Proven RCM Results for Medical Practices and Hospitals Across the USA

How a 14-physician cardiology group deployed AI claim scrubbing and specialty cardiac coding to eliminate billing backlogs and boost collections by 28%.

Automating pre-bill scrubbing, clinical denial appeals, and high-value aging AR recovery for a 3-hospital health system.

Mastering global surgical package billing, 90-day post-op modifiers, and DME supply claims for an 8-surgeon surgical center.

Resolving time-based psychotherapy coding denials, intensive outpatient authorizations, and parity law claims.

Using real-time 270/271 eligibility verification and automated vaccine coding to streamline pediatric billing.

Mastering coordination of benefits between VSP/EyeMed vision plans and primary medical insurance for surgical eye care.

Automating pre-authorization for high-tech imaging (MRI/CT) and optimizing radiologist professional fee billing.

Optimizing OASIS documentation, Request for Anticipated Payment (RAP) submissions, and Medicare PDGM billing.

Centralizing billing, coding, and denial management for a 28-provider multi-specialty group practice.

Optimizing global obstetrical package coding, maternal fetal medicine authorizations, and gynecological surgical claims.

Scaling multi-state telehealth billing, POS 10 place of service modifiers, and commercial payer parity compliance.

Cross-coding CDT dental procedures to major medical CPT insurance claims for sleep apnea and bone grafting.

Eliminating vaccine administration coding errors and Medicaid reimbursement delays for a high-volume pediatric group.

Navigating Mohs micrographic surgery stage coding, pathology unbundling rules, and cosmetic vs medical procedure billing.

Resolving screening vs diagnostic colonoscopy coding shifts, Moderate Sedation billing, and ASC facility fee reimbursements.

Navigating high-dollar biologic drug HCPCS J-codes, chemotherapy administration hierarchy rules, and drug wastage (Modifier JW).

Mastering Monthly Capitation Payment (MCP) physician dialysis codes, outpatient ESRD facility billing, and CKD stage 4/5 coding.

Navigating robotic-assisted laparoscopic surgery coding, prostate procedure authorizations, and lithotripsy facility billing.

Resolving EMG nerve conduction study unbundling denials, Botox injection authorizations, and migraine infusion claims.

Dual-billing professional surgeon fees and ASC facility claims for major joint replacements.

Automating patient credit card on file agreements for cosmetic services and optimizing medical lesion excision claims.

End-to-end hospital RCM overhaul optimizing inpatient DRG coding, outpatient billing, and emergency department claims.

Eliminating cardiac procedure denials, prior authorization bottlenecks, and modifier errors for a high-volume cardiology practice.

Streamlining primary care billing, preventive well-visit coding, chronic care management (CCM), and patient intake.