Medical Billing & Coding — a Revenue Cycle Consultants service

Billing that recovers revenue, not just submits claims.

From clean claim submission to aggressive A/R recovery, we run your full billing cycle — and show you every number along the way.

Years of experiencehands-on revenue cycle experience across our team
Millions in collectionsmanaged monthly by our leadership team
Corporate & multi-locationclient experience, brought to independent practices
BAA with every clientHIPAA safeguards built into how we work
Services

What we handle

Medical Billing & Claim Submission

Accurate, timely professional (CMS-1500) and facility (UB-04) claims to commercial payers, Medicare, Medicaid and workers' comp carriers — with charge lag tracked.

Coding Review

CPT, ICD-10 and modifier checks to cut denials and stop under-coding.

A/R Recovery

We work aging A/R hard, including old claims others gave up on.

Denial Management & Appeals

Denials analyzed by payer and reason code, root causes fixed, appeals pursued.

Underpayment Audits

Payments checked against your contracted rates, with variances pursued.

Prior & Retro Authorizations

Approvals secured before and after services so claims don't stall.

Revenue Reporting

Monthly dashboards on collections, denials, A/R aging, payer mix and provider performance.

Billing Audits

A data-backed review of where revenue is leaking and what to fix first.

Transparent reporting

You'll always know where your money is.

Every month you get a clear report: what was billed, what was paid, what was denied and why, what was underpaid, and what we're doing about it. Payer by payer. Code by code. No black boxes.

Revenue Data AuditSample Practice · Last 90 days
Sample report — illustrative data
Days in A/R52above target
Clean-claim rate88%first pass
Denial rate11.6%all payers
Underpaid vs. contract$18.4Klast 90 days

Denial rate by payer

Payer A
14%
Payer B
9%
Payer C
6%
Payer D
17%

A/R aging buckets

0–30 days · 46%31–60 days · 21%61–90 days · 13%90+ days · 20%

Top findings

  • Auth-related denials (CO-197) concentrated with Payer D
  • 99214 paid below contracted rate by Payer B
  • Average charge lag of 6 days at Location 2
  • Claims written off after timely-filing limits
Free

Start with a Free Revenue Data Audit.

Share recent reports or read-only access. We'll break down your denials, underpayments, A/R aging and missed charges and show you the biggest opportunities — in real figures. No cost, no obligation. BAA signed first.

Request My Free Audit
FAQ

Common questions

What practices do you work with?

US practices, multi-location groups and facilities, outpatient and inpatient, with professional (CMS-1500) and facility (UB-04) billing: urgent care, primary care, psychiatry and mental health, cardiology, radiology (freestanding MRI / imaging centers), internal medicine, pain management, occupational health, federally qualified health centers (FQHCs) and multi-specialty groups — and many more. If you bill it, we can work it.

Can you improve our revenue?

We don't quote numbers before we see your data — we show you. The Free Revenue Data Audit lays out exactly where revenue is slipping and what we'll do to recover it.

What data do you need for the audit?

Read-only access to your practice management or billing system, or recent reports (claims, remittances, A/R aging). We sign a BAA before we touch anything.

Are you HIPAA compliant?

Yes. We follow HIPAA safeguards and sign a Business Associate Agreement (BAA) with every client before accessing any patient information.

Can you handle complex claims?

Yes — workers' comp, auth-heavy services, imaging, appeals and aged A/R. Complex claims are where disciplined follow-up pays off most.

Is there a long-term contract?

No long-term lock-in. We offer flexible month-to-month options.

How do you charge?

Pricing is based on your volume and specialty, and we discuss it on your free audit call.

Free Revenue Data Audit

See what your billing data is hiding.

A Free Revenue Data Audit. Real numbers. A clear plan. No obligation.

No long-term lock-in. HIPAA safeguards. BAA signed with every client before we touch any data.