Results
Real Results.
Real Practices.
See how we have helped specialty clinics and mental wellness centers transform their revenue cycles with measurable outcomes.
See how we have helped specialty clinics and mental wellness centers transform their revenue cycles with measurable outcomes.
A multi-location cardiology practice in Texas was struggling with $520K in aged accounts receivable, high denial rates, and inconsistent follow-up from their previous billing company. Claims older than 90 days were being written off without appeals.
We conducted a full AR audit, identified systematic coding errors in cardiac catheterization and stress test claims, re-filed appeals within payer timely filing limits, and implemented real-time eligibility verification to prevent future denials.
A 6-provider psychiatry and counseling practice in Florida was experiencing a 15% claim denial rate, largely due to incorrect CPT code selection for psychotherapy add-on codes, missing prior authorizations, and timely filing violations.
We implemented specialty-specific coding workflows for behavioral health, automated prior authorization tracking, and established a 48-hour claim submission cycle. Our team trained their clinical staff on documentation requirements for E/M + psychotherapy combo billing.
A 4-provider orthopedic surgery center in Georgia was leaving money on the table due to under-coding of complex procedures, missed modifier usage, and lack of surgical bundling expertise. Their in-house biller was coding conservatively out of compliance fear.
Our certified orthopedic coders audited 6 months of claims, identified consistent under-coding in arthroscopy, fracture care, and joint injection procedures. We implemented a coding accuracy program with real-time feedback and quarterly audits.