Medical billing and revenue cycle management
Your billing report is good at showing what got rejected. It has nothing to say about work that was performed, documented, and never sent. We read the claims your reports already count as clean.
Twenty minutes. If there is no reason to change, we will tell you that.
Pull last month's completed encounters from your scheduler. Pull last month's submitted claims from your PM system. Those two numbers should be close. Look at the gap.
The basics, since you will check anyway
Each one leaves your reports looking healthy.
The visit happened and the note exists. The charge was never built, so nothing was submitted and nothing came back denied.
The claim went out correctly and came back paid, at a level below what the documentation supports.
The payer's own fee schedule says one number and the remittance says another. Nobody reconciles the two.
A client kept running long on follow-up visits. The schedule said one thing, the claim numbers said another, and the two never lined up. Our team asked about the gap.
The practice had been providing a service they did not know was covered. It was documented in the notes every time. It had never been submitted. We filed retroactively and it kept paying going forward. The level of care they wanted to provide stopped being a time cost, and growth became an option.
Step one
You check it yourself. The self-check above takes one report and about ten minutes. You do not need us for that part and you do not have to tell us what you found.
Step two
Twenty minutes on the phone. You tell us what you found and what you run on. We tell you what we would expect to find underneath it and what it takes to fix.
Step three
If you move, payer contract renegotiation is part of onboarding, at no separate fee. Rates set back when the practice was smaller are usually the second thing we find.
Nobody outside your practice can answer these. No report inside it puts them in front of you either. Most owners can answer two.
How many of last month's completed encounters have a claim attached to them?
How many days pass between a visit and the charge going out?
When a visit and a procedure happen on the same day, how often does the visit go out with modifier 25?
If an NP or PA sees your established patients, are those visits paid at 100 percent or at 85?
Do your prolonged-service claims to Medicare go out as 99417 or as G2212?
How many denied claims from the last twelve months have had no activity since the day they denied?
If you can answer all six, your billing is in better shape than most practices and you probably do not need us. If you cannot answer four of them, that is not a competence problem. No report in your system was ever built to show you these numbers.