Clean claims and consistent reimbursement.
We handle daily claim submission, basic denial prevention, and payment tracking to ensure each session converts into reliable revenue. Ideal for clinicians building a steady caseload and ready to outsource billing operations.
Proactive billing with denial management.
Everything in Standard Billing plus enhanced denial follow-up, pattern analysis, and payer escalation support. Best for providers with higher volume or complex payer mixes who require ongoing revenue protection.
Complete revenue cycle oversight.
Our most comprehensive service. Full revenue cycle management plus recurring business support sessions to ensure billing accuracy and growth strategy remain aligned. Designed for providers scaling with confidence.
Contract with one payer or RAE.
Enrollment with HCPF + your primary RAE.
Statewide Medicaid access.
Enroll with 2 commercial payers (BCBS, Aetna, Cigna, or UHC).
Enroll with all 4 major commercial payers in Colorado.
Foundation for credentialing success.
Full Medicare PECOS enrollment for eligible advanced licensed clinicians. Includes identity verification, practice setup, EFT/ERA registration, and approval monitoring.
Credentialing and network enrollment with TRICARE for mental health clinicians eligible to serve military families and veterans.
We conduct a full clinical documentation integrity audit to ensure medical necessity is clearly supported and that services meet state and payer compliance standards. This protects reimbursement, prevents recoupments, and reduces audit exposure. Includes line-item feedback and coded recommendations tied to regulatory language.
We analyze your coding patterns for accuracy, missed billable services, and revenue leakage. You receive coding corrections with payer-specific guidance that strengthens compliance while capturing all legitimate reimbursement. Includes code frequency analysis and missed-opportunity identification.
Live compliance and documentation coaching for clinical teams. We teach efficient, defensible phrasing based on payer rules, Medicaid medical necessity standards, and service-specific documentation requirements. Includes session-type templates and post-session reference tools.
We configure your EHR/PMS to operate correctly from day one. This includes payer profiles, billing settings, rendering vs. billing NPI rules, CPT/HCPCS code libraries, required modifiers, claim formatting, and intake/admin workflows. The result is a streamlined operational environment that reduces manual steps, protects compliance, and accelerates revenue. This service is ideally completed once credentialing is underway and before insurance billing begins.
We establish and activate all necessary electronic integrations between your EHR and each payer. This includes claims submission, ERA posting, EFT enrollment, eligibility checks, and system-level mapping to prevent rejections. Proper EDI setup reduces denials, speeds payments, and ensures financial integrity from the start.
We review your existing administrative infrastructure and correct the hidden operational failures that cost time and money. This includes an audit of claim workflows, payer IDs, documentation prompts, service setup, modifier logic, security controls, and efficiency barriers. Providers receive a complete roadmap with prioritized operational fixes.