Work every denial
Unworked claims are the real leak.
Where the money actually goes
Not to underpricing. To claims denied once and never looked at again.
How we work
Submission is half the job
Small practices usually submit claims competently. What they lack is the second half: somebody whose job is to open the denial, work out the reason code, fix it and resubmit before the filing limit closes the door permanently.
Denials also cluster. The same reason code recurring every month is a process problem — a missing modifier, an eligibility check nobody runs, a referral not captured at the front desk. Fixing the cause pays far better than reworking the symptoms.
And the line we hold is documentation. Billing a level the note will not support raises revenue this quarter and creates exposure that surfaces years later in an audit. The record decides what gets billed; when it falls short, the right move is to tell the provider, not to adjust the code.
Our principles
Three beliefs behind the method
Fix the cause
Recurring reason codes are process faults.
The record decides
We never bill what it will not support.
Want a review?
Free, showing where claims are stuck and what it is costing you.