Services
Core Service
Billing & Collections
What we handle
- Eligibility checks and clean charge capture
- Claim scrubbing, edits, and submission
- Denial management and appeals
- Payment posting and reconciliation
How We Work
- Shared KPIs and clear reporting cadence
- A/R playbooks to prevent aging and write-offs
- Tight feedback loops with front-office and clinical teams
- Hands-on EMR/PM configuration support
Outcomes
↑ Net collections
More cash on the same volume.
↓ A/R days
Faster conversion from visit to payment.
↓ Takebacks
Fewer payer audits and recoupments.
Better documentation
Cleaner notes with less provider frustration.
Safeguard revenue
Coding & Compliance
Focus areas
- ICD-10 accuracy to reflect acuity and risk
- Modifier use to support correct payment
- Quality coding (CPT II, incentive measures)
- Medical necessity and documentation alignment
What we deliver
- Targeted chart reviews and coding audits
- Provider and staff education sessions
- Template and workflow updates in your EMR
- Quality program readiness reviews
Outcomes
↑ Quality scores
Better capture of incentive-linked measures.
↑ Risk accuracy
ICD-10 supports acuity and value-based models.
↓ Denials
Cleaner front-end and fewer reworks.
Less noise
Fewer billing fires for providers and staff.
Network strategy
Payer Contracting & Credentialing
What we handle
- Provider enrollment and re-credentialing
- New locations and roster management
- Contract intake, review, and redline support
- CAQH hygiene and document upkeep
How We Work
- Structured follow-up so nothing stalls in a black hole
- Rate and term reviews grounded in your data
- Clear communication with payers and your team
- Regular status reporting for leadership
Outcomes
Faster enrollment
Quicker time from hire to in-network.
Stronger terms
Rates and language aligned to your strategy.
↓ Eligibility issues
Cleaner rosters, fewer “not on file” denials.
↑ Network stability
Less chaos when providers join or leave.
Scorecards & insight
Analytics & Reporting
Dashboards
- Executive-level snapshots with drill-downs
- Payer, provider, and site-level views
- Trend lines for denials, A/R, and cash
Cadence
- Weekly operations huddles
- Monthly executive reviews
- Quarterly strategy checkpoints
Outcomes
↑ Visibility
Shared view of performance across the practice.
↑ Insight
Clear root causes behind trends and outliers.
↓ Leakage
Gaps identified and prioritized for action.
Aligned scorecards
Metrics that connect providers, staff, and Madison.
Operations support
Practice Optimization
Operations
- Front desk training
- Staffing models tied to volume and complexity
- Patient panel enhancement
Systems
- EMR/PM configuration and cleanup
- Rules, automations, and templates that stick
- Eligibility and clearinghouse optimization
Outcomes
↑ Throughput
More visits without burning out staff.
↓ Rework
Fewer loops and manual fixes.
↑ Staff satisfaction
Less chaos, clearer expectations.
Smoother patient flow
From scheduling to checkout and beyond.
Who we support
Specialties We Serve
We specialize in independent primary care and extend across 35+ specialties, with dedicated programs for primary care, behavioral health, and gynecology.
Primary Care
Family medicine, internal medicine, and pediatrics — visit-heavy, denial-sensitive workflows.
Behavioral Health
Auths, parity nuances, telehealth, and multi-payer benefit coordination.
Gynecology
Women’s health coding, authorizations, and payer policy nuances.
+ More
Gastroenterology, cardiology, orthopedics, multi-specialty groups, and MSOs.
FAQ
Frequently Asked Questions
Do you replace our current systems?
No, we optimize your existing EMR/PM and clearinghouse to keep your workflows and data intact. However, if you need a new billing platform, we can provide that through our preferred technology partners.
What does onboarding look like?
How do you price services?
Can you help with payer negotiations?
Is your team onshore?
Yes. Our analysts and advisors are 100% U.S.‑based.
Will we see results quickly?