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Full-cycle billing and payer credentialing for independent practices — clean claim submission, aggressive denial management, aged A/R recovery, and the credentialing infrastructure that keeps revenue flowing in the first place.
Coding accuracy, clean claim submission, denial management, payment posting, and aged A/R recovery — run as a continuous operational program.
Initial enrollment, re-credentialing, CAQH maintenance, and ongoing payer relationship management — so every provider in your practice is able to bill, on time.
Every practice loses revenue it shouldn't — in the gap between service delivered and cash in the door. These are the categories of return a disciplined billing and credentialing program is designed to produce.
Close the gap between what the practice is owed and what it actually collects — measured as collections against billed, not as a vague monthly number.
Cash arrives faster. Aged receivables shrink. Working capital stops being the thing that keeps you up at night before payroll runs.
Every denial gets worked — appealed when winnable, documented when not. Denials stop being the line item quietly written off at month-end.
New providers are enrolled and billable on schedule. Re-credentialing deadlines don't sneak up. CAQH stays current.
Codes are accurate and defensible — capturing the work you actually did without exposing the practice to the audit risk that over-coding creates.
Monthly visibility into collection rate, A/R aging, denial rate, and payer mix — so financial decisions are made with data rather than instinct.
Two connected disciplines, each with its own scope of work. We operate them together because credentialing gaps cause billing gaps — but we'll scope the engagement to one side if that's where your practice needs leverage first.
Every encounter is reviewed for coding accuracy and submitted clean on the first pass — because the cheapest denial is the one that never happens. Claims scrubbing, charge capture, and specialty-specific coding handled end-to-end.
Every denial gets worked, not just tracked. We appeal what's winnable, document what isn't, and feed the patterns back into coding and front-office workflow so denials stop recurring in the same categories month after month.
Payments posted accurately and reconciled against expected reimbursement — so underpayments are caught rather than accepted, and write-offs are deliberate rather than accidental.
The claims sitting at 90+ and 120+ days aren't gone — they're often recoverable with the right follow-up. We work aged A/R aggressively to pull cash back into the practice that would otherwise be written off.
Enroll new providers with every payer your practice bills — commercial, Medicare, Medicaid, and specialty plans. Applications prepared, submitted, and followed through until the effective date is in hand.
Re-credentialing deadlines tracked and managed before they become billing interruptions. CAQH profiles maintained, license renewals monitored, and payer rosters kept continuously current.
Review existing payer contracts, benchmark your fee schedules against reasonable reimbursement, and support negotiations where rates are measurably below market — so you're not the lowest-paid practice on every panel by default.
Billing engagements begin with the honest question no billing company wants to answer: how much revenue is the practice actually leaving on the table? We run a three-phase engagement designed to measure that, recover it, and prevent it recurring.
We audit your current billing performance, aged A/R, denial patterns, and credentialing status — producing a candid baseline of where revenue is leaking and what's recoverable.
The highest-impact problems first — aged A/R cleanup, denial remediation, coding gaps, and any credentialing issues blocking revenue. Cash starts arriving that was previously stuck.
Once baseline is restored, we shift into continuous management — daily billing operations, proactive credentialing, and monthly KPI reporting so you always know where the practice stands financially.
Most billing companies are volume businesses — measured on claims submitted, not revenue recovered. We operate differently, and the incentives show up in the numbers.
Credentialing gaps cause billing gaps. We run both functions under a single team, so enrollment problems don't quietly become write-offs three months later.
The meaningful metrics are collection ratio, days in A/R, and denial rate — not how many claims got submitted this week. That's how we report, and that's how we're judged.
Hospital systems have in-house RCM teams. Our playbook is built for the economics and payer mix of an independent practice — which is a different engagement entirely.
Billing isn't a project. Denials don't stop arriving. Credentialing doesn't resolve itself. Our engagements are built for ongoing operation — same team, month over month.
From new practices establishing payer relationships for the first time to established groups cleaning up years of accumulated A/R — we work across specialties and stages.
The questions practice owners most often ask before engaging us on billing and credentialing.
Schedule a consultation to learn how disciplined billing and credentialing can tighten your collection ratio, shorten your A/R, and keep every provider in your practice billable.