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.