Share your lanes (claims, denials, AR, prior auth/eligibility, coding QA, patient access). We’ll propose staffing pods or a managed-outcomes pilot with SLAs, QA sampling, and dashboards you can trust.
W-2 contract, C2H, or direct hire for RCM roles: patient access, eligibility, prior auth, charge entry, coding, AR follow-up/denials, revenue integrity, HIM.
Pods with SOPs, SLAs, QA (AQL), and dashboards for clean-claim rate, first-pass yield, denials reduction, AR aging recovery, auth TAT, and coding QA.
Time-boxed diagnostic to define lanes, QA, coverage, and dashboards—then a pilot plan with go/no-go gates.
Scheduling, eligibility, benefits, prior auth, financial clearance.
Edits, charge entry, scrub rules, rejection recovery.
Pro-fee/facility, defect classes (NCCI/modifiers/LCD), calibration.
Sequencing, appeal templates, high-dollar & statute lanes.
Root-cause denials, definition locks, dashboard tiles.
Document retrieval, release, eTMF-style QC, provider ops.
We complete standard security/IT questionnaires and provide control summaries.
COI, W-9, E-Verify, accessibility statement, sample MSAs/SOWs, BAA template.
References by specialty; anonymized case outcomes with KPIs.
Replace with your finalized PDFs at deployment.
CCR +11.8 pts; first-pass yield +9.1 pts via edit playbooks & QA.
>90d aging −19.6%; collections yield +13.3% with lane design.
Median TAT −32%; approval rate +7.4 pts via payer-specific checklists.
Yes. We align defect classes, macros, and evidence tiles to your EMR/PM and payers before go-live.
Yes—we execute a BAA where PHI is in scope and operate with least-privilege access and audit trails.
Staffing shortlists 7–14 days for common roles; outcomes pilots typically within a week of scope lock.
Metrics, risks, decisions, and actions—with drill-downs to encounters/claims and evidence.
Share your lanes and targets—we’ll propose a pilot with SLAs, QA, and dashboards.
