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Our Services
Full-Cycle RCM Services
From patient registration to final payment, we manage every step of your revenue cycle so you can focus on patient care.
Front-End
Patient Intake & Eligibility
Mid-Cycle
Medical Coding & Charge Capture
Back-End
Claims, Appeals & Remittance
Specialized
Analytics & Provider Enrollment
Phase 01
Front-End Services
Insurance & Eligibility Verification
Real-time insurance eligibility checks before services are rendered. We verify active coverage, plan type, deductibles, copays, coinsurance, and authorization requirements to prevent claim denials before they happen.
Benefits Verification
Detailed plan coverage breakdowns communicated to patients and providers upfront. We verify coverage directly with insurers and clarify patient financial responsibility to improve transparency and reduce A/R delays.
Prior Authorization
Full prior authorization workflow management — collecting clinical documentation, submitting PA requests, following up with payers, and providing real-time status updates. We reduce appointment delays and prevent auth-related denials.
Patient Access & Registration
Accurate patient registration, demographic entry, and financial counseling. We ensure clean data from the start — correct insurance information, proper subscriber details, and complete documentation to support downstream billing.
Scheduling Support
Patient appointment scheduling and optimization. We manage scheduling workflows to reduce no-shows, improve provider utilization, and ensure a smooth patient experience from first contact.
Phase 02
Mid-Cycle
Charge Entry & Audit
Every service is documented, coded, and prepared for billing with precision. We audit charges for accuracy, ensure proper code pairing, and catch errors before claims are submitted — maximizing your clean claim rate.
Medical Billing & Coding
Expert CPT, ICD-10, and HCPCS coding across specialties. We provide professional fee coding, facility coding, risk adjustment coding, and coding audit services. Accurate codes mean accurate reimbursement.
Claims Processing & Submission
End-to-end claim creation, validation, editing, and electronic submission through clearinghouses. We handle CMS-1500 and UB-04 forms, manage payer-specific requirements, and ensure timely filing across all carriers.
Phase 03
Back-End
Accounts Receivable Follow-Up
Systematic follow-up on all aging claims — 30, 60, 90, and 120+ days. We handle rebilling, secondary claim submissions, payer calls, and status tracking to reduce your days in A/R and accelerate cash flow.
Denial Management & Appeals
Root cause analysis of every denied claim. We prepare and submit appeals, correct documentation, resubmit claims, and implement denial prevention strategies. We track denial trends to eliminate recurring issues at the source.
Payment Posting & Reconciliation
Accurate, timely posting of insurance and patient payments. We reconcile EOBs and ERAs, resolve discrepancies, identify underpayments, and ensure every dollar is accounted for correctly in your system.
Credit Balance Management
Timely identification, reporting, and resolution of credit balances to maintain CMS compliance, financial accuracy, and patient trust. We ensure overpayments are properly refunded and accounts stay clean.
Patient Billing & Collections
Professional patient statement generation, balance follow-ups, and payment plan management. We handle patient inquiries with courtesy and compliance, improving collection rates while maintaining patient satisfaction.
Phase 04
Specialized Services
Credentialing & Provider Enrollment
Full provider enrollment and credentialing with insurance networks — CAQH profile management, Medicare and Medicaid enrollment, NPI registration, license verification, and re-credentialing tracking. We handle the paperwork so you can start billing faster.
DME Billing
Specialized billing for Durable Medical Equipment — wheelchairs, CPAP machines, prosthetics, orthotics, and supplies. We navigate the unique requirements of DME billing including CMNs, prior authorizations, and HCPCS Level II coding.
Reporting & Analytics
Detailed financial reports covering collections, aging analysis, denial rates, payer performance, and KPI tracking. Data-driven insights that help you make informed decisions about your practice's revenue and operational efficiency.
Find the Right Solution
Mid-Cycle
Charge Entry & Audit
Every service is documented, coded, and prepared for billing with precision. We audit charges for accuracy, ensure proper code pairing, and catch errors before claims are submitted — maximizing your clean claim rate.
Medical Coding
Expert CPT, ICD-10, and HCPCS coding across specialties. We provide professional fee coding, facility coding, risk adjustment coding, and coding audit services. Accurate codes mean accurate reimbursement.
Claims Processing & Submission
End-to-end claim creation, validation, editing, and electronic submission through clearinghouses. We handle CMS-1500 and UB-04 forms, manage payer-specific requirements, and ensure timely filing across all carriers.
Accounts Receivable Follow-Up
Systematic follow-up on all aging claims — 30, 60, 90, and 120+ days. We handle rebilling, secondary claim submissions, payer calls, and status tracking to reduce your days in A/R and accelerate cash flow.
Denial Management & Appeals
Root cause analysis of every denied claim. We prepare and submit appeals, correct documentation, resubmit claims, and implement denial prevention strategies. We track denial trends to eliminate recurring issues at the source.
Payment Posting & Reconciliation
Accurate, timely posting of insurance and patient payments. We reconcile EOBs and ERAs, resolve discrepancies, identify underpayments, and ensure every dollar is accounted for correctly in your system.
Credit Balance Management
Timely identification, reporting, and resolution of credit balances to maintain CMS compliance, financial accuracy, and patient trust. We ensure overpayments are properly refunded and accounts stay clean.
Patient Billing & Collections
Professional patient statement generation, balance follow-ups, and payment plan management. We handle patient inquiries with courtesy and compliance, improving collection rates while maintaining patient satisfaction.
Specialized Services
Credentialing & Provider Enrollment
Full provider enrollment and credentialing with insurance networks — CAQH profile management, Medicare and Medicaid enrollment, NPI registration, license verification, and re-credentialing tracking. We handle the paperwork so you can start billing faster.
DME Billing
Specialized billing for Durable Medical Equipment — wheelchairs, CPAP machines, prosthetics, orthotics, and supplies. We navigate the unique requirements of DME billing including CMNs, prior authorizations, and HCPCS Level II coding.
Reporting & Analytics
Detailed financial reports covering collections, aging analysis, denial rates, payer performance, and KPI tracking. Data-driven insights that help you make informed decisions about your practice's revenue and operational efficiency.
Front-End Services
Mid-Cycle Services
Back-End Services
Specialized Services
About us
How we started & the journey that shaped our firm
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Our Impact, By the Numbers
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Specialties Served
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Claim Turnaround
Our team
The people behind your financial success
Our certified professionals bring decades of hands-on experience in bookkeeping, tax strategy, and payroll management
James Mitchell
Managing Director & CPA
Emma Parker
Senior Tax Advisor