Independent Practices

RCM Services for Independent Medical Practices

Stop losing revenue to billing inefficiencies. Our dedicated RCM teams give independent practices the back-office firepower of a large health system — without the overhead.

+35% Net Collections Increase
18-Day Average AR Days
99% Clean Claim Rate
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The Problem

Challenges Independent Practices Face Every Day

Solo and small-group practices are caught between rising operational costs, shrinking reimbursements, and increasingly complex payer rules — all without the resources larger organizations take for granted.

⚠️

Staff Turnover & Training Gaps

Losing a single billing specialist can cripple your revenue cycle for months. Training replacements on payer-specific rules, modifier logic, and EHR workflows takes time you don't have.

📋

Payer Rule Complexity

Each commercial payer has unique pre-authorization rules, timely filing limits, and appeal processes. Missing a single requirement can mean thousands in lost revenue per claim.

📉

Denial Management Backlog

Without a dedicated denial team, rejected claims pile up past appeal deadlines. The average independent practice writes off 5-8% of collectable revenue due to unworked denials.

🔍

Limited Revenue Visibility

Spreadsheet-based tracking can't surface trends in underpayments, payer mix shifts, or coding inefficiencies. You need real-time dashboards, not month-end surprises.

Our Approach

A Dedicated Team, Not a Call Center

Every independent practice we serve is assigned a named team — a billing lead, certified coders, AR follow-up specialists, and a client success manager who knows your practice inside and out.

We integrate directly with your EHR and PM system to manage the full revenue cycle from patient scheduling through final payment posting. No handoffs, no gaps, no excuses.

  • Full-cycle ownership — charge entry, coding, claim submission, denial management, patient billing, and payment posting
  • Proactive denial prevention — eligibility verification and prior-auth checks before service
  • Weekly performance calls — review KPIs, address trends, and plan process improvements together
  • HIPAA-compliant infrastructure — ISO 27001 certified, HITRUST CSF validated systems
Independent medical practice clinic
What's Included

Full-Cycle RCM Services for Your Practice

Everything you need to maximize collections and minimize administrative burden — delivered by specialists who understand independent practice operations.

✅

Insurance Verification & Pre-Auth

Real-time eligibility checks and proactive prior-authorization management to eliminate front-end denials before they happen.

🏷️

Certified Medical Coding

CPC and CCS-certified coders assign accurate ICD-10, CPT, and HCPCS codes with specialty-specific expertise that ensures maximum appropriate reimbursement.

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Claim Submission & Scrubbing

Multi-layer claim scrubbing catches errors before submission. We track every claim from drop to adjudication with automated status monitoring.

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Denial Management & Appeals

Root-cause analysis on every denial. Timely corrected claims and multi-level appeals with payer-specific strategies that recover revenue others write off.

💰

Patient Billing & Collections

Branded patient statements, online payment portals, and compassionate collection outreach that protects your patient relationships.

📊

Reporting & Analytics

Real-time dashboards tracking collections, AR aging, denial rates, payer mix, and provider-level performance — accessible anytime from any device.

2,500+ Independent Practices Served
96% Client Retention Rate
48 hrs Average Claim Turnaround
$1.2B+ Collected Annually
FAQ

Frequently Asked Questions

Most independent practices are fully onboarded within 2-4 weeks. We handle the EHR/PM integration, clearinghouse setup, payer enrollment verification, and team training. Your revenue cycle continues uninterrupted during the transition.
Absolutely not. You retain full visibility through real-time dashboards and weekly performance calls. You approve all major decisions, and your dedicated team is available for questions any business day. We're an extension of your practice, not a replacement.
We integrate with all major platforms including Epic, athenahealth, eClinicalWorks, NextGen, Kareo, DrChrono, AdvancedMD, and many more. Our technical team handles the full integration — no IT burden on your end.
We offer flexible pricing models including percentage-of-collections and flat-fee options depending on your practice size and volume. There are no hidden fees, setup charges, or long-term lock-in contracts. Our pricing aligns our incentives with yours.
Many practices redeploy front-desk billing staff to higher-value patient-facing roles. We can also work alongside your existing team in a co-managed model, handling complex claims and denials while your staff manages front-end processes.
We maintain HIPAA compliance with administrative, physical, and technical safeguards. Our infrastructure is ISO 27001 certified and HITRUST CSF validated. All data is encrypted in transit and at rest, with role-based access controls and comprehensive audit trails.