Most practices don't have a billing problem.
They have a velocity problem.
We replaced the "batch and wait" model with a real-time intelligence engine. Speed isn't a luxury—it's the foundation of cash flow.
The 24-Hour Promise
While your staff sees patients, charges sit in a queue. Maybe they are batched for Friday. Maybe they wait until Monday. Every day a claim sits on your desk is a day you are funding your own accounts receivable.
Our protocol is different. Claims leave your office within 24 hours of encounter sign-off. Not batched. Not queued. This isn't about working harder—it's about eliminating the "admin lag" that traditional billing departments accept as normal.
Why 24 Hours Matters: The Mathematics of Cash Flow
Most billing companies treat submission timelines as "administrative suggestions." They batch claims weekly because it is convenient for their staffing schedule. But for a medical practice, the difference between Day 1 submission and Day 7 submission is not just six days—it is a compounding delay that affects your liquidity ratio.
When a claim is submitted within 24 hours of the encounter, it enters the payer's adjudication queue immediately. This means denial responses return in 7-10 days, allowing for correction within the same billing cycle.
The "Batching Penalty"
If a claim waits 7 days to be submitted, and then receives a denial 14 days later, you are now 21 days past the encounter date before you even know there is a problem. By the time the correction is filed, you have pushed that revenue into the next fiscal month. We eliminate this lag completely.
Our protocol treats "Time to Submission" as a Key Performance Indicator (KPI). We track it daily. By compressing the front end of the revenue cycle, we naturally reduce Days Sales Outstanding (DSO) without aggressive collection tactics. It is simply physics: faster inputs yield faster outputs.
The A-Z Revenue Recovery Framework
Most billing companies sell you "effort." We sell a documented methodology that produces measurable results regardless of your practice size.
Phase 1: Clean Claim Engineering
The foundation of performance is "First-Pass Acceptance Rate." Industry average is 75%. Our clients operate at 92-96%. We achieve this through mandatory pre-submission auditing.
Phase 2: Velocity Optimization
A claim paid in 14 days is worth more than one paid in 45 days. We compress your revenue cycle by eliminating the "batching" delays that slow down traditional billers.
Phase 3: Systematic Denial Recovery
Most billers lack a system for denials. We categorize every denial within 24 hours. If your Anthem denial rate jumps from 8% to 14%, we catch it in week one, not at the quarterly review.
Phase 4: Patient Collections
Patient balances now represent 20-30% of total revenue. We use behavioral economics and consistent follow-up to collect what you are owed without damaging the patient relationship.
The 7 Points of Failure
We analyzed 50,000 denied claims to identify exactly where the revenue cycle breaks. Our protocol is engineered specifically to firewall these seven vulnerabilities before the claim leaves your system.
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1
Eligibility Gaps
Patient coverage terminated or benefits capped. We check this 48 hours pre-visit.
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2
Modifier Mismatches
Missing -25 modifiers on E/M codes billed with procedures (a top denial reason).
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3
LCD/NCD Conflicts
Diagnosis codes that do not support medical necessity per Local Coverage Determinations.
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4
Authorization Failures
Procedure codes requiring prior auth that is missing or expired on file.
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5
Bundling Edits (CCI)
Codes that cannot be billed together per NCCI edits. We unbundle or adjust pre-submission.
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6
Demographic Typos
Simple spelling errors in names or DOBs that trigger automatic clearinghouse rejections.
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7
Timely Filing Limits
Claims batched too long that expire. Our 24-hour protocol makes this impossible.
Aggressive AR Follow-Up:
The 30-Day Cliff
Most billing companies resubmit and hope. A claim goes out, doesn't get paid in 30 days, so they send it again. That is not follow-up—that is wishful thinking with postage. Real AR management requires knowing why a claim didn't pay and acting immediately.
The Mathematics of Delay: Inflation and operational costs mean a dollar collected in 90 days is worth significantly less than a dollar collected in 20. When a claim hits 30 days without payment, our team makes contact. Not an automated portal message—an actual phone call to the payer.
Passive billing companies wait for denials. Aggressive billing companies create urgency before the denial ever arrives. Your AR aging shouldn't look like a retirement plan. It should look like a sprint.
The Velocity Gap
The 30-Day Implementation
How we switch you to the A-Z Protocol without disrupting your cash flow.
Week 1: Audit
We connect to your EHR and clearinghouse. We run a historical denial analysis to identify your top 10 denial patterns.
Week 2: Config
We build custom rules in our scrubbing engine specific to your payer contracts and fee schedules.
Week 3: Go-Live
We begin processing new claims. Old AR is separated into a "cleanup project" queue so current cash flow accelerates immediately.
Week 4: Velocity
First round of clean claims are adjudicated. You receive your first "Velocity Report" showing the reduction in Days Sales Outstanding.