Medical billing and revenue cycle management
You already know the emails take three days. What does not show up anywhere is what happens to the claims while nobody is watching them.
Twenty minutes. If your current arrangement is fine, we will tell you that.
Pull your denials from the last ninety days and sort by date. Find the oldest one nobody has touched in thirty days. Then look up the filing deadline on it.
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.
Not one of these is unreasonable and not one of them requires a meeting. How long the answers take is the answer.
Of the denials from the last ninety days, how many have had no activity in the last thirty?
What is the filing deadline on the oldest untouched denial, and has it already passed?
How many appeals went out on your behalf last month?
When did anyone last tell you about a payer policy change before it showed up in your deposits?
What is your notice period, and have you read the termination clause?
Can they hand you a list of every open denial and what has been done to each one?
If they can answer all six without going to look, keep them. If they cannot answer four, the problem was never responsiveness. It is that nobody is watching the money, and that does not show up as a complaint. It shows up as a smaller deposit.