Claims filed clean, denials worked, prior auths handled, patients billed, credentialing kept current. The revenue cycle owned end to end, so care stays the focus.
Denials pile up. Prior auths sit for weeks. Credentialing lags. Contracts pay less than they promised. Money you earned quietly ages in someone else's system.
Claims come back with codes nobody has time to decode. The rework queue grows every week. Money you already earned quietly ages in the payer's system.
The patient's ready. The provider's ready. The insurance company isn't. Meanwhile the visit gets rescheduled and someone in your office is on hold.
You hired the clinician. She's seeing patients. She's not credentialed with three of your top payers yet, so those visits sit in a bucket until someone remembers to work them.
Payer contracts say one rate. Payments come in at another. Nobody's checking. It's not fraud, it's erosion, quietly, month after month.
Denials that don't get reworked. Contracts that pay less than they say. Credentialing that runs 90 days. Every day of delay is dollars that stopped being yours.
The care team keeps the practice open. The revenue cycle keeps it profitable. When the cycle drifts, the care carries the loss.
Claims out clean. Denials worked. Prior auths chased. Credentialing on track. The back office gets quiet, so the front office gets its calendar back.
Rework queue managed. Appeals filed on time. Denials root-caused so the same code stops coming back.
Requests filed pre-visit. Statuses tracked. Denials appealed the same week. The front desk stops holding for Aetna.
Per-payer collection rate. Per-provider margin. Reimbursement drift. The numbers that show what's actually working.
Six workstreams, one team, one cadence. Claims, denials, prior auths, credentialing, patient billing, and the reporting behind all of it.
Claims filed clean. Denials worked. Appeals filed on time. RTPs resolved. Days in AR watched every week, not every quarter.
Insurance verified before the visit. Prior auths submitted proactively, tracked through approval, appealed on denial. Nobody in your office holds for Aetna.
CAQH kept current. Payer enrollment tracked to close. Revalidations filed before they lapse. New providers billing on day one, not day ninety.
Statements go out on schedule. Payment plans set up. Collections handled with a tone your patients don't complain about. Balances actually clear.
CPT and ICD codes right the first time. Documentation reviewed to match. Audit exposure minimized. Your care gets paid for what you actually did.
Per-payer collection rate. Per-provider margin. Contract-vs-paid drift. Underpayment recovery worked systematically, not "when we get to it."
A senior RCM hire clears $120k+ fully loaded. Our subscription runs the same function, plus credentialing and analytics, for less than half.
One call. We scope the cycle, plug into your PM/EHR, and start the same month.
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