Getting Started
Most practices are fully onboarded and submitting live claims within 48 hours of signing. We handle EHR integration, payer setup, and system configuration — your staff doesn't need to do anything differently.
No. We integrate with your existing EHR — Epic, Athenahealth, DrChrono, Kareo, AdvancedMD, eClinicalWorks, and 50+ others. Your clinical team keeps using the system they know.
We handle the transition systematically: first we request your current AR report from your existing biller, then we audit open claims, then we take over submission for new claims while cleaning up the AR. The process typically takes 2–3 weeks with no revenue gap.
The free audit reviews your last 90 days of claims and includes: coding accuracy analysis, denial pattern analysis with root causes, AR aging analysis with collection probability, charge capture assessment, and a dollar estimate of recoverable revenue. Delivered in 5 business days.
Pricing & Contracts
We charge 2.49%–3.99% of collected revenue, depending on specialty and volume. You only pay when we collect. No setup fees, no monthly minimums, no long-term contracts. The percentage decreases with volume.
No setup fees. No implementation fees. No monthly minimums. The only fee you pay is the agreed percentage of what we collect. If we don't collect, you don't pay.
No. We offer month-to-month agreements. We earn your business every month through performance. You can cancel with 30 days notice. We're confident enough in our results that we don't need to lock you in.
We guarantee a 98.7%+ collection rate within 90 days. If we don't hit it, we continue working at no additional cost until we do. No other medical billing company puts this in writing.
Billing & Collections
Our average collection rate across all specialties is 98.7%. Individual specialty rates vary: cardiology and orthopedics typically exceed 98%, primary care averages 97–98%.
Every denial triggers an automatic appeal workflow within 48 hours. We review the denial reason, correct the underlying issue, and resubmit. We also track denial patterns by payer and denial type to prevent recurrence. Our appeal overturn rate exceeds 78%.
ERA (electronic remittance advice) payments are posted within 24 hours of receipt. Paper EOBs are processed within 48 hours. You can see all payments in your real-time dashboard as soon as they're posted.
We offer an AR recovery service that reviews claims from before our engagement — up to 3 years old within timely filing limits. We recover what's collectable and provide a clear picture of what needs to be written off and why.
Compliance & Security
Yes. We sign a Business Associate Agreement (BAA) with every client before accessing any patient data. All data transmission is encrypted with TLS 1.3. Data at rest uses AES-256 encryption. Our staff is HIPAA-trained and certified annually.
Yes. We carry professional liability (errors and omissions) insurance and cyber liability insurance. Coverage details are provided upon request during the contracting process.
Our compliance team monitors CMS quarterly updates, commercial payer policy bulletins, and state Medicaid changes continuously. Billing protocols are updated automatically when rules change — your claims are always current with payer requirements.
We provide complete audit support: claim-level documentation, coding rationale for any flagged claims, and coordination with your compliance attorney if needed. We maintain all billing records for 7 years per CMS requirements.
Specialties & Coverage
We bill for all 75+ medical specialties including cardiology, orthopedics, neurology, primary care, psychiatry, oncology, and all subspecialties. Each practice is assigned a coder trained specifically in its specialty.
Yes. We serve practices in all 50 states with specific knowledge of each state's Medicaid program, dominant commercial payers, and state-specific billing requirements. See our states page for state-specific information.
Yes. We bill all payer types: commercial insurance, Medicare (Parts A and B), Medicare Advantage, all 50 state Medicaid programs, workers compensation, and self-pay. Federal and state payer billing expertise is a core competency.
Yes. We handle physician billing (CMS-1500/professional claims), hospital billing (UB-04/facility claims), ASC billing, and home health billing. We can manage both professional and facility billing for hospital-based practices.
Still have a question?
Our billing specialists answer calls immediately during business hours.