U.S.-based outpatient billing for ASCs, clinics & specialty centers—97% clean claim rate, 60% fewer denials, and full compliance with payer rules.
Request a Free RCM AuditWe identify undercoded procedures, missed modifiers, and payer-specific edits to boost revenue capture per visit.
Pre-submission scrubbing catches eligibility, coding, and documentation errors before claims go out.
CPC-certified experts with outpatient specialty experience—no offshore delays or language barriers.
Works with Epic, Cerner, eClinicalWorks, Athena—no double data entry or workflow disruption.
Expertise in gastroenterology, orthopedics, cardiology, pain management, and more—coded right the first time.
Your personal U.S. contact for strategy, support, and real-time performance insights.
Small coding errors or missing documentation can lead to denials, recoupments, and 30–50% revenue leakage.
Failure to apply -25, -59, or other modifiers leads to automatic denials or underpayment.
Eligibility lapses, missing referrals, or insufficient documentation trigger payer rejections.
Commercial payers frequently update policies—non-compliance results in delayed or denied payments.
Unmonitored aging claims turn into bad debt—especially beyond 90 days.
A streamlined 5-step process built for ASCs, surgery centers, and specialty clinics.
Verify insurance, benefits, and prior authorization 48h before service.
Assign CPT/HCPCS with correct modifiers; validate against documentation.
Submit within 24h with real-time scrubbing for 97% first-pass approval.
Appeal within 5 days; recover 87% of denied revenue.
KPIs: net collection %, denial root causes, payer performance.
Clean Claim Rate
Fewer Denials
Higher Net Collections
Based on 150+ outpatient clients in 2024. Results may vary.
Outpatient providers lose $80K–$250K/year to missed codes, modifier errors, and slow denial follow-up.