Discovery and baseline
Confirm workflow owners, systems, permissions, eligible claim cohort and historical net cash collections.
A staged engagement that keeps your staff in control and connects technical quality to verified business impact.
Confirm workflow owners, systems, permissions, eligible claim cohort and historical net cash collections.
Adapt and freeze rules. Evaluate unseen cases, difficult exceptions and staff review effort before consequential live action.
Preserve authorized staff approval. Record submission, clearinghouse receipt, payer decisions and remittance as separate events.
Review quality, operating costs and reconciled collections. Expand only after agreed acceptance criteria.
The proposed performance fee is zero without positive verified uplift under agreed terms. This does not establish zero setup charges or other fees.
Share, scope, setup charges, caps, exclusions and measurement periods remain negotiable. No financial improvement is promised.
Define the eligible service cohort and normalize for volume, payer mix, contracted rates, seasonality and payment lag. Reconcile refunds, reversals and recoupments, exclude unrelated revenue changes and agree on a payment-maturation window.
Precision, recall, unsupported actions, claim errors and abstention / review rate.
Readiness, review minutes, charge lag, clearinghouse rejections and payer denials.
Eligible collections, aged balances, payment timing, refunds and recoupments against the adjusted baseline.
Start with your practice’s real bottleneck and a clearly defined pilot.
Request a workflow assessment →