Twenty-five services across the front end, mid cycle, and back end — engage end-to-end, or start with the stage that hurts most. Specialty-aligned specialists, intelligent automation, and dashboards you never have to ask for.
The claim itself — captured, coded, scrubbed, submitted, and followed through until it pays.
Claims are validated against payer edits, NCCI rules, and specialty-specific requirements before transmission, with rejections corrected and resubmitted quickly.
Encounter reconciliation against schedules and documentation ensures every rendered service becomes a charge, with missing-charge reports to providers.
Everything that has to be right before the visit: coverage, authorization, enrollment, connectivity.
PECOS, state Medicaid, and commercial payer enrollment handled with documentation checklists and follow-up so providers can bill from day one.
Electronic connectivity with each payer — claims, remittances, and funds transfer — configured and maintained so nothing arrives on paper.
What happens after adjudication: posting, denials, appeals, aging balances, and patient balances.
Multi-level appeals built from payer policy, medical necessity criteria, and clinical documentation — tracked through every deadline.
Every remittance is checked against expected reimbursement. Systematic underpayments are identified by payer and pattern, then recovered.
Billing realities that need their own playbook — DME, telehealth, revenue integrity, underpayments, audits.
Fee schedule maintenance, contract loading, coding compliance reviews, and charge-master hygiene that keep revenue accurate and audit-ready.
HCPCS-level DME billing including CMN/DWO requirements, rental-vs-purchase logic, and Medicare DMEPOS competitive bidding awareness.
Telehealth policies change frequently by payer and state. Mindlox AI keeps POS codes, modifiers (95, GT, GQ), and audio-only rules current.
Periodic retrospective and prospective coding audits with provider-level feedback and documentation education.
Operational support that makes the practice run smoother and bill cleaner.
Remote front-office staff handle scheduling, insurance capture, intake verification, and patient communication so your on-site team focuses on care.
HIPAA-conscious virtual assistants support providers with documentation prep, referral coordination, and patient follow-ups.
Workflow assessments, PM system configuration reviews, and operational playbooks that make the practice run smoother and bill cleaner.
Net collection rate, A/R days, denial trends, payer performance, and provider productivity delivered as living dashboards and monthly strategy reviews.
Coders, billers, A/R and denial specialists, credentialing experts, an account manager, and AI automation — one team, already aligned to your specialty.
Your Practice
At the center
Medical Coders
Dedicated
Certified, specialty-aligned coding with documentation feedback.
18 charts coded todayBillers
Dedicated
Clean claims out daily; rejections handled within one business day.
52 claims out the doorA/R Specialists
Dedicated
Aging balances worked by payer strategy and timely-filing risk.
$6,840 recovered this weekDenial Specialists
Dedicated
Root-cause analysis, prioritized appeals, prevention loops.
5 appeals filed todayCredentialing Specialists
Dedicated
Enrollment, CAQH, and re-credentialing tracked to completion.
3 enrollments approvedAccount Managers
Dedicated
Your named point of contact, weekly reviews, clear escalation.
Weekly review · ThursdayAI Automation
Always on
Denial risk, underpayment, and eligibility detection at scale.
24 claims flagged overnightNot a shared inbox. A department with named people, defined responsibilities, and AI doing the repetitive work so the specialists can focus on exceptions.
Dedicated to your practice
Certified, specialty-aligned coding with documentation feedback.
Dedicated to your practice
Clean claims out daily; rejections handled within one business day.
Dedicated to your practice
Aging balances worked by payer strategy and timely-filing risk.
Dedicated to your practice
Root-cause analysis, prioritized appeals, prevention loops.
Dedicated to your practice
Enrollment, CAQH, and re-credentialing tracked to completion.
Dedicated to your practice
Your named point of contact, weekly reviews, clear escalation.
AI-assisted · human-reviewed
Denial risk, underpayment, and eligibility detection at scale.
Your front desk, your providers, and your office manager keep doing what they do. The department handles everything from the encounter to the posted payment — and tells you what it found.
A weekly review
A 30-minute standing call: what was submitted, paid, denied — and the few things that need your input.
A named account manager
One person with a direct line. Response within one business day.
A clear escalation path
Account manager → RCM director → leadership, with defined response windows.
Fourteen stages from patient registration to reporting — managed as one connected system, with AI assisting at every step and specialists making the calls.
Demographic and insurance capture reviewed for accuracy before the visit.
Pattern detection flags mismatched demographics and duplicate records.
A transition designed so your revenue never pauses — with a parallel-run option and dashboards on from day one.
We learn your specialties, payer mix, systems, and where revenue hurts today.
A structured review of denials, A/R aging, coding patterns, and underpayments — with findings you keep.
Parallel-run plan, data access, workflow mapping, and a no-disruption cutover timeline.
Your dedicated team goes live with eligibility, coding, claims, posting, and A/R — dashboards on from day one.
Weekly reviews, monthly strategy sessions, and prevention loops that keep improving the cycle.
Let's identify where your practice is losing revenue — and build a plan to recover it.
Get your free revenue audit
Step 1 of 4