Medical Billing

Cleaner claims. Faster cash.

A billing operation engineered around two numbers: first-pass clean-claim rate and AR days. Everything we do moves both in the right direction.

Claim lifecycle

Every claim, every step, instrumented.

01

Charge entry & scrub

Every claim runs through multi-layer rules: payer, NCCI, and modifier logic.

02

Clearinghouse submission

Electronic submission with rejection monitoring and same-day resubmits.

03

Payment posting

ERA and EOB posting at the line-item level — reconciled daily.

04

Patient billing

Statements and balance follow-up coordinated with your front office.

Denial management

We don't just appeal denials. We dismantle them.

Every denial gets triaged, root-caused, and fed back into our scrubber rules so the same denial doesn't show up next month. That's how AR shrinks structurally.

Triage

Denials categorized by reason code within 24 hours of receipt.

Root-cause

Pattern analysis to fix upstream coding or eligibility issues.

Appeal

Payer-specific appeal letters drafted and tracked to resolution.

Prevention

Rules added to the scrubber so the same denial doesn't recur.

Outcomes

KPIs that compound month over month.

97%
First-pass clean claim rate
Across active engagements
26
Average AR days
Down from baseline 38+
< 24h
Denial triage SLA
From receipt to assignment
92%
Appeal success rate
On clinically defensible claims

Want a denial audit on us?

We'll review 90 days of denials and surface the top three leakage patterns.

Request audit