Revenue Cycle Management · Nashville, TN

Every claim.
Every dollar.
Recovered.

A managed billing department of coders, credentialing leads, AR analysts, denial specialists working your cycle end to end. With Apex, the client portal every practice gets on day one.

THE CYCLE, OWNED Live
Scheduled
t + 0
Verified
< 24h
Coded
ICD / CPT
Submitted
clean
Processed
tracked
Paid
posted
Operating posture
HIPAA compliant BAA available PHI encryption at rest & in transit US-based leadership
On the leak

Most practices outsource billing and still lose money.

The billing company submits claims. Posts payments. And everything between the two quietly leaks. Aged AR written off. Denials abandoned after the second round. Credentialing applications sitting on someone's desk. Prior auths missed.

The gap between a billing vendor and a billing department isn't effort. It's ownership.

Most practices have been trained to expect reports instead of outcomes. We don't send reports. We send your collections.
Industry benchmarks. What we target.
0below
Denial rate target
Industry avg: 10–15%
0days
Days in A/R target
Industry median: 40–50 days
0+
First-pass clean claim rate
MGMA best-practice: 95%+
0hours
Free audit turnaround
No cost, no commitment
What we run

Eight functions. One department.

Most RCM vendors do claim submission and nothing else. The money leaks everywhere else. We cover the full cycle. End to end. One team. One number to call.

01 / Billing
Medical Billing
Claims filed, posted, and followed up until every dollar lands.
02 / Coding
Certified Coding
ICD-10, CPT, HCPCS aligned to your documentation. Not guessed.
03 / AR
Aged AR Recovery
90+ day claims actively worked back to zero.
04 / Enroll
Credentialing
New providers billable in 90 days, not 180. Live master sheet.
05 / Denials
Denial Management
Root-caused, appealed, recovered. Not abandoned at round two.
06 / Auth
Prior Auth
Approvals before the service. Not denials after.
07 / Optimize
Revenue Optimization
Charge capture gaps. Missed modifiers. ERA mismatches. Found.
08 / Data
Reporting & Analytics
Weekly KPIs, monthly deep-dives, real-time Apex dashboards.
The platform

Apex. Every metric that moves your bottom line. Live.

Most billing companies send you a monthly PDF. We give you the same dashboard our team works from. Net Collection Rate, AR aging, denial trends, credentialing pipeline. Refreshed in real time. The view today, the platform we're building tomorrow.

  • Today
    Net Collection Rate & cash visibility The single metric every practice CFO watches. What you collected versus what you should have. Live, not monthly.
  • Today
    AR aging & denial breakdown Aged AR by 30/60/90+ buckets. Top denial reasons by payer. The intelligence that drives recovery, not the report after.
  • Today
    Credentialing pipeline Every provider's status, payer enrollment progress, and days to billable. The opaque process made visible.
  • Roadmap
    Predictive denial flagging & AI coding Risk-scored claims before submission. Coder-assist drafts. Already in our internal workflow. Yours next.
APEX / DASHBOARD
● LIVE
● Auto
Net Collection
96.8%
↑ target 95%+
Days in AR
27d
↓ target < 30d
Clean rate
96.4%
↑ first-pass
Cash collected · last 30 days
Claim Payer Days Status
CL-8842 Aetna 3
CL-8841 BCBS 7
CL-8840 UHC 12
Total AR
$487K
across 1,246 claims
90+ Day AR
$42K
8.6% of total · ↓ 14d
Recovery rate
73%
on aged claims worked
$284K
0—30d
$118K
31—60d
$43K
61—90d
$42K
90+ d
Top denial reasons · 30 days
Eligibility / coverage
34%
Prior auth required
21%
Coding · CO-16
16%
Missing modifier
11%
14
Active
3
Pending
2
Renewing
In progress · est. days to billable
Dr. Hayes · BCBS TX
12d
Dr. Patel · Aetna
28d
Dr. Okafor · UHC
54d
Avg. time to billable
87d
↓ industry: 120—180d
Active payers
42
commercial + gov
Recred. on time
100%
no lapses YTD
The handoff

Signed to live in weeks.

You never lose a day of claim submission. The cycle keeps moving while we take it over.

DAY 0

Audit & scope

Free 48-hour audit. Workflow mapped. Gaps identified.

DAY 7

Contract & BAA

Engagement signed. Compliance posture locked. Team assigned.

DAY 21

Integration

We connect to your EHR. No data migration. No workflow change.

DAY 30

Takeover

We run the cycle from day one. Apex goes live for your team.

DAY 90

Month-to-month

Ramp complete. KPIs stabilized. Engagement is monthly from here.

Integrates with
Epic
athenahealth
eClinicalWorks
NextGen
Cerner
Allscripts
Practice Fusion
AdvancedMD
DrChrono
Tebra
Kareo
+ 30 more
Integrates with
Epic
athenahealth
eClinicalWorks
NextGen
Cerner
Allscripts
Practice Fusion
AdvancedMD
DrChrono
Tebra
Kareo
+ 30 more
The leak, in numbers

Move the sliders. Watch what you're losing.

Three numbers from any practice management report. We'll show you what your cycle is costing you, before we even open your data.

2,500
100 30,000
$280
$50 $3,000
12%
2% 35%
Annual revenue
$8.4M
Volume × value × 12 months
Stuck in denials
$1.0M
Annually, at your current rate
Recoverable per year
$500K
If denials dropped to 5%. Industry best.

Industry-benchmark math. Your real recoverable amount is almost always higher. Denials we can prevent, aged AR sitting unworked, missed modifiers. We'll find every dollar in 48 hours.

Find the leak in my data
2-minute diagnostic

How much is the Vendor Gap costing your practice?

Five questions. No email required. Get a personalized estimate of what your current setup is leaking annually.

Question 01 of 05

How many providers bill under your practice?

Question 02 of 05

What's your current billing setup?

Question 03 of 05

What's your biggest revenue cycle pain?

Question 04 of 05

When did you last see a Net Collection Rate report?

Question 05 of 05

If we could close the leak, when would you want this fixed?

Your estimate

Based on your answers, you're likely losing

$248K

per year to the Vendor Gap.

A practice your size with your current setup typically leaks 6—8% of annual revenue through aged AR, abandoned denials, and credentialing delays. The 48-hour audit gives you the line-by-line breakdown — what's actually recoverable, by payer.

Free download · No call required

The RCM Leak Audit Checklist.

The 12 places revenue quietly disappears in your cycle. Built from the patterns we work with every day across primary care, specialty, and behavioral health practices. Send to your office manager. Walk through it on Friday. Spot the leaks yourself before you ever talk to us.

  • 12 specific leak points. What to look for, how to spot it, recoverable revenue range per leak.
  • Self-audit framework. A 30-minute walkthrough your office manager can run this week.
  • Payer-specific quirks. The denials Aetna, BCBS, UHC, and CMS are quietly accumulating right now.

No spam. Unsubscribe in one click. We use your email to send the checklist and (if you want) one short follow-up. That's it.

FREE
Edition 01

The RCM Leak Audit Checklist

12 places revenue quietly disappears.

  • 01Aged AR over 90 days, untouched
  • 02Denials abandoned after round two
  • 03Missed modifiers — 25, 59, 91, 76
  • 04Eligibility gaps before the visit
  • 05Prior auth bottlenecks
  • 06Charge capture leakage
  • 07ERA payment posting mismatches
  • 08Contract underpayments by payer
  • 09Credentialing lag costing weeks…
Common questions

What practices ask before they commit.

Five questions worth answering plainly. If you have others, the audit is the right place to ask them.

A billing company sells you a service. We sell you an outcome. Our team is sized and incentivized to own the full revenue cycle, including the unpaid functions vendors quietly skip: aged AR recovery, denial appeals past round two, credentialing maintenance, prior auth follow-ups. The deliverable isn't claim submission. It's collected revenue.

Pricing is structured one of three ways: volume-based monthly fee, percentage of collections, or a hybrid base-plus-collections model. We recommend the right structure after the free 48-hour audit, once we've seen your actual data. There is no cost to find out.

A signed BAA is required before any audit data is shared. PHI is encrypted in transit and at rest. Access is role-based, logged, and reviewed. Compliance is the operating posture, not a checkbox.

We integrate with Epic, athenahealth, eClinicalWorks, NextGen, AdvancedMD, Tebra, Practice Fusion, Kareo, DrChrono, Cerner, Allscripts, and 30 other systems. There is no data migration required and no workflow change for your providers. We connect to what you're already running.

There is a 90-day ramp during which we take over the cycle and stabilize KPIs. After that, the engagement is month-to-month. If the model isn't delivering what we said it would, you can leave. The structural confidence is built into the contract.

Free · No commitment

See what you're leaving on the table.

Send us 90 days of claims data. In 48 hours, we send back exactly what's recoverable. Line by line, payer by payer. If there's revenue to recover, we show you. If everything's clean, you've got outside confirmation. No cost. No pitch.

Request 48-hour audit