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Core Revenue Cycle

Medical Billing

End-to-end claim submission, scrubbing, and follow-up that gets you paid faster — engineered to a 98%+ first-pass clean claim standard.

Billing operations, live

From charge to deposit, measured daily

Payment cycle by payer · days from submission

Medicare14 days
Commercial payer A17 days
Commercial payer B19 days
Medicaid MCO22 days

MCO trending 3 days slower than baseline — escalation opened, resubmission timing adjusted.

▲ AI CLAIM SCRUBBING— 41 of today's 212 claims auto-flagged and corrected pre-submission: modifier pairs (18), COB order (12), demographic mismatches (11)

BILLING PERFORMANCE · SAMPLE DATA

LIVE

4,212

claims submitted

98.4%

clean claim rate

24 hrs

rejection turnaround

Collections trend · trailing 12 months

✓ +18% vs. prior year on identical patient volume

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Business outcomes

What this changes for your organization

Medical Billing · performance standards

measured continuously

first-pass clean claim standard

98%+

average rejection turnaround

24 hrs

average collections increase

18%

Performance standards we operate to. Actual results vary by specialty, payer mix, and starting position — your free assessment establishes your own baseline.

Faster reimbursements

Daily submission, AI claim scrubbing, and 24-hour rejection turnaround compress the distance between visit and deposit.

More revenue from identical volume

Clients typically collect 10–20% more without seeing one additional patient — leakage sealed, not corners cut.

First-pass rates payers respect

Multi-layer scrubbing against 1,000+ payer rule sets keeps our clients' first-pass acceptance above 98% — the single strongest predictor of healthy cash flow.

Your staff back on patients

Front-desk and clinical teams stop chasing claims and return to the work that fills your schedule and your reviews.

The stakes

The problem, in numbers

The honest diagnosis — what this challenge actually costs healthcare organizations that leave it unmanaged.

~$25

average cost to rework a single rejected claim

At industry-typical first-pass rates of 75–85%, rework isn't an exception — it's a permanent hidden payroll line that grows with your volume.

1 in 5

claims mishandled somewhere between charge and payment

Coding slips, payer-rule misses, and follow-up gaps each look small in isolation. Compounded across a year of claims, they decide whether a practice thrives.

3–4 mo

typical cash disruption when a biller resigns

In-house billing concentrates risk in one or two people. Recruiting, hiring, and training a replacement means months of slowed claims and aged receivables.

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Our solution

Billing errors are the single largest source of preventable revenue loss for medical practices. Our certified billing specialists manage your entire claims lifecycle — from charge capture to final payment — inside your existing EHR or practice management system, so nothing changes about how you practice medicine.

Every claim passes through a multi-layer scrubbing process that checks coding accuracy, payer-specific rules, and medical necessity before submission. Rejections are corrected and resubmitted within 24 hours, and every claim is tracked until it is paid in full.

What's included

  • Daily claim submission across all payers
  • Multi-layer claim scrubbing before submission
  • 24-hour rejection correction and resubmission
  • Payer-specific rules engines for 1,000+ plans
  • Patient statement and balance-billing management
  • Transparent monthly performance reporting

In the field

How organizations like yours use it

USE CASE 01

A two-physician practice lifted collections 18% in five months

Same patients, same payers — the difference was combined-visit capture, eligibility checks before every appointment, and rejections corrected overnight instead of monthly.

USE CASE 02

A pediatric group ended its vaccine billing losses

Product-and-administration code pairing errors had quietly cost thousands per quarter. Automated pairing validation at charge entry eliminated the category entirely.

USE CASE 03

An urgent care chain standardized billing across six locations

Six sites, three legacy processes, one takeover. Per-visit yield now tracks identically everywhere, and month-end closes in two days instead of nine.

Scenarios drawn from typical engagement patterns; identifying details anonymized to protect client confidentiality.

Common questions

Medical Billing, answered

Related

More in Core Revenue Cycle

Ready to fix medical billing for good?

Start with a free consultation and billing health check. A senior consultant will look at your numbers and give you a straight answer about what we can improve — and by how much.