Frequently Asked Questions
We offer comprehensive end-to-end revenue cycle management for medical practices, including:
Insurance verification and prior authorizations
Accurate coding and timely claim submission
Denial management and appeals
Payment posting and A/R follow-up
Patient billing and customer service support
Our team is experienced in both outpatient and in-office procedures across a range of specialties. We tailor our workflows to meet the unique billing requirements of each specialty we serve.
Yes. We work with a wide range of insurance payers, including Medicare, Medicaid, and all major commercial insurance companies. Our team is well-versed in the nuances of both in-network and out-of-network billing.
For out-of-network providers, we help ensure proper claim submission, support balance billing where applicable, and work to maximize reimbursement based on usual and customary rates. We also educate your staff on financial policies and help communicate clearly with patients about their out-of-network benefits and responsibilities.
We support a wide range of medical practices, including solo practitioners, multi-provider group practices, ambulatory surgery centers (ASCs), hospital-affiliated providers, and multi-location clinics. Whether your practice is focused on a specific specialty — such as ophthalmology, geriatrics, dermatology, cardiology, pulmonology, or rheumatology — or offers comprehensive care, we tailor our billing services to fit your workflow, practice size, and clinical focus.
Yes. We assist with prior authorizations for office-based procedures, diagnostic tests, imaging, and surgeries. Our team can manage the process end-to-end — including gathering documentation, submitting requests, and following up with payers — or work alongside your in-house staff to support existing workflows. We tailor our approach based on your specialty and the specific services you provide.
Yes. If you’re dealing with high denial rates, underpayment issues, aging A/R, or other revenue leaks, we’ll perform a full audit and identify the root causes. From there, we’ll implement fixes, recover outstanding revenue where possible, and set up systems to avoid repeat issues. We’ve helped many practices bounce back stronger after billing breakdowns.
Our onboarding process is straightforward and customized to your practice. It typically includes:
A review of your current billing workflow (remote or in-person)
Secure access setup for your PM/EHR systems and payer portals
Assessment of your existing A/R and any outstanding claims
Coordination with your current billing team or vendor (if applicable)
Immediate start on claim submissions to prevent any disruption in cash flow
We aim to make the transition smooth, fast, and stress-free — so you can stay focused on patient care while we handle the billing.
We adapt to your preferred communication style and workflow. Whether it’s through:
Weekly performance reports
Notes and updates entered directly in your PM or EHR system
Scheduled check-ins via phone or video
Real-time collaboration on platforms like Teams, Zoom, or Slack
Our goal is to keep communication clear, consistent, and convenient — so your team always knows the status of your billing and revenue cycle.
Absolutely. We handle patient billing inquiries on your behalf and document all communications in your system for full transparency. Our team approaches every interaction with professionalism and respect, helping patients understand their statements, insurance coverage, and balances — while protecting your reputation and minimizing administrative burden on your staff.
Yes. You always maintain full control and ownership of your billing data. We work within your systems, and all claim activity, payment posting, and A/R follow-up is visible to you at any time. Our goal is to be a transparent, trusted extension of your practice — not a black box.
No — we do not outsource any part of our billing process overseas. All work is performed by our U.S.-based team to ensure:
Clear communication with your staff and patients
Strict quality control and full accountability
Full compliance with HIPAA and data security best practices
Your patient data remains protected and confidential, and your billing is handled with the care and attention it deserves.
Switching billing vendors doesn’t have to be stressful. We manage the entire transition process, including requesting access to billing systems, A/R data, and historical reports from your current vendor. We ensure a clean handoff, minimize downtime, and begin working claims right away to protect your revenue flow.
Our core hours are Monday through Friday, but we’re flexible based on your practice’s needs. If you operate extended hours or weekends, we can align our support accordingly or provide after-hours claim processing and follow-up.
We combine the professionalism of a larger firm with the hands-on service of a dedicated partner. We don’t outsource your billing overseas, and we don’t treat you like just another account. Our U.S.-based team gets to know your practice, communicates regularly, and builds a custom workflow around your needs. With transparent reporting and a strong focus on collections, we take ownership of your billing success — so you can focus on patient care.
Not at all. We work within your existing systems and workflows, minimizing disruption and training time.