AI-native medical billing, end to end

We bill every visit. You see every claim.

  • We run your billing from signed note to paid claim.

Live for physical therapy, occupational therapy, speech therapy, chiropractic, behavioral health, primary care, orthopedics, OB/GYN, imaging and medical supplies.

Two figures from your practice's Mohenara dashboard: $21,086.70 collected in October so far, with the month bars from May, and 3 items that need you: 2 decisions, 1 as PT 1.

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.

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

Codes, units and modifiers come from the signed note and are checked against the payer's rules. Then we track each claim until it is paid.

What we do and what you do

Coverage checked automatically

Coverage, deductibles and visit limits, before every scheduled visit.

Automated check

What we do and what you do

Every payment matched to its visit

Each payment matched to the visit it pays, and to your bank deposit.

What we do and what you do

Corrected or appealed, with the reason

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

What we do and what you do

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.

What we do and what you do

Clear statements, and questions answered

Statements go out only after insurance has paid its share. Patients can pay online, by card or bank transfer, or on a payment plan.

What we do and what you do

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 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.
  • Match each insurance payment to the deposit that reached your bank.
  • 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.
  • Follow up with insurance companies until the appeal is decided.

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.
  • Follow up with 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.
  • Take online card and bank payments, and 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

The full scope, line by line

Can I see where my money is?

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

Billed, paid and still owed, for the practice and each patient, plus what we need from you.

Your dashboard, Money.

See every view of your dashboard

Who codes our visits, and who checks them?

We code every visit, check every claim and never upcode

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 note and the payer's rules before the claim goes out.

  • 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 for all of it, next to the cost of one in-house biller.

Our fee

$2,100

a month, $25,200 a year

Commitment3.5% of what we collect for you, in your agreement.

One full-time in-house biller

About $5,458 to $5,883

a month, $65,500 to $70,600 a year, before software, training and cover for time off

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

About $3,400 a month less than one biller

About what one biller costs, for the complete service

One fee for the complete service, from coding to your live dashboard

Pricing, and how we compare with a billing company

Is my patients' data safe?

We sign a Business Associate Agreement (BAA) before any patient data moves

  • Built to HIPAA standards: encryption, access by role, and a log of every access to patient data.
  • A check blocks patient data from leaving for any service we have not approved.
  • Backed up and monitored.

Security and privacy

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.

  • Works with Epic, athenahealth, eClinicalWorks and OpenEMR, plus HL7, CSV and PDF feeds.
  • If you leave, the BAA requires us to return or destroy your patients' information, or, where that is not possible, to keep protecting it.

Getting started

Do you bill my specialty?

We bill these specialties today

  • Other specialties, by requestTell us your specialty

Physical, occupational and speech therapy

Every minute you treat, billed and paid.

Chiropractic

Every adjustment billed right, visit after visit.

Behavioral health

You stay with your clients. We bill every session.

Primary care (family and internal medicine)

Every visit billed for all the care you gave.

Orthopedics

From the clinic to the operating room, billed right.

OB/GYN

From the first prenatal visit to delivery, handled.

Imaging and medical supplies

Every scan and every supply, billed and collected.

We code from your notes, follow every claim to payment, and you see it all live.

Every specialty

What happens when I get in touch?

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

Your specialty, EMR, number of providers and who bills today. The plan shows what our AI-native service runs for you and what it costs. No patient information, please.