Straight answers, before you ask for them.

No. We deliberately overlap with your current process so claims keep going out while we build the new workflow. Our transition plans are written, dated, and shared with you before anything changes.

System access, your payer contracts and fee schedules, a provider roster with NPIs, and a current AR report. We handle the rest of the discovery ourselves.

Yes. We frequently set up new practices from scratch — entity setup guidance, credentialing, fee schedule design, EHR configuration, and billing workflow.

Most engagements are a percentage of collections, so our incentives match yours. Credentialing and project work can be scoped separately. We quote after reviewing your volume and payer mix, never before.

We do not charge hidden setup fees, and our agreements include a clear notice period with full data handoff. You should be able to leave any billing partner cleanly, including us.

We ask for enough runway to demonstrate results — typically a short initial term — followed by month-to-month continuation. Retention should be earned each month.

Yes. We manage initial credentialing, re-credentialing calendars, CAQH attestation, group and individual enrollment, and payer roster updates.

Commercial payers typically take 60 to 120 days; Medicaid and Medicare vary by state. We start before a provider's hire date whenever possible and track every application to effective date.

It depends on the payer and whether retroactive effective dates or supervision arrangements apply. We advise per payer rather than guessing, and we hold claims that would otherwise be lost.

We review contracted rates against benchmarks and support renegotiation requests with documented utilization and quality data.

Commercial plans, Medicaid and Medicaid MCOs, Medicare, TRICARE, and EAP arrangements. Behavioral health carve-outs such as Optum, Carelon, and Magellan are routine for us.

Yes, including state-specific Medicaid and managed care plans with their own portals, authorization rules, and documentation requirements.

Yes. Medicare and Medicare Advantage claims, including telehealth rules and provider enrollment through PECOS.

We bill out-of-network claims, pursue single-case agreements where appropriate, and set clear patient responsibility expectations up front.

Yes. Verification and benefit summaries are completed before intake so patient responsibility is known and collectable from day one.

We hold our book to a 99% clean claim rate on first submission. Anything below that is treated as a process defect and reviewed.

Every denial is categorized, appealed where warranted, and traced to a root cause. Recurring causes become workflow or documentation changes, not repeated rework.

We pursue timely-filing appeals with proof of submission where records support it, and we build filing-deadline sorting into daily AR work so it stops happening.

Yes. Legacy AR cleanup is a standard part of onboarding, and we report on it separately so you can see exactly what was recovered.

We are experienced with CentralReach, TherapyNotes, SimplePractice, Valant, Kareo, AdvancedMD, DrChrono, TheraNest, athenahealth, and more. We work inside your system rather than forcing a change.

No. If your system serves you well, we adapt to it. We only recommend a change when the current platform is actively costing you revenue, and then we run the migration.

Yes. Data mapping, historical AR handling, testing, staff training, and a phased cutover designed for minimal downtime.

We map demographics, insurance, authorizations, and open balances, validate against source reports, and reconcile before go-live. Nothing moves untested.

We use automation for eligibility checks, claim status, and worklist prioritization. Clinical and coding judgment stays with credentialed people.

Yes. We operate under signed BAAs, role-based access, encrypted transmission and storage, audit logging, and annual workforce training.

Within your systems and our HIPAA-compliant infrastructure hosted in the United States, with access limited to the staff assigned to your account.

A named account manager, backed by a billing team who knows your practice. You will not re-explain your setup to a queue.

A live KPI dashboard plus a written monthly review covering collections, AR aging, denial trends, payer performance, and provider-level productivity.

Same business day for standard requests, and immediately for anything blocking payroll or patient access.

From solo clinicians to multi-location organizations with dozens of providers. The workflow scales; the attention does not thin out.