Services

Full-cycle medical billing, built for specialty practices.

We manage the entire medical billing cycle (charge capture, clean claim submission, denial management, appeals, and A/R follow-up) with a team trained specifically in specialty billing, including cellular tissue.

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What we do

Core services, included in your flat rate.

Reimbursement Optimization Analysis

We benchmark your A/R aging, denial patterns, and payments against your contracted fee schedules to surface underpayments and gaps.

Payer contract & fee schedule analysis

We compare your allowables against Medicare and commercial fee schedules to flag underpayments per your contracts.

Documentation review at charge capture

We review the provider's documentation up front, so every encounter is billed to what the chart supports.

Clean claim submission & scrubbing

Systematic review for documentation gaps, modifier issues, and missing information before claims leave the practice.

Denial management & appeals

First-pass denial triage by reason code and payer, ADR response management, and root-cause analysis so the same errors don't repeat.

Reporting & dashboards

Remittance is ingested automatically, denials are categorized, and appeal deadlines are tracked to the day. Real-time visibility into charges, collections, and A/R aging, through Patientflows.

The fine print, up front

What's included, and what isn't.

Included in your flat rate

  • Charge entry and claim submission
  • Claim scrubbing
  • Payment posting and routine follow-up
  • Level 1 appeals (up to 1 per claim, when reasonably necessary)
  • Monthly billing reports
  • 2 hours/month specialty billing advisory

Not included

  • Clinical decisions or patient care direction
  • Setting your practice's fee schedules
  • Binding your practice to contracts outside billing services
  • Credentialing services (not currently offered)

See full pricing, contract terms, and optional add-ons on our Pricing page →

Why we're different

Specialty expertise, built in.

Wound care certified

Our team understands the clinical context behind the claims: debridement types, wound classification, cellular tissue billing.

Prior authorization expertise

Dedicated specialists flag PA requirements before claims go out, not after they deny.

Proactive communication

We notify you of billing discrepancies and payer correspondence. You hear from us before you ask.

Specialty reporting

Monthly reports built for specialty care, not generic billing reports.

Patientflows

Our billing technology platform: one connected workspace from encounter to appeal, so nothing gets re-typed between systems and nothing waits for a monthly report.

Accountability clause

If a denial is our error, we rework and resubmit at no charge.

Also available

Insurance verification for manufacturers and distributors.

We offer insurance verification and prior authorization for manufacturers, suppliers, and distributors, for any product or supply, not just skin substitutes. It's a standalone service, separate from our billing work, and runs on the same platform that powers our billing.

Talk to us about vendor verification

See where your billing stands.

A 30-minute call with Brittany Walthall. No commitment. We onboard a limited number of practices each month so your team gets real attention on your denial backlog and AR.

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