Full Revenue Cycle Management

We run the cycle end to end: eligibility and benefits verification, coding and charge capture, clean-claim submission, denial management and appeals, AR follow-up, and payment posting, with reporting layered across all of it. The point of running it as one connected workflow is that no step gets handed off and dropped, so leakage does not hide between functions. One accountable partner owns the whole outcome rather than a single stage.

Onboarding starts with access to your EHR/PM system, payer and clearinghouse setup, and a short discovery of your current workflows, fee schedules, and pain points. We usually begin with a baseline review so we understand your denial patterns and AR backlog before touching live claims. Timelines depend on your specialty, volume, and how quickly system access and payer credentials are in place, so we scope a realistic go-live date with you instead of promising a fixed number.

You keep your existing EHR and practice management system, and we work inside it as an extension of your office. We adapt to your platform and clearinghouse rather than asking you to migrate, so your clinical and front-desk workflows stay where they are. If you are mid-transition between systems, we can work across both during the changeover.

Yes, a Business Associate Agreement is part of standard onboarding before we access any PHI. We work under HIPAA safeguards with role-based access scoped to the staff assigned to your account, operating inside your systems under your access controls. Compliance is built into the workflow rather than treated as an afterthought.

Yes, DME is a core area for us. Across the cycle we account for the documentation DME claims depend on, including Standard Written Orders, proof of delivery, HCPCS coding with the correct modifiers, and medical-necessity alignment, plus rules like capped rental on applicable items. Because we manage eligibility, coding, billing, and denials together, we catch DME-specific gaps before claims go out instead of reworking them after a denial.

We do not publish rates because full-cycle pricing depends on your specialty, claim volume, payer mix, and the scope you want us to own, so a generic number would be misleading. After a short consult to understand your situation, we scope pricing to your actual workload. You get a clear quote tied to what we are managing, not a one-size-fits-all package.

You get end-to-end reporting on the metrics that reflect cycle health, such as clean claim rate, denial rate and reasons, AR aging, and collections trends. We show where revenue is moving, where it is getting stuck, and what we are doing about each, so you can see performance rather than take it on faith. The goal is transparency into the whole cycle, not just a monthly invoice.

The difference is single accountability for the entire cycle combined with deep DME expertise, run by a team that works as part of your office inside your own systems. Instead of disconnected vendors or in-house staff each owning one stage, one partner connects eligibility, coding, billing, denials, AR, and reporting so problems get fixed at the root. We focus on plain, honest reporting and durable process fixes rather than promising specific percentage results we cannot guarantee.