Build the baseline
Start from what each contract actually says.
- Payer contract and fee schedule review
- Expected amounts by code and modifier
- Fee schedule update tracking
- Contract gaps flagged for your team
Underpayment recovery · Revenue cycle
Find out whether payers paid what they agreed to.
A paid claim is not always a correctly paid claim. We compare what came in with your contracted rates and take the differences back to the payer.
Works with your current systemScope and handoffs agreed upfrontBAA before PHI access
A clear scope. A consistent handoff.
Support designed around real practice work.
Underpayments are easy to miss because the claim looks finished. We load your contract terms, review remittances against them and separate true payer errors from setup problems on your side.
Compare the payments
Find the differences that are worth chasing.
- ERA and EOB variance review
- Multiple procedure and modifier checks
- Patterns by payer and code
- Low-dollar thresholds agreed with you
Recover and report
Take clean evidence to the payer and track the answer.
- Payer reconsideration requests
- Follow-up with reference numbers
- Variance reports for contract talks
- Recovered and closed item tracking
How we begin
A measured start before the work is handed over.
- 01
Review the workflow
We learn your payers, billing system, current backlog and where this work stalls today.
- 02
Set the scope
Agree on which queues we own, what stays with your staff and how exceptions come back to you.
- 03
Start with secure access
Document the handoff and sign a business associate agreement before any PHI is shared.
- 04
Work and review
We work the agreed queues, record each follow-up and review open items with your practice.
Questions
Before you get started.
We’ll use an initial conversation to understand the work, the current system and the boundaries your practice needs.
What do you need to start?
Your current payer contracts, fee schedules and access to remittance data for the period you want reviewed.
What if we do not have our contracts?
We request fee schedules from payers with you and use actual payment history to spot likely variances until the contracts arrive.
Start with a conversation
Let’s talk about the work you want off your team’s plate.
We’ll discuss your workflow and what a practical service scope could look like. Please don’t share patient details on the call booking form or this website.
Or call (844) 874-2236