Comprehensive Revenue Cycle Services for Independent Practices
From claim submission through final payment, we manage every touchpoint of your revenue cycle so you can focus on patient care.
End-to-End Medical Billing — 5% of Collections
We manage your full billing cycle including coding review, claim submission, payer follow-up, ERA and payment posting, patient statement processing, and monthly reporting. Our process is designed to maximize first-pass acceptance rates and minimize the time between service delivery and payment.
What’s included: CPT/ICD coding review, electronic claim submission, ERA and EOB reconciliation, patient statement generation, monthly performance reports.
A/R Recovery — 8% Performance-Based
If your practice has claims sitting in the 60, 90, or 120+ day aging buckets, there is very likely recoverable revenue sitting untouched. We audit your aging A/R, prioritize high-value claims, correct errors or missing information, and actively follow up with payers on your behalf.
We only charge 8% of what we actually collect — so this service costs you nothing if we don’t recover revenue.
Denial & Appeals Management — Included in Billing Plan
Every denial has a root cause. We don’t just resubmit and hope — we analyze why claims are being denied, correct the underlying issues, and submit properly documented appeals. We also track denial patterns over time to reduce recurring denials at the source.
Common denial types we resolve: medical necessity, coding errors, timely filing, eligibility, authorization, and duplicate claim denials.
Insurance Underpayment Recovery — Performance-Based
Many practices are systematically underpaid without realizing it. We audit your remittances against your contracted fee schedules, identify payers paying below contract rates, and file formal disputes to recover the difference. This is revenue you’ve already earned — you just haven’t been paid correctly.
Eligibility Verification — Included in Billing Plan
Insurance eligibility issues are one of the leading causes of claim denials. We verify patient coverage, deductibles, co-pays, and benefit limits before appointments and before claims are submitted — catching problems before they create billing delays.
Provider Credentialing — Flat-Rate Available
We manage the full credentialing and re-credentialing process with commercial payers, Medicare, and Medicaid. This includes initial enrollment applications, follow-up with credentialing departments, and ongoing maintenance to ensure your providers stay active and your claims are never rejected due to credentialing lapses.
Who We Serve
We work with independent medical practices across Florida and nationwide, including:
- Primary Care & Family Medicine
- Internal Medicine
- Orthopedics
- Chiropractic (single and multi-location)
- Neurology & Behavioral Health
- Pain Management
- DME Suppliers
- Oncology & Cancer Screening