Medical billing & revenue cycle management

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Your specialty sets the codes. Your structure sets the problems.

A solo dermatologist and a forty-provider group follow the same coding rules and run into completely different billing problems. This page is about the second thing.

Solo Providers

One provider, no billing department, and no room for a claim to sit for ninety days.

  • Billing handled end to end, without hiring for it
  • Credentialing kept current so a lapsed enrollment never stops revenue
  • Someone to call who already knows your payer mix

Group Practices

Several providers billing under shared contracts, where one provider's coding habits quietly affect everyone's revenue.

  • Per-provider reporting, so patterns surface before they compound
  • Consistent coding across providers under the same tax ID
  • Enrollment tracked per provider, per payer

Multi-Specialty Groups

One organisation, several specialties, and a different set of denial triggers behind each one.

  • Specialty-specific coding rather than one generic ruleset
  • Cross-specialty bundling and modifier conflicts caught before submission
  • Reporting that separates each specialty's performance

Hospital-Based Practices

Professional billing that has to reconcile against a facility's records you don't control.

  • Professional and technical component splits handled correctly
  • Place-of-service coding matched to the setting
  • Charge reconciliation against facility capture

Ambulatory Surgery Centers

High-value claims where a single bundling or implant error is worth more than a week of office visits.

  • Implant and supply billing documented to the payer's standard
  • Global period and multiple-procedure rules applied per case
  • Authorisation confirmed before the case, not after the denial

Not sure which of these you are?

Most practices are somewhere between two of them. Tell us how you're set up and we'll tell you what changes.

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