For independent practices

Your Billing Team May Be Working Every Claim, and Still Leaving Money Behind.

If your practice collects $150K or more a month, a small revenue-cycle leak can be costing you tens of thousands of dollars a year. And the frustrating part is that you may not see it in your denial report.

20 minutes · no obligation · no patient data

  • Live with our team
  • Six numbers you already have
  • No system access
  • Nothing to prepare
The distinction

Getting a Claim Worked Is Not the Same as Getting Paid.

Your team can be submitting claims, working denials, following up on A/R and keeping the queue moving. And your collections can still be lower than they should be. Here is where the difference goes.

The flow Schematic. Band heights show proportion only and are not drawn from any dataset.
ONE MONTH OF CLAIMS, FROM SUBMISSION TO DEPOSITSCHEMATICNever billedThe visit happened.The charge never dropped.Stuck in reworkWorked again and againfor one root cause.Written offNever reworked,never appealed.UnderpaidPaid below contract,posted as paid.01Submitted02Touched03Denied04Reworked05PaidThe only bandthat is moneyEverything billed

Each bar is what is still in play. Hover a branch to isolate it.

Your billing team may be working hard. That does not mean the system is recovering everything it should.

Your report shows

  • Claims
  • Denials
  • A/R
  • Collections

It cannot show

  • Charges never billed
  • Coded a level low
  • Paid under contract
  • Aged past collecting

None of it is anyone's mistake. It is simply invisible to the report that would catch it.

Go deeper Open any stage for the chart behind it, and why the usual reports miss it.

The instrument

That Is Why We Look at Six Numbers Together.

You already have these numbers. No new software, no system access, no patient data export. Individually they tell you what happened. Together, they start telling you why.

WHAT EACH PAIR TELLS YOU01Charges02ClaimsWhat never got droppedA gap here is revenue that was earned and never billed03Adjustments01ChargesWhat you are concedingDeliberately, or because nobody revisited the contract05A/R aging04DenialsPrevented, or reworked foreverRising aging beside steady denials is a pattern nobody owns06 Net collectionsWhat actually arrived, which is the only number that settles the argument
The pairs above are what a Metrics Audit reads. Each one answers a question a single metric cannot.

If charges are significantly higher than claims, there may be revenue that never made it into the billing process. If adjustments are consistently high, you may be giving up more than you realize. If denials stay steady while older A/R grows, you may be fixing individual claims without addressing the underlying problem. And if everything appears to be working but net collections still are not where they should be, that is exactly what we want to investigate.

No new software · no system access · no patient data

Where it goes

Five Places Between the Visit and the Deposit.

This money does not usually appear as one giant mistake. It spreads across eligibility, coding, missed charges, denials, underpayments and aging A/R. Each issue looks small. Together they become expensive.

FIVE PLACES MONEY LEAVES01EligibilityAuth and coverageFixed one by one,never as a pattern02CodingDefensiveundercodingClean claim, pays,just for less03SubmissionCharges neverdroppedAbsent from everyreport you have04DenialsSame reason, everymonthRework looks likeproductivity05Posting, A/RShort pays and agedbalancesA short payment isstill a payment
Each stage fails in its own way, and each one hides for a different reason.
The offer

Find the Leak Before You Spend Money Fixing the Wrong Thing.

Not a sales pitch disguised as an audit. A diagnostic. You bring six numbers from your last full month, we read them with you, live.

  • Where we believe your biggest leak is
  • Whether it is significant enough to be worth fixing
  • What we would investigate next

If there is no meaningful opportunity, we will say so. The goal is not to convince you that you have a problem, it is to find out whether you do.

20 minutes · no obligation

Who this is for

The Number Most Practices Do Not Know.

$150Kmonthly collections
2%left behind
$3,000a month
$36,000a year, unrecovered

Two percent does not sound like much until you put a dollar amount on it. This is an example, not a claim about your practice. Below roughly $150K a month the arithmetic changes, and we would be selling you something that does not pay for itself. We would rather say that now than after an invoice.

A good fit

All three, ideally
  • IndependentPhysician-owned or physician-led, and you control your own billing
  • $150K a month or moreRoughly the point where a leak is worth paying to find
  • A process already runningIn-house or outsourced, and you suspect it leaves something behind

Not a fit

Any one of these
  • Hospital-employedOr you do not control your own billing decisions
  • Below the volumeThere is less to recover than the engagement would cost
  • Shopping on priceLooking for the cheapest biller, or for software
The record

What We Have Seen.

Five years, no acquisitions, and a client list built one independent practice at a time.

  • 0%+ Recovered across our practices typical increase in collections
  • Up to 0% Recovered for some practices the upper end of what we have seen
  • 0+ Independent practices not hospital systems
  • 0+ Years in business from zero clients, no acquisition

Historical performance across our own engagements. Not a projection for your practice, and not a figure anyone can put on your numbers before reading them.

Those are our numbers. Twenty minutes on yours is free.

Book a Free Metrics Audit 20 min · no obligation
Dr. Heather Signorelli, DO, co-founder of NatRevMD
Revenue leakage rarely looks like a crisis. It looks like normal operations. A few underpayments. A few missed charges. A few recurring denials. A little more A/R every month. Until you add it all up.

Dr. Heather Signorelli, DO Co-founder, NatRevMD · practicing pathologist

Pick a time

Let Us Find Out What Is Happening in Your Practice.

You do not need to change your billing company, your EHR, or your team. And you do not need to give us access to your systems. You just need six numbers from your most recent full month. Estimates are fine, and if you cannot pull them at all, come anyway and say so.

  • Charges, claims, adjustmentsMonth-end summary in your PM system
  • Denials and the top three reason codesClearinghouse denial report
  • A/R, with the over-90 and over-120 splitA/R aging report
  • Net collectionsPayment posting or deposit summary
Check fit · 30 seconds

    No patient data, and nothing is shared.

    • Confidential. What you share is used to answer your questions and nothing else. We will sign an NDA beforehand if your partners prefer.
    • No patient data, ever. Six aggregate numbers and a conversation. No PHI, no exports, no logins, no system access.
    • No obligation, no follow-up sales call. You keep whatever we find. Nobody chases you afterwards.
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    In Their Words.

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      Before you book

      The Questions Owners Actually Ask.

      Book Your Free Metrics Audit.

      Twenty minutes. Six numbers. No patient data, no system access, no obligation. If we find a leak, we will show you where to look. If we do not, we will tell you that. Either way you will know more about your revenue cycle than you did twenty minutes ago.

      20 minutes · no obligation

      Book a Free Metrics Audit

      20 min · no obligation