Frequently Asked Questions

We have hands-on experience across 16 of the most widely used EHR and practice management platforms — including eClinicalWorks, AdvancedMD, Athenahealth, Tebra, CollaborateMD, NextGen, ModMed, Veradigm, SimplePractice, Therapy Notes, and more. See the full list on our Services page.

Yes. Our coding team holds active AAPC (American Academy of Professional Coders) certifications, including CPC credentials. We maintain current certification and stay up to date with annual CPT and ICD-10 code changes.

Our coding team reviews all AMA CPT and ICD-10-CM updates each year and implements new codes on their effective dates. We also monitor payer-specific bulletins throughout the year for mid-year policy changes that affect billing.

Yes. We bill telehealth services with the appropriate place of service codes, modifiers, and payer-specific requirements — including Medicare telehealth billing rules and commercial plan telehealth policies.

Every denial is reviewed for root cause — coding error, eligibility issue, authorization gap, or payer policy — and then corrected and resubmitted with supporting documentation. We also track denial trends to identify systemic issues and implement front-end process improvements.

A first-pass denial rate below 5% is considered strong. Practices above 10% typically have systemic coding, documentation, or front-end verification issues that need to be addressed at the root cause level. We report your denial rate monthly and work continuously to reduce it.

Unpaid claims are actively followed up on a weekly basis. We prioritize by dollar value, payer, and time sensitivity — ensuring high-value claims and those approaching timely filing limits are addressed first.

Yes. AR and denial cleanup is a core service. We assess your outstanding AR, prioritize by recovery potential and appeal deadline, and systematically work through the backlog. A moderate backlog typically takes 60–120 days to work through completely.

We typically charge a percentage of collections, which aligns our incentives directly with your results — we only earn when you get paid. The exact rate varies by specialty, volume, and service scope. Contact us for a customized quote.

Our fee structure is transparent and discussed upfront during the consultation. Any onboarding costs are clearly outlined before you commit. We don't believe in hidden fees or surprise charges.

We focus on earning your long-term business through results, not contractual lock-in. Contract terms are discussed during the consultation and structured to be fair and flexible for your practice.

We provide monthly financial reports covering collections, denial rates, AR aging, days in AR, and first-pass claim acceptance — giving you clear visibility into your revenue cycle performance. We're also available for questions throughout the month.

Yes. Our credentialing team handles CAQH setup and maintenance, payer enrollment applications, Medicare and Medicaid enrollment, and re-credentialing tracking for all enrolled providers.

Most payer enrollments take 60–180 days depending on the payer. Medicare PECOS enrollment and Medicaid enrollment have their own timelines. We initiate applications as early as possible and proactively follow up to minimize delays.

Providers may see patients as out-of-network during pending enrollment, but in-network billing is not permitted until enrollment is approved. We advise on patient communication and financial counseling options during the pending period.