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Get a billing plan

For independent practices

Medical billing, done for you, end to end

  • We run your billing from signed note to paid claim.
  • You keep your EMR.
  • You see every claim, live.
Get a billing planSee the live dashboard

Live for physical therapy practices.

Claim C-29498

  1. Checked
  2. Sent
  3. Paid

Posted just now

What do you do, and what stays with us?

Everything from the signed note to the paid claim

Your front desk keeps insurance cards, copays and authorization requests. Open any card for the detail.

  • Coding and claims

    We code every visit and check every claim before it goes out

    Codes, units and modifiers come from your clinicians' signed notes and are checked against the payer's rules. Clean claims go out and are tracked until they are paid.

    Charge review

    Claim C-28941

    Secondary plan

    Pt 2137, Tue, Sep 8, 2026, Visit 15, PTA 1 (North), Medicare Part B + supplement

    Open now $17.62

    Checks before the claim went out

    7 of 7 passed
    • 62 timed minutes = 4 units under Medicare's 8-minute rule (53 to 67 minutes).Software
    • GP on every line.Software
    • CQ on every line: a PTA furnished the visit. Medicare pays these lines at 85%.Software
    • KX not needed: $1,298.63 of therapy this year before this visit, under $2,480.Software
    • Plan of care certified Jul 15 through Sep 23; this visit is covered.Software
    • 97140 with 97530 on the same day: no Medicare code-pair edit since 2020, so no 59 or X modifier.Software
    • Units within Medicare's daily limits (MUE).Software
    Figure 1One claim, checked before it was sent.

  • Before the visit

    Coverage checked automatically

    Coverage, deductibles and visit limits are checked before scheduled visits. Authorizations are tracked.

    Automated check

  • Payment posting

    Every payment matched to its visit

    Each insurance payment and adjustment is matched to the visit it pays. Anything that does not match is flagged, not written off.

  • Denials and appeals

    Corrected or appealed, with the reason

    Denials are sorted by reason, then corrected or appealed. A billing specialist reviews every appeal before it is sent.

  • Unpaid claims

    No unpaid claim without a next step

    Every unpaid claim has an owner and a date. We track each insurance company's filing deadline and work claims before it passes.

  • Patient statements and calls

    Clear statements, and billing calls answered

    Statements go out only after insurance has paid its share. We answer your patients' billing questions under your financial policy.

  • Live dashboard

    Every claim, live, plus a monthly summary

    Where each claim is, what happened, what is next, what is owed and how old it is. No chasing anyone for a status.

  • Eligibility and benefitsAutomated check onlyChecked before each visit. Problems go to your front desk before the patient does.
  • Prior authorizationTracking onlyVisits used against visits approved, and the dates they end. Your front desk requests them.
  • Credentialing and payer enrollmentNot includedYour practice or a credentialing service keeps them current.

Coding and claims

Coding and claims

We code every visit from your clinician's signed note. When a note does not support a code, we ask your clinician to clarify. We never upcode. Software never raises a code level or adds units.

We do

  • Code every visit from the signed note, with units and modifiers.
  • Check every code and unit against the documentation and the payer's rules before the claim goes out.
  • Scrub and send clean claims, and track sent, accepted and paid as separate steps.
  • Fix and resend rejected claims.
  • Bill secondary insurance after the primary pays.

You do

  • See patients, document the visit and sign the note.
  • Answer our questions about a note.

What you see

Every claim in your dashboard: sent, accepted, rejected or paid, with the reason for each rejection.

Coding and charge reviewClaims

Before the visitAutomated check

Before the visit

An automated check runs before scheduled visits, and authorizations are tracked. Problems go to your front desk before the patient does.

We do

  • Run an electronic coverage check before scheduled visits.
  • Put coverage problems on your front desk's list.
  • Track visits used against visits approved, and the dates authorizations and recertifications end.

You do

  • Collect insurance cards and fix insurance details.
  • Request authorizations.
  • Collect copays at the visit.

What you see

Coverage problems and authorization dates, live in your dashboard.

A coverage check is not a guarantee of payment.

Before the visit

Payment posting

Payment posting

We do

  • Match each electronic payment and adjustment to its visit.
  • Post paper checks and explanations of benefits (EOBs) when you send them.
  • Flag payments that differ from what the payer allowed before, take-backs and credit balances.
  • Tell you in writing if an insurance company overpaid you.

You do

  • Forward paper checks and EOBs.
  • Approve refunds. Software never moves money.

What you see

Money collected by insurance company and by patient, live in your dashboard.

Payment posting

Denials and appeals

Denials and appeals

We do

  • Sort denials by reason, then correct or appeal them.
  • A billing specialist reviews every appeal before it is sent.
  • Our billing specialists call insurance companies.

You do

  • Send records or a clinician statement when an appeal needs one.

What you see

Denials by insurance company and reason, live in your dashboard.

Follow-up and appeals

Unpaid claims

Follow-up on unpaid claims

We do

  • Give every unpaid claim a next step and a date.
  • Call insurance companies and check claim status.
  • We track each insurance company's filing deadline and work claims before it passes.
  • Recommend write-offs in writing, with the reason.

You do

  • Approve write-offs above a limit you set.

What you see

Unpaid claims by insurance company and age, live in your dashboard.

Follow-up and appeals

Patient statements and calls

Patient statements and calls

We do

  • Prepare statements from posted balances.
  • Answer your patients' billing questions under your financial policy.
  • Set up payment plans inside your policy.

You do

  • Set the financial policy.
  • Collect copays at the visit.
  • Approve any collections referral. No patient goes to collections without your approval.

What you see

What each patient owes, and since when, in your dashboard.

Patient statements and calls

Live dashboard

Live dashboard

You see every claim in real time, for the whole practice and for each patient.

We do

  • Keep every claim, payment and write-off current in your dashboard.
  • Write a summary of the month, with what changed and what is open.

You do

  • Clear what we need from you, listed in your dashboard with the reason.

What you see

The dashboard itself, and a monthly summary.

Your live dashboardLive dashboard and monthly summary

The full scope, line by line

Can I see where my money is?

Yes. Every claim, live, with no back-and-forth

For the whole practice and for each patient: what was billed and what was paid; what is still owed and how old it is; the details of every claim; every write-off and why; how much we recovered; and what we need from you. Plus a monthly summary.

Dashboard
Your practice, physical therapy, 2 locationsUpdated Mon Sep 28, 6:00 pm

Overview

Your practice

Since your last visit (Thu, Sep 24): 37 claims sent, 1 corrected claim re-sent, $3,590.20 posted, 8 items need you.

Collected, Sep 1 to 28$42,072.17Insurers $32,302.76Supplement plans $1,715.92Patients $8,053.49Money posted this month from insurers, supplement plans and patients.
Visits billed, Sep 1 to 283541,261 units3.56 per visitVisits with a claim created, by date of visit.
Expected from those visits$38,018.35$107.40 per visitcharges $104,973.00What payers and patients should pay, based on what each payer allowed.
Open A/R now$43,003.11Insurers $35,405.95Supplement $603.81Patients $7,028.35Credit -$35.005.6% over 90 daysMoney still owed on your claims, net of credits.
Days in A/R29.4$43,003.11 ÷ $1,462.95 per dayOpen A/R divided by the average daily expected value of visits in the last 90 days (Jul 1 to Sep 28).
Needs you now8 items9 visits held ($884.03)4 coming upThings only your practice can do; held visits cannot be billed until then.
Where the work stands
StageClaimsOpenOwner
Checking22$2,439.88Software, checked by a billing specialist
Needs you10$849.03You
With payer295$28,719.34Software; a billing specialist follows up if the payer is late
Being recovered68$3,932.09Billing specialist
Secondary plan29$539.73Software
Patient balance195$6,523.04Software statements, calls by a billing specialist
Total open619$43,003.11

Paid in full in the last 7 days: 103 claims.

Figure 2Your dashboard, overview.

See every view of your dashboard

Who codes our visits, and who checks them?

We code every visit, check every claim and never upcode

Your clinicians document the care. We code every visit from your clinician's signed note. When a note does not support a code, we ask your clinician to clarify. Every code, unit and modifier is checked against the documentation and the payer's rules before the claim goes out.

Claims go out under your National Provider Identifier (NPI). Medicare's enrollment form says it plainly: "Even if you use a billing agency/agent, you remain responsible for the accuracy of the claims submitted on your behalf."1 That is why we check every one.

  • We never upcode. Software never raises a code level or adds units.
  • We never ask a clinician to change a signed note to get a claim paid.

How coding and charge review work

What does it cost?

3.5% of what we collect for you

One fee covers the whole billing operation, from coding to your live dashboard. Here it is next to the cost of one in-house biller.

  • Of what we collect for you, for the complete service
    3.5%

    CommitmentIn your agreement.

  • Our fee when we collect $60,000 a month for your practice ($25,200 a year)
    $2,100 a month

    Computed: 3.5% of $60,000.

  • One full-time biller a year, before software, training and cover for time off
    About $65,500 to $70,600

    Computed from BLS data: $48,500 divided by (1 minus 25.9%) and by (1 minus 31.3%)2345

Pricing, and how we compare with a billing company

How do we switch, and can we leave?

We plan the handover before anything changes

  1. 01

    Sign the service agreement and the Business Associate Agreement (BAA)

    No patient data moves before the BAA is signed.

  2. 02

    Set up our access to your EMR and clearinghouse

    You keep your EMR.

  3. 03

    List every open claim

    Each with an owner and a deadline.

  4. 04

    Agree a start date

    Who works claims for visits before it, and who works them after.

  5. 05

    Your dashboard goes live

    Every claim, live, from the first one we send.

  • You keep your EMR and your records. If you leave, the BAA requires us to return or destroy your patients' information, or, where that is not possible, to keep protecting it.6

Getting started

Do you know my specialty's rules?

Physical therapy is live. Other specialties are by request

We build and test the billing checks for each specialty before we bill it. Tell us your specialty and we will tell you how we bill it.

Live

Physical therapy

Units from treatment minutes under the 8-minute rule, GP on every line, KX above Medicare's $2,480 amount (2026)7, CQ when an assistant treats, and certified plans of care. We code and check all of it.

Every specialty

What happens when I get in touch?

Tell us about your practice. You get a written billing plan

Your specialty, your EMR, how many providers you have and who does your billing today. We sign a BAA before any patient data moves. No patient information in your message, please.

Get a billing plan