“ Top-notch tools and resources for refining your workflows to achieve an optimized practice”.
We build our services around what your practice actually needs, with the aim of improving your revenue cycle. Have a look at the value added services below and see which ones would help.
What are value-added services? They are the extras, on top of what you already buy. They make the practice work better and make life easier for the people who deal with you. Location-based services, missed call alerts and voicemail boxes are all examples. We fit them to what your practice actually needs.
These are the jobs that do not belong to any one department and therefore end up on whoever has least to do that week. They are also the jobs that quietly decide whether a practice is paid on time.
Practice start-up. Entity formation and EIN, NPI type 1 and type 2, state licensure, malpractice placement, and the payer enrollment sequence that has to run in the right order. Practices that start this 30 days before opening do not open on time.
Credential tracking. Licences, DEA registrations, malpractice certificates, board certifications and CAQH re-attestations all expire, and each one can suspend payments. We hold the calendar and file ahead of the date.
Patient statements and payment posting. Statements that people can actually read, a payment plan process, and posting reconciled against contracted rates so an underpayment is caught rather than banked.
Reporting. Collections, aged AR by bucket, denial reasons ranked by dollar value, and payer performance, the four numbers that tell you where to look next.
See also medical credentialing services and medical billing services.
Most practices lose money in the gaps between jobs rather than inside any one of them. These are the tasks nobody owns.
Every payer contract has a re-credentialing date and every CAQH profile has an attestation date that expires every 120 days. Miss one and you are out of network with a payer you have been billing for years, and you find out from a denial.
The fix is a single calendar with every date on it, owned by the practice rather than by a provider. We keep that list for the practices we work with and start work at ninety days rather than at the deadline.
A large share of patient balances go unpaid because the statement does not explain itself. What the insurance paid, what it applied to the deductible, what is left and why. Statements that answer those three questions before the patient has to call get paid more often, and generate fewer calls for the front desk to handle.
Posting is where underpayments are caught, and only if somebody is comparing what was paid against what the contract says should have been paid. Posted without that comparison, an underpayment looks exactly like a payment and is never appealed.
Most practices have never loaded their contracted rates into the system, which means nobody could catch it even if they wanted to.
A new practice has a sequence that cannot be reordered: the entity and its tax ID, then the group NPI, then payer enrolment, then contracts with effective dates. Each step waits on the one before it, and the whole chain takes months.
Practices that open first and start enrolment afterwards spend their first months seeing patients out of network. That is the most expensive scheduling mistake in this business, and it is entirely avoidable by starting the chain earlier.