Full RCM services that work inside Kareo and Tebra
We manage your entire revenue cycle directly within Kareo Billing and Tebra, claims, denials, AR follow-up, and reporting. No new software. No workflow disruption.
Claim Scrubbing & Submission
We review every charge before submission, catching CPT/ICD-10 mismatches, missing modifiers, and authorization gaps that Kareo's default scrubber doesn't flag.
Denial Worklist Management
We work Kareo's denial worklist daily, categorizing each denial by root cause, correcting, and resubmitting within 24 hours of receipt. No denial ages beyond 3 days unworked.
Payment Posting & ERA Reconciliation
ERA auto-posting configured and monitored. We reconcile every remittance: matching EOBs to claims, flagging contractual underpayments, and posting manual payments same-day.
AR Follow-Up & Aging Management
We work Kareo's AR aging report systematically, prioritizing by balance size and days outstanding, with documented follow-up on every account over $150.
Eligibility Verification
Batch eligibility checks run for all scheduled appointments 48 hours in advance. Coverage gaps and inactive policies are flagged to front desk before the patient arrives.
Kareo Reporting & KPI Dashboards
Weekly and monthly performance reports built in Kareo (clean claim rate, denial rate, collection rate, and AR aging) delivered every Monday morning.
Kareo / Tebra-specific optimizations
We apply platform-specific configurations that practices running in-house billing typically haven't set up, each one measurably improves your clean claim rate or speeds up collections:
| Metric | Typical In-House on Kareo | Rcmaxis on Kareo |
|---|---|---|
| Clean claim rate | 82–88% | 95%+ |
| Denial rate | 8–12% | Under 5% |
| Days in AR | 32–45 days | <35 days |
| Denial follow-up time | 5–10 business days | Within 24 hours |
| AR aging >90 days | 18–25% of total AR | <8% of total AR |
| Eligibility verified before visit | 40–60% of appointments | 100% of appointments |
| Weekly performance reporting | Rarely or never | Every Monday |
What goes wrong with billing in Kareo and Tebra
Kareo and Tebra are built for independent practices, which means the billing work usually falls to one person wearing three hats. Claim edits stay at default, the denial worklist gets cleared when there's time, and follow-up on unpaid accounts happens in bursts. That isn't a software problem. It's a capacity problem.
The cost shows up in aging. The longer a balance sits, the less likely it is to be collected: industry data suggests accounts unpaid beyond 120 days collect at well under 30%. A denial left alone for a quarter has usually crossed into that range.
We take the queues off your plate and work them daily inside your own Kareo or Tebra account, so nothing changes for your clinicians.
How we work inside Kareo or Tebra
- Week 1: Access and auditWe set up role-based access and audit your claim edits, denial worklist, payment posting and A/R aging.
- Week 2: Quick fixesWe tighten claim rules, fix posting errors and set the follow-up schedule so the first improvements show up fast.
- Week 3 to 4: Go-liveBilling work transfers to us in stages, with your staff kept informed at each step.
- Day 30: ReviewYou get a written report against your starting baseline on clean claim rate, denial rate and A/R.
- Ongoing: Daily queues, Monday reportsDenials get worked within a day and KPI reports arrive every Monday morning.
What Kareo and Tebra billing costs
Full-service billing is priced as a percentage of collections: roughly 5% to 7% for solo and small practices, 3.5% to 5% for mid-size groups, and 2% to 3.5% for large groups. There are no setup fees, no minimum monthly charge and no long-term lock-in; you can leave with 30 days notice. The full breakdown is on our pricing page.
We don't charge a separate fee for working inside Kareo or Tebra, and we don't touch your software subscription.
Questions we hear most
Do you work with both Kareo and Tebra?
Yes. Tebra is the current name for the combined platform, and we work inside both legacy Kareo accounts and Tebra accounts.
How long does onboarding take?
About 30 days from access to full go-live, without disrupting appointments or clinical workflow.
How do you handle denials?
We work the denial worklist daily, correct what's fixable, appeal what's worth appealing, and log the root cause so the same denial doesn't come back.
What do I see each week?
A Monday report with clean claim rate, denial rate, collection rate and A/R aging, built from your own data.
Related: Denial management · Aged A/R recovery · EHR integrations · Free revenue assessment.
Using Kareo or Tebra? Let's see what you're leaving on the table.
We'll audit your current Kareo billing performance for free (clean claim rate, denial patterns, and AR aging), and show you exactly what we'd fix.
Get Free Kareo Billing Audit →