claim sits without action past 30 days.
Clear, itemized statements with online payment options. Reduces confusion-based disputes.
One nephrology group recovered $112,000 in 90 days from AR sitting over 6 months.
We flag referral gaps and diagnosis requirements before the patient arrives.
Medicare, Medicaid, and commercial payer enrollment handled. New providers billing within 60-90 days.
Level 1 appeal success rate is 71%. We escalate through Level 2 and external review when merited.
Average 48-hour turnaround for standard authorizations. We know which escalation paths move fastest.
Trained medical VAs handle appointment reminders, verification follow-up, and intake coordination.
We can tell you we are good at medical billing. Every billing company says exactly that. What we can do instead is show you the numbers that come out of the practices we work with.
First-pass claim acceptance
Denial recovery rate
Level 1 appeal win rate
Average days to payment
Revenue increase in 6 months
The national benchmark for days in AR runs between 35 and 45 days depending on specialty. When you bill a service and do not collect for 45 days, you are giving your payer an interest-free loan for six weeks. Compressing that timeline to 19 days has a direct, measurable impact on your practice cash flow.
These outcomes come from real practices. We include names, specialties, and states because vague testimonials do not help a healthcare provider make a serious business decision.
“We were writing off roughly $28,000 a month in denials. Six months after switching, that dropped under $4,000. Our biller identified the exact modifier issue within two weeks.“
Cardiologist | Private Practice, Houston, TX
“Prior authorization was consuming my front desk staff. Now that work is handled completely off our plate. We haven’t had a therapy visit denied for lack of prior auth in over four months.“
Mental Health Practice | Chicago, IL
“We had $180,000 in AR over 120 days. I thought most was gone. They recovered $112,000 in 90 days. That money funded equipment we’d been putting off for two years.“
Nephrology | Multi-Physician Group, Atlanta, GA
“The monthly reporting alone changed how we run our practice. I finally have a real number on what we collect versus what we bill, by payer, by provider, every single month.“
Office Manager | Family Medicine, 4 Providers | Phoenix, AZ
Switching billing companies feels like a bigger disruption than it actually is. Most of our clients go live within five business days of signing their service agreement, and their first clean claim batch goes out in the first week. Here is exactly how the onboarding process works:
We review your billing data—clean claim rate, denial breakdown, days in AR, fee schedules. This audit takes 48 hours and shows where revenue is leaking.
We integrate with 40+ EHR systems including Epic, Athenahealth, Kareo, and more. No data re-entry. Your clinical team changes nothing.
From day one, your billing team handles every step. Insurance verification runs day before appointments. Claims go out within 24 hours.
Your account manager sends a performance report and schedules a 30-minute call. We explain every metric and flag anything needing attention.
With us, your billing cost becomes a percentage of collections. You pay for results. If we do not collect, we do not earn.
256-bit AES encryption, SOC 2 Type II audited annually, mandatory HIPAA training for all team members.
Month-to-month agreements. We earn your business every billing cycle, not once at the start of a three-year commitment.
Every account gets a Certified Professional Coder (AAPC) trained in your specific specialty.
Live visibility into every claim, payment, and denial at any time. No waiting for monthly reports.
These are the questions that come up most often. The answers here are complete. You should not need a sales call to understand what you are considering.
Medical billing companies typically charge between 2.5% and 8% of monthly collections, depending on specialty, practice size, and the scope of services included. High-volume primary care practices often fall at the lower end of that range. Specialty practices with higher per-claim complexity, such as cardiology or nephrology, tend to land between 4% and 7%. Flat-fee arrangements, charged per claim rather than as a percentage, are also available for practices that process a high volume of low-complexity claims. We are transparent about our fee structure from the first conversation. There are no setup fees and no additional charges for denial management or appeals work.
Timelines vary by payer. Medicare and Medicaid enrollment typically takes 60 to 90 days from application submission to an active billing number. Major commercial payers such as Blue Cross Blue Shield, Aetna, UnitedHealthcare, and Cigna generally process applications in 45 to 90 days depending on state and plan. We submit to all relevant payers at the same time and follow up on pending applications every week. Providers who need to bill before credentialing is complete can bill under a supervising physician using incident-to rules where state law and payer contracts permit.
We integrate with more than 40 EHR and practice management systems, including Epic, Athenahealth, eClinicalWorks, Kareo, DrChrono, Modernizing Medicine, Practice Fusion, NextGen, and Greenway Health. Integration is completed during onboarding at no additional cost. Your clinical team does not change any part of its documentation workflow. Charges flow from your EHR into our billing system automatically, and payment information posts back to your records.
Every denial is categorized and worked within 72 hours of receipt. We identify the root cause, correct the issue, attach any required documentation, and resubmit. Our denial recovery rate is 94%. Claims that survive the resubmission process go to formal appeal, where we write clinical necessity arguments and reference the applicable payer contract language. We escalate through Level 1, Level 2, and external review when a claim has clinical merit and the balance justifies the process.
Yes. All data is encrypted using 256-bit AES encryption in transit and at rest. We execute a signed HIPAA Business Associate Agreement before accessing any patient health information. Our infrastructure undergoes SOC 2 Type II auditing on an annual basis. Every team member completes HIPAA training before handling patient data and repeats that training every year. We have not had a reportable data breach in our operating history.
Most practices see a measurable improvement in clean claim rate and denial rate within the first 30 to 60 days. The larger revenue gain, which averages 32% across our client base, typically develops over 90 to 180 days as the full accounts receivable follow-up process works through the aging pipeline and old denied claims get recovered and paid. Practices that come to us with significant backlog in their old AR often see a pronounced spike in collections in the first 90 days from that recovery work alone.
Yes. We submit claims to Medicare, Medicaid in all 50 states, and all major commercial payers including UnitedHealthcare, Blue Cross Blue Shield, Aetna, Cigna, Humana, Molina Healthcare, Centene, and regional health plans. We also handle Medicare Advantage plans, managed care organizations, workers compensation claims in applicable states, and TRICARE.
We serve cardiology, mental health and behavioral health, nephrology, internal medicine, family medicine, nurse practitioners and other mid-level providers, durable medical equipment suppliers, podiatry, endocrinology, and optometry and ophthalmology practices. Each specialty has a dedicated billing team that trains specifically in that specialty’s coding rules, payer requirements, and common denial patterns. We do not assign a cardiologist’s billing account to someone whose background is in behavioral health billing.
A clean claim rate is the percentage of claims submitted that are accepted by the payer on the first pass, without rejection or error. The national average across physician practices sits around 83%, according to CMS data and industry benchmarks. Our clean claim rate is 98.7%. The difference matters because rejected claims cost your practice staff time to correct and resubmit, delay payment by 2 to 4 weeks on average, and occasionally miss timely filing windows entirely. A higher clean claim rate means faster payments, less staff time spent on rework, and fewer claims that fall through the cracks.
In most cases, yes. The recovery window depends on the payer’s timely filing deadline, which ranges from 90 days to 24 months depending on the insurance carrier and the type of claim. We begin with a detailed audit of your aging AR to identify which claims are still actionable, then prioritize by balance and likelihood of recovery. We have recovered accounts that practices had written off mentally as uncollectable. One nephrology group recovered $112,000 in 90 days from AR that had gone untouched for more than six months.
Every article and guide we publish is written by a Certified Professional Coder or a revenue cycle specialist with direct billing experience in the specialty they cover.
The five CPT modifier combinations that trigger the most denials in cardiology, with correction examples.
2024 mental health parity rule changes, prior auth timelines, and documentation for payer audits.
How to audit aging AR, find claims within timely filing windows, and recover dormant revenue.
Incident-to billing rules, supervision requirements by state, and the 17 states with independent NP billing.
The free practice audit takes 48 hours. You give us read-only access to your billing data, or share a recent AR aging report. We review your clean claim rate, denial breakdown, and deliver a written report showing exactly where you are losing money.
