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Frequently Asked Questions

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General information

We’re not a high-volume factory. We offer hands-on service, fast turnaround, and transparent reporting — backed by real experience in home health, AR, and denial recovery.

Absolutely. That’s our specialty. We clean, correct, and resubmit your backlogged claims quickly — often within 48–72 hours.

For backlog recovery, we charge a percentage of what we successfully collect. For monthly billing clients, we offer competitive flat rates or tiered pricing based on volume.

Yes. We use HIPAA-compliant tools, secure systems, and signed BAAs with every client. Your data and patient information are protected at every step.

Just book a free consultation. We’ll review your billing setup, identify where money is being left behind, and create a simple plan to recover it.

Backlog Claim Recovery

Most payers allow recovery up to 12–24 months, depending on the plan and state. We help you prioritize claims based on filing deadlines, payer rules, and recovery likelihood.

We audit every claim before resubmitting. If something was denied or submitted incorrectly, we correct it. If it was already paid properly, we leave it alone — no double billing, ever.

Within 48–72 hours of onboarding. Once we have access to your data and documents, we begin correcting and resubmitting immediately.

Everything from missing modifiers and incorrect codes to NPI mismatches, eligibility issues, and payer-specific formatting errors. We don’t just resubmit — we resubmit correctly.

We only charge a small percentage of the revenue we successfully recover for you. If we don’t collect, you don’t pay — it’s 100% performance-based.

AR Follow-Up

It’s the process of actively working claims that haven’t been paid after submission. Without follow-up, your revenue gets stuck — or lost. We help make sure that never happens.

We can work claims up to 12–18 months old depending on payer rules. The sooner we start, the better the chances of collection.

Denial management focuses on fixing rejected claims. AR follow-up includes denials — but also no-response claims, underpaid claims, and partially processed payments.

Yes. We provide monthly AR aging summaries and specific case updates so you always know what’s been done and what’s pending.

We typically charge a small percentage of recovered revenue. Our goal is to make sure it’s worth it for both sides — we only win when you do.

Denial Management

We handle coding-related denials, missing documentation, prior auth issues, eligibility mismatches, and more. If it was denied — we can likely fix or appeal it.

We do both. If the denial requires correction, we fix and resubmit. If it needs formal appeal, we write and submit that too — with the proper payer forms and timelines.

Usually up to 12–18 months depending on payer rules. We prioritize based on appeal windows and recovery potential.

Yes. We send updates, logs, and summaries so you can track which denials we’ve touched and what the outcome was.

Our pricing is usually performance-based — we only charge a percentage of what we successfully recover from previously denied claims.

Full-Service Billing

We specialize in home health, hospice, therapy, and small-to-mid-size outpatient clinics. If it involves medical claims and insurance — we can help.

No. We work with your current systems. Whether you use Office Ally, Kareo, WebPT, or another platform, we adapt to your workflow.

We typically charge a flat percentage of monthly collections. Some clients prefer a flat fee — we’ll tailor pricing to match your volume and needs.

We don’t just submit and forget. We follow up, fix problems, report results, and work with your staff like an integrated partner — not just a vendor.

We begin eligibility checks, charge entry, and claim submissions within 3–5 business days after all access is granted.