What We Offer
Every Service Your Practice Needs
From billing to compliance, we bring expert management to every corner of your revenue cycle — so you can focus on delivering exceptional patient care.
Core Services
Built for Multi-Specialty Practices
Medical Billing
End-to-end billing management that maximizes reimbursements, reduces denials, and keeps your revenue flowing. Our billing specialists understand the nuances of multi-specialty coding and payer requirements.
- Charge capture and claim submission
- Denial management and appeals
- Payment posting and reconciliation
- Monthly performance reporting
Revenue Cycle Management
Full-cycle oversight from patient registration through final payment. We identify revenue leakage, accelerate collections, and optimize every touchpoint in your revenue cycle.
- Patient registration and eligibility
- Charge entry and coding review
- Claims management and follow-up
- Revenue analytics and benchmarking
Payment Posting & Account Adjustment
Accurate, timely payment posting and account adjustments to keep your books clean and your revenue cycle moving. We reconcile every payment and resolve discrepancies before they become problems.
- ERA and EOB processing
- Manual payment posting
- Contractual and write-off adjustments
- Balance reconciliation
A/R Management
Aggressive follow-up on outstanding claims to recover revenue faster. Our A/R team works every aging bucket to minimize days in A/R and maximize collections.
- Aging report analysis
- Payer follow-up and escalation
- Patient balance management
- Bad debt reduction strategies
Referral Authorizations
Streamlined prior authorization workflows that reduce delays and denials. We manage the entire authorization process so your staff can focus on patient care.
- Prior auth submission and tracking
- Urgent and expedited requests
- Denial appeals and peer-to-peer support
- Authorization reporting
Eligibility Verification
Real-time insurance verification before every patient encounter. We confirm coverage, benefits, and co-pay requirements to reduce surprises at check-in and claim time.
- Pre-appointment eligibility checks
- Benefits and co-pay verification
- Secondary insurance coordination
- Verification reporting
Specialty Services
Advanced Programs That Drive Results
HEDIS / STAR Measure Management
Comprehensive HEDIS and STAR measure tracking, gap closure, staff training, and performance reporting. We guarantee measurable improvement in your quality scores.
- Gap identification and closure
- Provider and staff education
- Measure tracking and reporting
- Guaranteed score improvement
RAF Score Progress
Structured RAF score improvement programs with guaranteed progress. We identify HCC capture opportunities, coach providers on documentation, and deliver measurable results.
- HCC gap analysis
- Documentation coaching
- Provider education programs
- 100% progress guaranteed
Annual Wellness Exam Management
End-to-end AWE scheduling, documentation support, and compliance tracking to maximize preventive care reimbursements and close quality gaps simultaneously.
- Patient outreach and scheduling
- Documentation templates
- Compliance tracking
- Quality gap integration
Insurance Contracting
Expert credentialing and contracting with Medicare, Medi-Cal, commercial health plans, and IPAs. We ensure your practice is properly enrolled and participating with every relevant payer.
- Medicare & Medi-Cal enrollment
- Commercial health plan contracting
- IPA credentialing and enrollment
- Re-credentialing management
Contract Review & Negotiation
Thorough review of payer contracts with strategic negotiation to secure the best possible reimbursement rates and terms for your practice.
- Fee schedule analysis
- Payer rate benchmarking
- Contract term negotiation
- Ongoing contract monitoring
Personal Consulting & MA / Staff Training
Hands-on consulting and customized training programs for medical assistants and clinical staff — building the skills that drive better outcomes and compliance.
- Workflow optimization consulting
- MA and front-desk training
- Compliance and coding education
- Ongoing performance support
Our Packages
Flexible Packages for Every Practice
Mix and match services or choose a comprehensive management package — we build around your practice's unique needs.
Referral Authorizations
Complete prior authorization management — submission, follow-up, and appeals.
Eligibility Verification
Proactive insurance eligibility checks before every appointment.
Annual Wellness Exam Management
End-to-end AWE scheduling, documentation support, and compliance tracking.
Revenue Cycle Management
Full-cycle revenue management from charge capture through payment posting.
A/R Management
Dedicated accounts receivable follow-up with aggressive claim resolution.
HEDIS / STAR Measure Management
Comprehensive HEDIS and STAR tracking, gap closure, and staff training.
Guaranteed RAF Score Progress
Structured RAF improvement with documentation coaching and HCC capture.
Personal Consulting & MA / Staff Training
Customized training programs for medical assistants and clinical staff.
Payment Posting & Account Adjustment
Accurate payment posting and account adjustments for a clean revenue cycle.
Insurance Contracting — Medicare, Medi-Cal, Health Plans & IPAs
Full-service payer enrollment and credentialing with all major payers.
Contract Review & Negotiation
Strategic payer contract review and negotiation for better reimbursement rates.
Not Sure Where to Start?
We'll assess your current operations and recommend the right combination of services for your practice size, specialty, and goals.
No obligation. Just a conversation about your practice.