Medical billing and coding that gets you paid
Reduce denials, shorten days in A/R and stop leaving earned revenue on the table.
The revenue you've already earned
Every claim that sits unworked is money you have already earned and not yet collected. Denials get appealed late or not at all. Aging A/R quietly becomes uncollectible. A billing specialist leaves and the backlog grows for two months while you hire.
None of this is a clinical problem. It is a capacity problem, and it responds well to a dedicated team that does nothing else.
We staff medical billing and coding professionals who work your systems, your payers and your fee schedule as a permanent extension of your practice. Not a clearinghouse. Not software. People who own the work end to end and report on it.
HIPAA compliance and how we protect patient data
Handing PHI to an offshore team is the objection every practice raises, and it should be. Here is how the environment is controlled.
Facility controls
Patient data stays inside your systems. Agents work in your platform through a controlled, encrypted access path — PHI is not copied to local machines.
- Dedicated seating for healthcare accounts
- CCTV on work areas and entry points
- Clean desk: no phones, cameras or storage devices
- No printing of patient information
Our medical billing and coding services
Patient billing support
Statement production and patient balance inquiries handled with the tone you would want used with your own patients.
Eligibility verification and prior authorization
Coverage confirmed and authorizations secured before the visit, so claims are not denied for reasons you could have caught at the front desk.
Charge entry and claims submission
Clean claims out the door on your billing cycle, scrubbed before submission to cut avoidable rejections.
Denial management and appeals
Every denial worked, categorized and appealed plus root-cause reporting so the same denial stops recurring.
Medical coding
ICD-10, CPT and HCPCS coding by trained coders working to your specialty's documentation requirements.
Payment posting and reconciliation
ERA and EOB posting, adjustment reconciliation and variance flagging against your contracted rates.
Systems and platforms we work in
Three ways to engage
Choose the engagement model that best fits your practice's current needs and long-term goals. Whether you need a single dedicated specialist, a full RCM team, or temporary surge support to clear backlogs, we adapt to your systems, workflows, and hours.
Dedicated coder or biller
One specialist, your systems, your hours. The usual starting point.
Overflow and backlog recovery
A temporary team to clear aged A/R or cover a vacancy, then scale down.
Full RCM team
Coders, A/R specialists and a team lead owning the cycle end to end.
Frequently asked questions
We've compiled a list of the most commonly asked questions to provide you with quick answers. If you can't find what you're looking for, feel free to reach out to our team — we're happy to help!
Teams work on-site in our secured Cebu facility, never from home. Access is controlled at the facility, network and account level, and every staff member is background-checked and works under confidentiality agreement.
Yes. Every coder on our team holds an active certification through AAPC or AHIMA — typically CPC, COC, or CCS — and maintains it through continuing education each year.
Certification is the floor, not the finish line. Coders are re-tested internally before touching your account, and every coder works under a QA review process where a share of charts is audited before submission. We also retrain the whole team ahead of each annual CPT, ICD-10-CM, and HCPCS update so code-set changes don't reach your claims as denials.
We work inside your system — you don't migrate, and you don't buy anything new. Our team logs into your existing PM/EHR the same way your staff does.
We currently work in Epic, Oracle Health / Cerner, athenahealth, eClinicalWorks, NextGen, Tebra, drchrono, AdvancedMD, Availity, and Change Healthcare.
If your system isn't on that list, it's usually still workable. Tell us what you run and we'll confirm whether we can support it directly or set up a data-exchange workaround.
Most practices go live within a few weeks — the exact timeline depends mainly on payer credentialing and system-access approvals, which sit with third parties rather than with us. The rollout runs in four stages:
- Discovery and access — we map your current workflow, fee schedule, and payer mix, and get credentialed for system access.
- Configuration — claim-scrubbing rules, denial routing, and reporting are set up against your specialties.
- Parallel run — we bill alongside your current process so nothing drops mid-transition.
- Full cutover — your team hands off, we own the cycle, and we hold a review after the first full cycle.
Practices that have credentialing and access ready move fastest.
Every denial gets worked, categorized, and counted — nothing is written off quietly.
Working the denial. Denials are triaged daily by reason code and dollar value, corrected, and appealed inside the payer's timely-filing window. High-value and repeat denials escalate to a senior specialist rather than sitting in a queue.
Preventing the next one. Root causes feed back into the front end of the cycle: eligibility checks, prior-auth capture, documentation gaps, and coding rules. A denial we fix once should not recur.
You see all of it. Your monthly report shows denial rate, top denial reasons by dollars, overturn rate, and what changed upstream as a result.
Yes. We're clearinghouse-agnostic and work in whichever one you already use, so your payer enrollments, ERA setups, and existing contract stay intact. There's no re-enrollment project and no gap in submissions.
If your current clearinghouse is creating problems — rejection loops, poor payer coverage, weak reporting — we'll say so and lay out the trade-offs of switching. That's your decision, not a condition of working with us.
Pricing is quoted after a short review of your current volumes, specialty mix, and payer mix — you'll get a written quote rather than a number before we've seen your data.
We'll walk you through the model that fits your practice, whether that's a percentage of collections, a per-biller rate, or a flat monthly fee, and confirm exactly what's included and what's priced separately before you commit. There's no setup fee and no per-claim surcharge.
A live dashboard plus a monthly review with a real person.
The dashboard covers charges, payments, adjustments, and A/R aging by bucket (0–30 / 31–60 / 61–90 / 90+), refreshed regularly. The monthly review walks through the metrics that actually indicate health: days in A/R, clean claim rate, first-pass resolution rate, net collection rate, denial rate by reason, and performance by payer and by provider.
You also get the reasoning behind the numbers — what moved, why, and what we're changing next month. Reports are yours to export at any time, and the underlying data stays in your system.
Get in touch
Tell us about the workflow
Ready to collect what you've earned?
Talk to us about a billing and coding team built around your specialty, your payers and your systems.