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Simplified RCM
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SOLUTIONS

Your Revenue
Cycle, Handled.

End-to-end revenue cycle management for physician practices — credentialing, coding, claims, denials, AR, and reporting.

One team. One owner.
One set of numbers you can trust.

WHO ENGAGES WITH US

Running Billing In-House

Want a dedicated team without the overhead and management burden of hiring billing staff.

Growing AR Backlog or Rising Denial Rate

Need experienced hands on the problem now — not a vendor who takes 90 days to onboard.

Adding Providers, Locations, or Specialties

Expanding faster than your billing infrastructure — credentialing, enrollment, and coding need to keep up.

Burned by a Billing Company Before

Want to know exactly who is working your accounts and what is happening — every single week.
WHAT WE DO

Every Step of the Revenue Cycle. Take All of It, or Just What You Need.

Credentialing & Enrollment

Getting a provider credentialed and enrolled correctly is the foundation of your revenue cycle. Errors here mean claims bouncing before they even reach a payer. We manage the full credentialing process — from CAQH setup to payer enrollment to contract tracking — so you are collecting from day one, not chasing paperwork.

New provider setup and CAQH profile management
Payer enrollment across commercial and government payers
Contract management and fee schedule tracking
Re-credentialing and expiry monitoring
THE FIRST 30 DAYS

When We Start Working With a Practice, the Same Patterns Come Up Again and Again.

Here's what we almost always find waiting in the numbers when we start.

ACCOUNTS RECEIVABLE — AGING & REMITTANCE DETAIL
RUN 03/31  ·  142 CLAIMS  ·  4 FLAGGED
ACCT CPT PAYER DOS CHARGE PAID STATUS AGE FLAGGED ON REVIEW
1044-01 45380 CIGNA 11/20 690.00 0.00 NO ACTION · 131d 131
FINDING 01
AR Aging Nobody Is Watching
Claims sitting at 60, 90, 120+ days with no follow-up plan — money that gets harder to collect every week.
1090-01 20610 MEDICARE 01/12 210.00 0.00 DENIED · CO-45 78
FINDING 02
Denials With No Root Cause
CO-4, CO-16, CO-45 keep returning because nobody is tracking why — or fixing the source.
1088-04 20610 CIGNA 01/24 210.00 0.00 DENIED · CO-45 66
1051-03 93000 UHC 02/06 96.00 66.30 PAID 53
1062-02 99213 BCBS 02/15 148.00 82.40 PAID · UNDER 44
FINDING 03
Underpayments Going Unnoticed
Reimbursed below the contracted rate — posting was never reconciled against the fee schedule.
1039-05 99213 UHC 03/05 148.00 101.20 CODED 99213 26
FINDING 04
Billing & Coding Misalignment
Documentation supports 99214 — the higher level went unbilled. Revenue uncaptured, audit risk building.
1043-02 99214 BCBS 03/18 248.00 172.60 PAID 13
ILLUSTRATIVE SAMPLE — NOT ACTUAL PATIENT DATA
NO COST, NO OBLIGATION

Want a Look at What's Actually Happening in Your Revenue Cycle?

We'll review your AR aging, denial trends, billing workflow, or whatever's specifically not working — and tell you honestly what to fix first. No cost, no obligation.

Get a Look at Your Numbers