Three things we are unusually good at, and six we do properly.
Most billers take anyone. We took the opposite bet — behavioral health, physical therapy and credentialing, learned deeply enough that we know each payer's particular way of saying no.
Mental & behavioral health
The 90837 downcode is the single most expensive habit in this specialty. We check your documentation against what each payer actually requires for the time threshold, and we appeal every downcode rather than accepting it as normal.
We also handle the parts nobody warns you about: EAP carve-outs billed to the wrong entity, telehealth place-of-service and modifier combinations that change per carrier, and the intake sessions that quietly need their own authorisation.
Physical therapy
The 8-minute rule is where PT practices lose money quietly. We count units against your actual treatment times before the claim goes out, not after a payer recalculates them for you.
And we track authorisation visit caps on every active plan of care, so nobody discovers on visit thirteen that the approval ran out at twelve.
Credentialing & enrollment
Credentialing is not hard. It is just relentless, and it fails when nobody chases it. We keep CAQH attested, submit the applications, and call every payer on a schedule until an effective date exists in writing.
We also watch revalidation dates, which is how practices lose in-network status without anyone noticing until the denials arrive.
Six services that come with every engagement.
Full-cycle RCM
Charge capture to reconciliation, on your EHR, with a named person on the account.
- Daily claim submission
- Weekly worklist review
Eligibility & benefits
Verified before the session rather than discovered after the denial.
- Batch checks each week
- Flagged plan changes
Prior authorisation
Requests, extensions and visit-cap tracking so treatment never stops mid-plan.
- Submission and follow-up
- Expiry alerts
Coding & audits
Quarterly documentation review against what your payers actually require.
- Written findings
- Fixes, not just flags
Payment posting
ERA and manual posting, reconciled to the cent against your bank deposits.
- Daily posting
- Variance report
Statements & reporting
Patient statements sent for you, and one monthly report you can actually read.
- One page, plain English
- A call to walk it through
Four steps, and you are never guessing where you are.
The A/R review
You send ninety days. We send back a written read on what is recoverable and what is not.
Onboarding week
EHR access, BAA signed, payer list confirmed, and you meet the person on your account.
First ninety days
Sami works the account personally. Backlog cleared alongside current claims.
Steady state
One monthly report, one quarterly audit, and a phone that gets answered.
Send us your last ninety days.
No contract, no setup fee, a written report in five business days.
Get a free A/R review