Eligibility & front-end review
Coverage verification, demographic validation, authorization support, and upstream error identification.
Aligned from the first claim
We only get paid
We only get paid
when you get paid.
One performance fee. A complete revenue cycle team. No separate charge for doing the work required to collect.
Simple by design
Our incentives rise and fall with yours.
The exact percentage reflects your specialty, claim volume, provider count, payer mix, workflow scope, and A/R complexity. Most full-service engagements fall between 4% and 7% of the net collections we help manage.
There is no incentive to create more tasks, stretch project hours, or leave preventable denials unresolved. When collections improve, both organizations benefit. When they do not, we bear the performance risk with you.
✓ No hourly billing✓ No appeal surcharge✓ No migration mandate
Full-service means full-service
What your percentage includes
The operating work required to move claims from appointment to payment is included in the standard fee.
Coding & claim preparation
Specialty-aware coding review, charge capture support, edits, claim scrubbing, and timely submission.
Analytics & reporting
MGMA-aligned KPI dashboards, payer trends, A/R aging, collection visibility, and operational recommendations.
Denial management
Classification, correction, supported appeals, payer follow-up, and root-cause prevention—with no appeal surcharge.
Payment & A/R follow-up
Payment posting, reconciliation, underpayment review, aging follow-up, and credit-balance workflows.
Patient support helpdesk
Statement questions, balance explanations, documented calls, and policy-aligned payment-plan support.
Transparent scoping
Know the economics before you decide.
Your complimentary audit gives us enough operating context to recommend an accurate fee—not a teaser price that changes after implementation.
You receive a written scope covering responsibilities, performance measures, reporting cadence, onboarding assumptions, and the percentage applied to collections.
Your proposal will define
- Exact services and responsibility matrix
- Performance fee and calculation basis
- Implementation timeline and milestones
- Service levels and KPI reporting
- BAA and data-security requirements