Medical billing and revenue cycle management
Practices that bill their own claims are usually good at it. The problem is not skill. It is that billing is the thing that gets done after everything else, and some of it quietly does not get done at all.
Twenty minutes. If you are better off keeping it in house, we will tell you that.
Pull last month's completed encounters from your scheduler and last month's submitted claims from your system. Those two numbers should be close. Look at the gap. Then add up what you would have earned seeing patients in the hours you spent on billing.
The basics, since you will check anyway
Each one leaves your reports looking healthy.
The visit happened and the note exists. The charge was never built, so nothing was submitted and nothing came back denied.
The claim went out correctly and came back paid, at a level below what the documentation supports.
The payer's own fee schedule says one number and the remittance says another. Nobody reconciles the two.
A client kept running long on follow-up visits. The schedule said one thing, the claim numbers said another, and the two never lined up. Our team asked about the gap.
The practice had been providing a service they did not know was covered. It was documented in the notes every time. It had never been submitted. We filed retroactively and it kept paying going forward. The level of care they wanted to provide stopped being a time cost, and growth became an option.
Step one
You check it yourself. The self-check above takes one report and about ten minutes. You do not need us for that part and you do not have to tell us what you found.
Step two
Twenty minutes on the phone. You tell us what you found and what you run on. We tell you what we would expect to find underneath it and what it takes to fix.
Step three
If you move, payer contract renegotiation is part of onboarding, at no separate fee. Rates set back when the practice was smaller are usually the second thing we find.
None of these are about whether you are good at this. Most practices that bill in house are. They are about how many hours exist in a week.
How many of last month's completed encounters have a claim attached to them?
How many days after a visit does the charge usually go out?
What is the oldest denial sitting in your queue right now?
Which of your payers has the shortest filing deadline?
How many hours went to billing last month instead of to patients?
If you were out for two weeks, who submits the claims?
If you can answer all six, you are running this better than most billing companies. If you cannot answer four, that is not a discipline problem. It is one person and a finite number of hours, and nothing in your setup was ever going to flag what got missed.