Frequently Asked Questions

We work on a performance-based percentage of net collections model, typically between 4% and 7%. This aligns our goals with yours: we only get paid when your practice receives payment. There are zero upfront setup fees or hidden charges.

Your specialty, monthly claim volume and the services you need (full-cycle RCM, credentialing, prior authorization and so on) all affect the rate. We confirm it after a free consultation.

There are no upfront setup fees. Contract terms are set out in your service agreement, and we are happy to walk you through them during your free consultation.

Yes. We use AI-assisted tools for claim scrubbing, denial risk checks, eligibility verification and A/R prioritization. Our AAPC certified coders and billing specialists review the results and make every final decision.

We have more than 5 years of experience in US medical billing and revenue cycle management.

Our onboarding team can connect directly to your existing EHR or practice management software in as little as 48 to 72 hours without interrupting your daily patient appointments or scheduling workflows.

No. We work inside the software you already use, including Epic, Cerner, Athenahealth, Kareo / Tebra, eClinicalWorks, AdvancedMD, Practice Fusion and NextGen.

Typically EHR access, your payer list and fee schedule, provider NPI and credentialing details, a recent A/R aging report and samples of recent denials.

We serve cardiology, orthopedics, mental health, dental, urgent care and internal medicine practices, among others. Each has its own coding and payer rules, and our coders are trained accordingly.

Yes. All coding audits and claim scrubbings are managed by Certified Professional Coders (CPC) through AAPC or AHIMA to guarantee compliance and accurate modifier application.

Yes. We sign a Business Associate Agreement (BAA), use encrypted data transmission and follow HIPAA and HITECH requirements when handling patient information.

Yes. We help with CAQH profiles, NPI and taxonomy setup, and enrollment with Medicare, Medicaid and commercial payers.

It is the percentage of claims accepted and paid on first submission without needing correction. A higher clean claim rate means faster payment and less rework. We aim for 98% or higher.

We perform an immediate A/R recovery audit on claims over 60, 90 and 120+ days old. Our denial management team directly contacts payers, corrects filing errors and submits formal appeals to retrieve past-due revenue.

Every denial is reviewed for its root cause, corrected or appealed with a payer-specific letter, and tracked until resolved. We also feed the findings back into the scrubber to prevent repeat denials.

Yes. Our patient helpdesk answers balance questions, sets up payment plans and sends statements, so your front desk can focus on patients.

You get a 24/7 reporting dashboard with clean claim submissions, pending appeals and daily collection totals.