Revenue cycle management
Full-service billing for independent practices, delivered by a Virginia team inside the EHR and clearinghouse you already use.
Services available today
Medical billing
Charge entry from your visit notes, claim creation and timely filing for every payer.
Coding support
Review of diagnosis and procedure codes against documentation before submission. Final coding decisions follow your providers' documentation.
Eligibility and benefits verification
Coverage, copays and deductibles confirmed before the visit to prevent avoidable denials.
Claims submission and scrubbing
Claims checked for missing data and payer-specific edits, then sent electronically.
Payment posting
ERA and EOB posting, underpayment checks and reconciliation to deposits.
Denial management
Every denial worked and appealed where justified, with the root cause tracked so it stops recurring.
A/R follow-up
Aged claims worked by payer and balance, including recovery of older receivables.
Prior authorization support
Requests submitted and tracked against payer decision deadlines, with status reported to your front desk.
Credentialing and enrollment
Commercial, Medicare and Virginia Medicaid enrollment, revalidation and portal upkeep.
Patient billing
Clear statements and courteous answers to patient balance questions.
Revenue cycle reporting
A monthly report on collections, clean claim rate, denial rate and days in A/R, with a review call.
Free A/R audit
A no-cost review of your open claims and denials before you decide anything.
What you can expect from us
- A named account lead based in Woodbridge
- No new software: we work in your EHR and clearinghouse
- Your data stays in your systems and under your control
- A monthly report you can understand without a billing background
- Responses to your questions within one business day
Virginia payer knowledge
Northern Virginia practices bill a mix of commercial plans, Medicare and Medicare Advantage, federal employee health plans, and Virginia Medicaid.
Medicaid in Virginia, called Cardinal Care, runs through several managed care organizations, each with its own authorization and enrollment rules. We keep track of those rules so your claims are not held up by them.
Pricing
Pricing is based on your specialty, claim volume and which services you need. Most practices pay a percentage of what we collect, so our fee depends on getting you paid.
We quote after your free A/R audit, in writing, with no surprises.
Find out where your revenue is stuck.
We review your open claims and recent denials at no cost, then show you what we would fix first.