No, we don't exclusively work with mental health providers. While mental and behavioral health is a major focus, we also engage with other specialties when their complexity benefits from our hands-on RCM oversight. We decline straightforward, low-complexity specialties where a generic large vendor would suffice.

Absolutely! Although we're based in Maryland, we serve providers across the entire U.S., adapting our processes to meet payer-specific rules in each state.

We specialize in integrated billing and credentialing because separation between the two often leads to delays and errors. We do not offer standalone credentialing at this time.

We currently provide credentialing services exclusively to our active or future medical billing clients. Credentialing is integral to doing billing correctly. Fragmenting it creates avoidable delays (ERAs, EFTs, taxonomy mismatches, panel gaps) and weakens denial prevention. I handle credentialing and billing together so enrollment data, payer nuances, and authorization rules feed directly into clean first pass claims.

Yes, we routinely work with Tebra (Kareo), eClinicalWorks, TherapyNotes, AdvancedMD, and similar cloud EHR/PM systems, as well as clearinghouse and payer portals. If your system supports solid reporting, modifier logic, auth tracking, and data export, we adapt to it. If it hinders denial prevention or analytics, we recommend targeted configuration changes or a migration before going live.

We charge one percentage of the money actually collected for you each month. That single percentage already includes: claim submission, payment posting, denial management and appeals, prior authorizations, credentialing and ongoing enrollments, ERA/EFT setup, payer follow up, basic patient balance outreach, and standard KPI reporting. No per claim fees and no separate statement charges.

Compliance note (states with restrictions on percentage billing): In states where percentage based medical billing arrangements are restricted or prohibited, I structure a compliant alternative (flat monthly fee, tiered volume band, or hybrid base + performance incentive) that preserves the same scope while meeting state guidance. We address this upfront during discovery so the agreement format matches your state’s rules.

Separate / optional project fees (only if you request them): legacy AR cleanup, deep forensic audit, large custom reporting build, or major EHR migration.

• Environment: U.S. based Microsoft 365 with BAA, encrypted at rest and in transit, MFA enforced, role based (least privilege) access.

• Data Handling: no offshore labor, no casual PHI sharing in unsecured channels, structured naming and storage policy, audit logging on sensitive folders.

• Process Controls: standardized SOPs for claim submission, auth handling, and ERA posting; quarterly internal compliance review; immediate revocation workflow for terminated users.

• Minimization: only essential PHI is pulled into internal trackers. Non essential identifiers are truncated or tokenized.

• Incident Preparedness: documented breach response plan, versioned backups, and rapid revocation protocol.

Short answer: No. All core RCM, billing, credentialing, prior auth, denial management, payer follow up, and consulting work is performed in house by my team (and me directly where it adds value).

Details:

• We do not ship PHI offshore. All protected health information stays within our U.S. based environment under our Microsoft 365 BAA and documented HIPAA safeguards.

• Your claims, enrollments, and appeals are handled by people who understand mental and behavioral health nuances (Medicaid ASOs, POS rules, telehealth modifiers, prior auth quirks, etc.).

• Direct accountability: you always know who touched a claim, an enrollment packet, or an appeal because our internal trackers and audit logs show it.

• Faster issue resolution: no ticket handoffs or overnight lag. Real time adjustments when a payer bounces something for taxonomy, modifier, POS, or authorization.

• Consistency and security: standardized SOPs, least privilege access, encrypted storage, and quarterly internal compliance reviews.

Limited external tools (for transparency):

• We may use third party clearinghouses, payer portals, or USPS-style address validation APIs. These act as conduits or utilities and do not constitute outsourcing labor.

• On rare occasions we might consult a niche subject matter attorney (e.g. complex payer contract clause). That is advisory only and never involves sharing unnecessary PHI.

Why this matters to you: Keeping everything internal preserves data security, gives you faster revenue capture, and ensures strategy (not generic data entry) drives every claim and credentialing action.

If you ever want to know exactly who is working on something, just ask. Happy to show the workflow trail.

We don’t just submit claims. We audit, reconfigure, train, and intervene. We integrate credentialing + billing, engineer denial prevention (not just clean up), reconfigure your system instead of passively keying charges, and give real time micro feedback plus focused metrics.

All US based, no offshore labor. Fewer clients, deeper involvement.

Yes, we handle pre-authorizations as part of our billing package. We also configure your EHR with custom alerts to prevent missed auths. Eligibility checks are typically integrated into most EHR systems. We can help teach you or your staff on how to read the response.

Yes — we offer A/R cleanup and historical denial resolution during onboarding. This helps new clients recover cash and fix systemic issues.

Depending on how involved of a clean-up is needed, we may offer an add-on price or percentage. For minor clean-ups, it will typically be included in our base fee.

We use Microsoft 365 tools like Teams, SharePoint, and secure upload portals. You'll always know the status of your claims, authorizations, and credentialing. No black-box billing.

Yes, we can take over mid-year if you're unhappy with your current biller. We have experience transitioning from prior vendors or in-house staff, conducting a soft audit, handling data migration, and ensuring a clean handoff.

No, a long-term contract is not required. We offer month-to-month agreements and earn your trust by delivering consistent results, not by locking you in.